[{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1348","Tot_Suplrs":"1588","Tot_Suplr_Benes":"1572","Tot_Suplr_Clms":"4354","Tot_Suplr_Srvcs":"248802","Avg_Suplr_Sbmtd_Chrg":"27.201491467","Avg_Suplr_Mdcr_Alowd_Amt":"7.2504182844","Avg_Suplr_Mdcr_Pymt_Amt":"6.3535031471","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3892459466"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"26","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"93","Tot_Suplr_Srvcs":"6084","Avg_Suplr_Sbmtd_Chrg":"23.474293228","Avg_Suplr_Mdcr_Alowd_Amt":"7.306321499","Avg_Suplr_Mdcr_Pymt_Amt":"6.4830325444","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4830292571"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"31","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"4388","Avg_Suplr_Sbmtd_Chrg":"25.440448952","Avg_Suplr_Mdcr_Alowd_Amt":"7.328689608","Avg_Suplr_Mdcr_Pymt_Amt":"6.4616385597","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4616340018"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"12","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"1664","Avg_Suplr_Sbmtd_Chrg":"23.551213942","Avg_Suplr_Mdcr_Alowd_Amt":"7.2085276442","Avg_Suplr_Mdcr_Pymt_Amt":"6.4634254808","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4634014423"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"103","Tot_Suplrs":"120","Tot_Suplr_Benes":"121","Tot_Suplr_Clms":"317","Tot_Suplr_Srvcs":"16620","Avg_Suplr_Sbmtd_Chrg":"28.68993923","Avg_Suplr_Mdcr_Alowd_Amt":"7.2503104693","Avg_Suplr_Mdcr_Pymt_Amt":"6.3886732852","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3886630566"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"23","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"3360","Avg_Suplr_Sbmtd_Chrg":"23.816863095","Avg_Suplr_Mdcr_Alowd_Amt":"7.2938690476","Avg_Suplr_Mdcr_Pymt_Amt":"6.3091636905","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3091547619"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"17","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"37","Tot_Suplr_Srvcs":"2744","Avg_Suplr_Sbmtd_Chrg":"25.335313411","Avg_Suplr_Mdcr_Alowd_Amt":"7.2705976676","Avg_Suplr_Mdcr_Pymt_Amt":"6.4626931487","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4626895044"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"712","Avg_Suplr_Sbmtd_Chrg":"28.141530899","Avg_Suplr_Mdcr_Alowd_Amt":"7.1375","Avg_Suplr_Mdcr_Pymt_Amt":"6.137247191","Avg_Suplr_Mdcr_Stdzd_Amt":"6.137247191"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"86","Tot_Suplrs":"107","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"264","Tot_Suplr_Srvcs":"13816","Avg_Suplr_Sbmtd_Chrg":"31.504779965","Avg_Suplr_Mdcr_Alowd_Amt":"7.2378466995","Avg_Suplr_Mdcr_Pymt_Amt":"6.2169600463","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3031210191"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"49","Tot_Suplr_Benes":"48","Tot_Suplr_Clms":"156","Tot_Suplr_Srvcs":"7296","Avg_Suplr_Sbmtd_Chrg":"31.923663651","Avg_Suplr_Mdcr_Alowd_Amt":"7.1702809759","Avg_Suplr_Mdcr_Pymt_Amt":"6.2207442434","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2207264254"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"65","Tot_Suplrs":"77","Tot_Suplr_Benes":"75","Tot_Suplr_Clms":"200","Tot_Suplr_Srvcs":"13756","Avg_Suplr_Sbmtd_Chrg":"23.947036929","Avg_Suplr_Mdcr_Alowd_Amt":"7.2682458564","Avg_Suplr_Mdcr_Pymt_Amt":"6.4409036057","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4408999709"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"56","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"177","Tot_Suplr_Srvcs":"9652","Avg_Suplr_Sbmtd_Chrg":"31.974742022","Avg_Suplr_Mdcr_Alowd_Amt":"7.2428750518","Avg_Suplr_Mdcr_Pymt_Amt":"6.3924347286","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3924295483"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"30","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"105","Tot_Suplr_Srvcs":"5488","Avg_Suplr_Sbmtd_Chrg":"24.773502187","Avg_Suplr_Mdcr_Alowd_Amt":"7.2870225948","Avg_Suplr_Mdcr_Pymt_Amt":"6.4928990525","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4928990525"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23","Tot_Suplrs":"29","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"93","Tot_Suplr_Srvcs":"2512","Avg_Suplr_Sbmtd_Chrg":"33.897109873","Avg_Suplr_Mdcr_Alowd_Amt":"7.1325437898","Avg_Suplr_Mdcr_Pymt_Amt":"6.1250119427","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1249562102"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"25","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"63","Tot_Suplr_Srvcs":"4429","Avg_Suplr_Sbmtd_Chrg":"23.946080379","Avg_Suplr_Mdcr_Alowd_Amt":"7.2890652517","Avg_Suplr_Mdcr_Pymt_Amt":"6.6423978325","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6423910589"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"15","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"2372","Avg_Suplr_Sbmtd_Chrg":"27.085809444","Avg_Suplr_Mdcr_Alowd_Amt":"7.1984696459","Avg_Suplr_Mdcr_Pymt_Amt":"6.355994941","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3559865093"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"1216","Avg_Suplr_Sbmtd_Chrg":"20.889547697","Avg_Suplr_Mdcr_Alowd_Amt":"7.39046875","Avg_Suplr_Mdcr_Pymt_Amt":"6.7674013158","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7674013158"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"19","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"59","Tot_Suplr_Srvcs":"3240","Avg_Suplr_Sbmtd_Chrg":"29.00520679","Avg_Suplr_Mdcr_Alowd_Amt":"7.1737438272","Avg_Suplr_Mdcr_Pymt_Amt":"6.2386666667","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2386481481"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"58","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"135","Tot_Suplr_Srvcs":"8900","Avg_Suplr_Sbmtd_Chrg":"26.522142697","Avg_Suplr_Mdcr_Alowd_Amt":"7.2400842697","Avg_Suplr_Mdcr_Pymt_Amt":"6.4385617978","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4385516854"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"41","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"6468","Avg_Suplr_Sbmtd_Chrg":"22.586278602","Avg_Suplr_Mdcr_Alowd_Amt":"7.3644897959","Avg_Suplr_Mdcr_Pymt_Amt":"6.3109090909","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4932823129"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"34","Tot_Suplrs":"41","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"118","Tot_Suplr_Srvcs":"8129","Avg_Suplr_Sbmtd_Chrg":"25.104999385","Avg_Suplr_Mdcr_Alowd_Amt":"7.2930594169","Avg_Suplr_Mdcr_Pymt_Amt":"6.4291019806","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4291007504"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"22","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"58","Tot_Suplr_Srvcs":"3792","Avg_Suplr_Sbmtd_Chrg":"26.9750923","Avg_Suplr_Mdcr_Alowd_Amt":"7.2159889241","Avg_Suplr_Mdcr_Pymt_Amt":"6.3717167722","Avg_Suplr_Mdcr_Stdzd_Amt":"6.371714135"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"58","Tot_Suplr_Benes":"62","Tot_Suplr_Clms":"159","Tot_Suplr_Srvcs":"10264","Avg_Suplr_Sbmtd_Chrg":"27.192492206","Avg_Suplr_Mdcr_Alowd_Amt":"7.300160756","Avg_Suplr_Mdcr_Pymt_Amt":"6.4352396726","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4352309041"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