{"reporting_entity_name": "First Choice Next, A Product of SHSC, Inc.","reporting_entity_type": "First Choice Next, A Product of SHSC, Inc.","last_updated_on": "2026-02-18","version": "2.0.0","out_of_network":[{"name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.63,"providers":[{"billed_charge":23.00,"npi":[1477749208]}]}]}]},{"name":"Collection, Venous Blood, Venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection, Venous Blood, Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"852276567"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":9.91,"providers":[{"billed_charge":25.00,"npi":[1760755003]}]}]}]},{"name":"Collection, Venous Blood, Venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection, Venous Blood, Venipuncture","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":11.27,"providers":[{"billed_charge":26.00,"npi":[1477749208]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and high level of medical decision","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":153.42,"providers":[{"billed_charge":1870.00,"npi":[1477995470]}]},{"allowed_amount":180.49,"providers":[{"billed_charge":1870.00,"npi":[1326661737,1831551985]}]},{"allowed_amount":187.61,"providers":[{"billed_charge":1870.00,"npi":[1184060931]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and moderate level of medical deci","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and moderate level of medical deci","allowed_amounts":[{"tin":{"type":"ein","value":"650691102"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":124.44,"providers":[{"billed_charge":1178.00,"npi":[1942206826]}]}]}]},{"name":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and moderate level of medical deci","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99284","description":"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and moderate level of medical deci","allowed_amounts":[{"tin":{"type":"ein","value":"821910968"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":105.78,"providers":[{"billed_charge":1280.00,"npi":[1932762564]}]},{"allowed_amount":109.95,"providers":[{"billed_charge":1280.00,"npi":[1740755081]}]},{"allowed_amount":124.44,"providers":[{"billed_charge":1280.00,"npi":[1255366266]}]}]}]},{"name":"Ground Mileage, per statute mile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425RH","description":"Ground Mileage, per statute mile","allowed_amounts":[{"tin":{"type":"ein","value":"576000331"},"service_code":["41"],"billing_class":"professional","payments":[{"allowed_amount":30.20,"providers":[{"billed_charge":40.60,"npi":[1639162886]}]}]}]},{"name":"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination and","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":174.34,"providers":[{"billed_charge":497.00,"npi":[1477727139]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"570904886"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":2709.80,"npi":[1043283757]},{"billed_charge":3176.40,"npi":[1043283757]},{"billed_charge":3434.92,"npi":[1043283757]},{"billed_charge":410.00,"npi":[1043283757]},{"billed_charge":4362.00,"npi":[1043283757]},{"billed_charge":444.00,"npi":[1043283757]}]},{"allowed_amount":14000.00,"providers":[{"billed_charge":15015.00,"npi":[1043283757]}]}]}]},{"name":"Invalid Procedure Code","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0000000","description":"Invalid Procedure Code","allowed_amounts":[{"tin":{"type":"ein","value":"811723202"},"service_code":[],"billing_class":"institutional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":1122.00,"npi":[1447706569]},{"billed_charge":1137.10,"npi":[1447706569]},{"billed_charge":1146.00,"npi":[1447706569]},{"billed_charge":1392.50,"npi":[1447706569]},{"billed_charge":147.50,"npi":[1447706569]},{"billed_charge":15759.00,"npi":[1447706569]},{"billed_charge":187.00,"npi":[1447706569]},{"billed_charge":205.60,"npi":[1447706569]},{"billed_charge":2349.00,"npi":[1447706569]},{"billed_charge":242.60,"npi":[1447706569]},{"billed_charge":2527.00,"npi":[1447706569]},{"billed_charge":29.50,"npi":[1447706569]},{"billed_charge":299.60,"npi":[1447706569]},{"billed_charge":3170.00,"npi":[1447706569]},{"billed_charge":3250.51,"npi":[1447706569]},{"billed_charge":354.00,"npi":[1447706569]},{"billed_charge":378.00,"npi":[1447706569]},{"billed_charge":42.80,"npi":[1447706569]},{"billed_charge":4664.00,"npi":[1447706569]},{"billed_charge":4977.00,"npi":[1447706569]},{"billed_charge":50.20,"npi":[1447706569]},{"billed_charge":556.40,"npi":[1447706569]},{"billed_charge":56.00,"npi":[1447706569]},{"billed_charge":56.60,"npi":[1447706569]},{"billed_charge":59.20,"npi":[1447706569]},{"billed_charge":599.20,"npi":[1447706569]},{"billed_charge":66.90,"npi":[1447706569]},{"billed_charge":77.70,"npi":[1447706569]},{"billed_charge":796.00,"npi":[1447706569]},{"billed_charge":85.60,"npi":[1447706569]},{"billed_charge":8854.36,"npi":[1447706569]}]},{"allowed_amount":13116.98,"providers":[{"billed_charge":3573.00,"npi":[1447706569]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570853635"},"service_code":["23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":38.00,"npi":[1467502088]}]}]}]},{"name":"Radiologic examination, chest; single view","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7104526","description":"Radiologic examination, chest; single view","allowed_amounts":[{"tin":{"type":"ein","value":"570963518"},"service_code":["22","23"],"billing_class":"professional","payments":[{"allowed_amount":8.97,"providers":[{"billed_charge":248.00,"npi":[1003852039,1114149788]}]}]}]},{"name":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","allowed_amounts":[{"tin":{"type":"ein","value":"202252101"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":81.15,"providers":[{"billed_charge":398.00,"npi":[1972778652]}]}]}]},{"name":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","allowed_amounts":[{"tin":{"type":"ein","value":"991177652"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":79.56,"providers":[{"billed_charge":226.00,"npi":[1477727139]}]}]}]},{"name":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and\/or examination a","allowed_amounts":[{"tin":{"type":"ein","value":"202252101"},"service_code":["21"],"billing_class":"professional","payments":[{"allowed_amount":103.02,"providers":[{"billed_charge":572.00,"npi":[1376319004]}]}]}]},{"name":"Urine Pregnancy Test, Visual Color Comparison Methods","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81025","description":"Urine Pregnancy Test, Visual Color Comparison Methods","allowed_amounts":[{"tin":{"type":"ein","value":"320418835"},"service_code":["11"],"billing_class":"professional","payments":[{"allowed_amount":0.00,"providers":[{"billed_charge":30.00,"npi":[1427306893]}]}]}]}]}