"1296","Avg_Suplr_Sbmtd_Chrg":"24.78378858","Avg_Suplr_Mdcr_Alowd_Amt":"7.3698842593","Avg_Suplr_Mdcr_Pymt_Amt":"6.5379320988","Avg_Suplr_Mdcr_Stdzd_Amt":"6.5379012346"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"13","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"50","Tot_Suplr_Srvcs":"2436","Avg_Suplr_Sbmtd_Chrg":"24.824252874","Avg_Suplr_Mdcr_Alowd_Amt":"7.3112192118","Avg_Suplr_Mdcr_Pymt_Amt":"6.4662561576","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4662356322"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"1088","Avg_Suplr_Sbmtd_Chrg":"39.25734375","Avg_Suplr_Mdcr_Alowd_Amt":"7.11390625","Avg_Suplr_Mdcr_Pymt_Amt":"6.2487591912","Avg_Suplr_Mdcr_Stdzd_Amt":"6.24875"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"16","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"47","Tot_Suplr_Srvcs":"2960","Avg_Suplr_Sbmtd_Chrg":"20.892185811","Avg_Suplr_Mdcr_Alowd_Amt":"7.4557297297","Avg_Suplr_Mdcr_Pymt_Amt":"6.7103581081","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7103412162"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"37","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"96","Tot_Suplr_Srvcs":"6820","Avg_Suplr_Sbmtd_Chrg":"26.532967742","Avg_Suplr_Mdcr_Alowd_Amt":"7.1977331378","Avg_Suplr_Mdcr_Pymt_Amt":"5.919228739","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4594560117"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"1140","Avg_Suplr_Sbmtd_Chrg":"36.845640351","Avg_Suplr_Mdcr_Alowd_Amt":"7.114122807","Avg_Suplr_Mdcr_Pymt_Amt":"6.4092192982","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4092192982"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"51","Tot_Suplrs":"59","Tot_Suplr_Benes":"54","Tot_Suplr_Clms":"140","Tot_Suplr_Srvcs":"7928","Avg_Suplr_Sbmtd_Chrg":"26.331677598","Avg_Suplr_Mdcr_Alowd_Amt":"7.2856634712","Avg_Suplr_Mdcr_Pymt_Amt":"6.4338786579","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4338723512"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"57","Tot_Suplr_Benes":"54","Tot_Suplr_Clms":"127","Tot_Suplr_Srvcs":"6752","Avg_Suplr_Sbmtd_Chrg":"28.763946979","Avg_Suplr_Mdcr_Alowd_Amt":"7.1972482227","Avg_Suplr_Mdcr_Pymt_Amt":"6.2055953791","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2716039692"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"1180","Avg_Suplr_Sbmtd_Chrg":"25.394949153","Avg_Suplr_Mdcr_Alowd_Amt":"7.329","Avg_Suplr_Mdcr_Pymt_Amt":"6.4222627119","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4222457627"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"53","Tot_Suplrs":"64","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"160","Tot_Suplr_Srvcs":"7836","Avg_Suplr_Sbmtd_Chrg":"28.121752169","Avg_Suplr_Mdcr_Alowd_Amt":"7.1866003063","Avg_Suplr_Mdcr_Pymt_Amt":"6.294532925","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3104007147"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"1380","Avg_Suplr_Sbmtd_Chrg":"25.528507246","Avg_Suplr_Mdcr_Alowd_Amt":"7.172115942","Avg_Suplr_Mdcr_Pymt_Amt":"6.0174855072","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1693405797"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"18","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"36","Tot_Suplr_Srvcs":"2444","Avg_Suplr_Sbmtd_Chrg":"23.308060556","Avg_Suplr_Mdcr_Alowd_Amt":"7.2025695581","Avg_Suplr_Mdcr_Pymt_Amt":"6.3613420622","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3613256956"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"81","Tot_Suplrs":"104","Tot_Suplr_Benes":"110","Tot_Suplr_Clms":"337","Tot_Suplr_Srvcs":"20020","Avg_Suplr_Sbmtd_Chrg":"26.017787213","Avg_Suplr_Mdcr_Alowd_Amt":"7.1812942058","Avg_Suplr_Mdcr_Pymt_Amt":"6.3485959041","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3766908092"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"18","Tot_Suplrs":"28","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"67","Tot_Suplr_Srvcs":"3868","Avg_Suplr_Sbmtd_Chrg":"26.819702689","Avg_Suplr_Mdcr_Alowd_Amt":"7.2840925543","Avg_Suplr_Mdcr_Pymt_Amt":"6.3901085832","Avg_Suplr_Mdcr_Stdzd_Amt":"6.390098242"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"14","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"3600","Avg_Suplr_Sbmtd_Chrg":"19.569269444","Avg_Suplr_Mdcr_Alowd_Amt":"7.3215583333","Avg_Suplr_Mdcr_Pymt_Amt":"6.4579666667","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4579638889"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"45","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"124","Tot_Suplr_Srvcs":"6268","Avg_Suplr_Sbmtd_Chrg":"29.806719847","Avg_Suplr_Mdcr_Alowd_Amt":"7.2202584556","Avg_Suplr_Mdcr_Pymt_Amt":"6.1027855775","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2339454371"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"89","Tot_Suplrs":"109","Tot_Suplr_Benes":"99","Tot_Suplr_Clms":"254","Tot_Suplr_Srvcs":"13888","Avg_Suplr_Sbmtd_Chrg":"27.342438076","Avg_Suplr_Mdcr_Alowd_Amt":"7.2765891417","Avg_Suplr_Mdcr_Pymt_Amt":"6.338266129","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3468872408"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"1544","Avg_Suplr_Sbmtd_Chrg":"29.44488342","Avg_Suplr_Mdcr_Alowd_Amt":"7.1513989637","Avg_Suplr_Mdcr_Pymt_Amt":"6.2695595855","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2695401554"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"640","Avg_Suplr_Sbmtd_Chrg":"38.775375","Avg_Suplr_Mdcr_Alowd_Amt":"7.22884375","Avg_Suplr_Mdcr_Pymt_Amt":"6.2826875","Avg_Suplr_Mdcr_Stdzd_Amt":"6.28265625"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"33","Tot_Suplr_Benes":"34","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"3604","Avg_Suplr_Sbmtd_Chrg":"43.53577414","Avg_Suplr_Mdcr_Alowd_Amt":"7.2134739179","Avg_Suplr_Mdcr_Pymt_Amt":"6.0110682575","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1653773585"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"31","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"89","Tot_Suplr_Srvcs":"5444","Avg_Suplr_Sbmtd_Chrg":"26.492819618","Avg_Suplr_Mdcr_Alowd_Amt":"7.2182861866","Avg_Suplr_Mdcr_Pymt_Amt":"6.3888886848","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3888795004"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"1988","Avg_Suplr_Sbmtd_Chrg":"30.074597586","Avg_Suplr_Mdcr_Alowd_Amt":"7.1310865191","Avg_Suplr_Mdcr_Pymt_Amt":"6.3106036217","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3106036217"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1811","HCPCS_Desc":"Insulin (fiasp) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"37","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"106","Tot_Suplr_Srvcs":"6088","Avg_Suplr_Sbmtd_Chrg":"23.634531866","Avg_Suplr_Mdcr_Alowd_Amt":"7.3299934297","Avg_Suplr_Mdcr_Pymt_Amt":"6.4965522339","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4965407359"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"429","Tot_Suplrs":"464","Tot_Suplr_Benes":"483","Tot_Suplr_Clms":"1453","Tot_Suplr_Srvcs":"132850","Avg_Suplr_Sbmtd_Chrg":"17.716231539","Avg_Suplr_Mdcr_Alowd_Amt":"15.566968611","Avg_Suplr_Mdcr_Pymt_Amt":"14.408390967","Avg_Suplr_Mdcr_Stdzd_Amt":"14.572361536"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"1120","Avg_Suplr_Sbmtd_Chrg":"18.2465","Avg_Suplr_Mdcr_Alowd_Amt":"15.579107143","Avg_Suplr_Mdcr_Pymt_Amt":"14.501910714","Avg_Suplr_Mdcr_Stdzd_Amt":"14.501910714"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"1600","Avg_Suplr_Sbmtd_Chrg":"18.74499375","Avg_Suplr_Mdcr_Alowd_Amt":"15.5742","Avg_Suplr_Mdcr_Pymt_Amt":"14.5124125","Avg_Suplr_Mdcr_Stdzd_Amt":"14.5124125"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"38","Tot_Suplrs":"41","Tot_Suplr_Benes":"41","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"9100","Avg_Suplr_Sbmtd_Chrg":"16.535940659","Avg_Suplr_Mdcr_Alowd_Amt":"15.567162637","Avg_Suplr_Mdcr_Pymt_Amt":"13.90553956","Avg_Suplr_Mdcr_Stdzd_Amt":"14.589686813"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"1900","Avg_Suplr_Sbmtd_Chrg":"16.394715789","Avg_Suplr_Mdcr_Alowd_Amt":"15.575847368","Avg_Suplr_Mdcr_Pymt_Amt":"14.524184211","Avg_Suplr_Mdcr_Stdzd_Amt":"14.524184211"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"2010","Avg_Suplr_Sbmtd_Chrg":"18.251368159","Avg_Suplr_Mdcr_Alowd_Amt":"15.57841791","Avg_Suplr_Mdcr_Pymt_Amt":"14.56719403","Avg_Suplr_Mdcr_Stdzd_Amt":"14.56719403"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"60","Tot_Suplr_Benes":"81","Tot_Suplr_Clms":"245","Tot_Suplr_Srvcs":"22390","Avg_Suplr_Sbmtd_Chrg":"17.805382314","Avg_Suplr_Mdcr_Alowd_Amt":"15.575876731","Avg_Suplr_Mdcr_Pymt_Amt":"14.542987048","Avg_Suplr_Mdcr_Stdzd_Amt":"14.542987048"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"20","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"3900","Avg_Suplr_Sbmtd_Chrg":"18.403720513","Avg_Suplr_Mdcr_Alowd_Amt":"15.575369231","Avg_Suplr_Mdcr_Pymt_Amt":"14.491407692","Avg_Suplr_Mdcr_Stdzd_Amt":"14.491407692"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"1800","Avg_Suplr_Sbmtd_Chrg":"20.661761111","Avg_Suplr_Mdcr_Alowd_Amt":"15.438527778","Avg_Suplr_Mdcr_Pymt_Amt":"14.291316667","Avg_Suplr_Mdcr_Stdzd_Amt":"14.291316667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"2210","Avg_Suplr_Sbmtd_Chrg":"16.684945701","Avg_Suplr_Mdcr_Alowd_Amt":"15.607303167","Avg_Suplr_Mdcr_Pymt_Amt":"14.8140181","Avg_Suplr_Mdcr_Stdzd_Amt":"14.8140181"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"1640","Avg_Suplr_Sbmtd_Chrg":"18.065030488","Avg_Suplr_Mdcr_Alowd_Amt":"15.595573171","Avg_Suplr_Mdcr_Pymt_Amt":"14.551658537","Avg_Suplr_Mdcr_Stdzd_Amt":"14.551658537"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"1540","Avg_Suplr_Sbmtd_Chrg":"16.467279221","Avg_Suplr_Mdcr_Alowd_Amt":"15.552662338","Avg_Suplr_Mdcr_Pymt_Amt":"14.606266234","Avg_Suplr_Mdcr_Stdzd_Amt":"14.606266234"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"1140","Avg_Suplr_Sbmtd_Chrg":"18.358526316","Avg_Suplr_Mdcr_Alowd_Amt":"15.576131579","Avg_Suplr_Mdcr_Pymt_Amt":"14.392052632","Avg_Suplr_Mdcr_Stdzd_Amt":"14.392052632"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"580","Avg_Suplr_Sbmtd_Chrg":"20.123965517","Avg_Suplr_Mdcr_Alowd_Amt":"15.57237931","Avg_Suplr_Mdcr_Pymt_Amt":"14.433","Avg_Suplr_Mdcr_Stdzd_Amt":"14.433"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"1680","Avg_Suplr_Sbmtd_Chrg":"16.776922619","Avg_Suplr_Mdcr_Alowd_Amt":"15.577857143","Avg_Suplr_Mdcr_Pymt_Amt":"14.520089286","Avg_Suplr_Mdcr_Stdzd_Amt":"14.520089286"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"1900","Avg_Suplr_Sbmtd_Chrg":"18.122042105","Avg_Suplr_Mdcr_Alowd_Amt":"15.585394737","Avg_Suplr_Mdcr_Pymt_Amt":"14.569647368","Avg_Suplr_Mdcr_Stdzd_Amt":"14.569647368"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"2560","Avg_Suplr_Sbmtd_Chrg":"17.841753906","Avg_Suplr_Mdcr_Alowd_Amt":"15.575191406","Avg_Suplr_Mdcr_Pymt_Amt":"14.5358125","Avg_Suplr_Mdcr_Stdzd_Amt":"14.5358125"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"9","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"2370","Avg_Suplr_Sbmtd_Chrg":"22.105860759","Avg_Suplr_Mdcr_Alowd_Amt":"15.570518987","Avg_Suplr_Mdcr_Pymt_Amt":"14.361835443","Avg_Suplr_Mdcr_Stdzd_Amt":"14.361835443"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1680","Avg_Suplr_Sbmtd_Chrg":"17.464845238","Avg_Suplr_Mdcr_Alowd_Amt":"15.571428571","Avg_Suplr_Mdcr_Pymt_Amt":"14.463761905","Avg_Suplr_Mdcr_Stdzd_Amt":"14.463761905"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"3390","Avg_Suplr_Sbmtd_Chrg":"20.83939823","Avg_Suplr_Mdcr_Alowd_Amt":"15.566070796","Avg_Suplr_Mdcr_Pymt_Amt":"14.700536873","Avg_Suplr_Mdcr_Stdzd_Amt":"14.700533923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"1040","Avg_Suplr_Sbmtd_Chrg":"19.661923077","Avg_Suplr_Mdcr_Alowd_Amt":"15.337615385","Avg_Suplr_Mdcr_Pymt_Amt":"13.843586538","Avg_Suplr_Mdcr_Stdzd_Amt":"13.843586538"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"820","Avg_Suplr_Sbmtd_Chrg":"21.599256098","Avg_Suplr_Mdcr_Alowd_Amt":"15.595390244","Avg_Suplr_Mdcr_Pymt_Amt":"14.446878049","Avg_Suplr_Mdcr_Stdzd_Amt":"14.446865854"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"3580","Avg_Suplr_Sbmtd_Chrg":"18.311027933","Avg_Suplr_Mdcr_Alowd_Amt":"15.574776536","Avg_Suplr_Mdcr_Pymt_Amt":"14.659681564","Avg_Suplr_Mdcr_Stdzd_Amt":"14.659681564"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"2600","Avg_Suplr_Sbmtd_Chrg":"19.058915385","Avg_Suplr_Mdcr_Alowd_Amt":"15.542153846","Avg_Suplr_Mdcr_Pymt_Amt":"14.508","Avg_Suplr_Mdcr_Stdzd_Amt":"14.508"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"20","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"46","Tot_Suplr_Srvcs":"5140","Avg_Suplr_Sbmtd_Chrg":"18.466476654","Avg_Suplr_Mdcr_Alowd_Amt":"15.578136187","Avg_Suplr_Mdcr_Pymt_Amt":"14.492492218","Avg_Suplr_Mdcr_Stdzd_Amt":"14.492492218"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"17","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"61","Tot_Suplr_Srvcs":"5270","Avg_Suplr_Sbmtd_Chrg":"17.308804554","Avg_Suplr_Mdcr_Alowd_Amt":"15.57812334","Avg_Suplr_Mdcr_Pymt_Amt":"14.563645161","Avg_Suplr_Mdcr_Stdzd_Amt":"14.563645161"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"2190","Avg_Suplr_Sbmtd_Chrg":"18.001945205","Avg_Suplr_Mdcr_Alowd_Amt":"15.583136986","Avg_Suplr_Mdcr_Pymt_Amt":"14.472707763","Avg_Suplr_Mdcr_Stdzd_Amt":"14.472707763"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"47","Tot_Suplr_Srvcs":"3590","Avg_Suplr_Sbmtd_Chrg":"16.844328691","Avg_Suplr_Mdcr_Alowd_Amt":"15.491061281","Avg_Suplr_Mdcr_Pymt_Amt":"14.572454039","Avg_Suplr_Mdcr_Stdzd_Amt":"14.572454039"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"16","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"4720","Avg_Suplr_Sbmtd_Chrg":"16.835052966","Avg_Suplr_Mdcr_Alowd_Amt":"15.572885593","Avg_Suplr_Mdcr_Pymt_Amt":"14.738197034","Avg_Suplr_Mdcr_Stdzd_Amt":"14.738197034"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"12","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"3610","Avg_Suplr_Sbmtd_Chrg":"17.16199723","Avg_Suplr_Mdcr_Alowd_Amt":"15.583736842","Avg_Suplr_Mdcr_Pymt_Amt":"12.176822715","Avg_Suplr_Mdcr_Stdzd_Amt":"14.549903047"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"19","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"59","Tot_Suplr_Srvcs":"5660","Avg_Suplr_Sbmtd_Chrg":"17.983439929","Avg_Suplr_Mdcr_Alowd_Amt":"15.583659011","Avg_Suplr_Mdcr_Pymt_Amt":"14.511621908","Avg_Suplr_Mdcr_Stdzd_Amt":"14.664335689"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"38","Tot_Suplrs":"43","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"134","Tot_Suplr_Srvcs":"13550","Avg_Suplr_Sbmtd_Chrg":"16.632011808","Avg_Suplr_Mdcr_Alowd_Amt":"15.57638524","Avg_Suplr_Mdcr_Pymt_Amt":"14.710650185","Avg_Suplr_Mdcr_Stdzd_Amt":"14.710650185"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"2150","Avg_Suplr_Sbmtd_Chrg":"17.078251163","Avg_Suplr_Mdcr_Alowd_Amt":"15.574688372","Avg_Suplr_Mdcr_Pymt_Amt":"14.579897674","Avg_Suplr_Mdcr_Stdzd_Amt":"14.579897674"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"17","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"6420","Avg_Suplr_Sbmtd_Chrg":"17.519222741","Avg_Suplr_Mdcr_Alowd_Amt":"15.567948598","Avg_Suplr_Mdcr_Pymt_Amt":"14.674250779","Avg_Suplr_Mdcr_Stdzd_Amt":"14.674250779"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"2660","Avg_Suplr_Sbmtd_Chrg":"16.30437218","Avg_Suplr_Mdcr_Alowd_Amt":"15.544022556","Avg_Suplr_Mdcr_Pymt_Amt":"14.470360902","Avg_Suplr_Mdcr_Stdzd_Amt":"14.470360902"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"800","Avg_Suplr_Sbmtd_Chrg":"16.322275","Avg_Suplr_Mdcr_Alowd_Amt":"15.57495","Avg_Suplr_Mdcr_Pymt_Amt":"14.773","Avg_Suplr_Mdcr_Stdzd_Amt":"14.773"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1813","HCPCS_Desc":"Insulin (lyumjev) for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"880","Avg_Suplr_Sbmtd_Chrg":"16.526579545","Avg_Suplr_Mdcr_Alowd_Amt":"15.375738636","Avg_Suplr_Mdcr_Pymt_Amt":"14.288727273","Avg_Suplr_Mdcr_Stdzd_Amt":"14.288727273"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"49","Tot_Suplrs":"25","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"447","Tot_Suplr_Srvcs":"451","Avg_Suplr_Sbmtd_Chrg":"315.40394678","Avg_Suplr_Mdcr_Alowd_Amt":"78.237583149","Avg_Suplr_Mdcr_Pymt_Amt":"59.585742794","Avg_Suplr_Mdcr_Stdzd_Amt":"59.585742794"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"13","Avg_Suplr_Sbmtd_Chrg":"208.69","Avg_Suplr_Mdcr_Alowd_Amt":"78.291538462","Avg_Suplr_Mdcr_Pymt_Amt":"61.381538462","Avg_Suplr_Mdcr_Stdzd_Amt":"61.381538462"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"2","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"62","Avg_Suplr_Sbmtd_Chrg":"208.82129032","Avg_Suplr_Mdcr_Alowd_Amt":"81.257096774","Avg_Suplr_Mdcr_Pymt_Amt":"63.706612903","Avg_Suplr_Mdcr_Stdzd_Amt":"63.706612903"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"38","Avg_Suplr_Sbmtd_Chrg":"245.63894737","Avg_Suplr_Mdcr_Alowd_Amt":"76.291842105","Avg_Suplr_Mdcr_Pymt_Amt":"57.658684211","Avg_Suplr_Mdcr_Stdzd_Amt":"57.658684211"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"15","Avg_Suplr_Sbmtd_Chrg":"466.66933333","Avg_Suplr_Mdcr_Alowd_Amt":"77.226666667","Avg_Suplr_Mdcr_Pymt_Amt":"57.506666667","Avg_Suplr_Mdcr_Stdzd_Amt":"57.506666667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"51","Avg_Suplr_Sbmtd_Chrg":"150.50215686","Avg_Suplr_Mdcr_Alowd_Amt":"77.494313725","Avg_Suplr_Mdcr_Pymt_Amt":"58.649215686","Avg_Suplr_Mdcr_Stdzd_Amt":"58.649215686"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"44","Avg_Suplr_Sbmtd_Chrg":"147.68840909","Avg_Suplr_Mdcr_Alowd_Amt":"79.149772727","Avg_Suplr_Mdcr_Pymt_Amt":"60.192954545","Avg_Suplr_Mdcr_Stdzd_Amt":"60.192954545"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"2","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"159","Tot_Suplr_Srvcs":"159","Avg_Suplr_Sbmtd_Chrg":"517.27106918","Avg_Suplr_Mdcr_Alowd_Amt":"77.628930818","Avg_Suplr_Mdcr_Pymt_Amt":"59.384654088","Avg_Suplr_Mdcr_Stdzd_Amt":"59.384654088"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J2545","HCPCS_Desc":"Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"30","Avg_Suplr_Sbmtd_Chrg":"158.40133333","Avg_Suplr_Mdcr_Alowd_Amt":"79.499333333","Avg_Suplr_Mdcr_Pymt_Amt":"58.234","Avg_Suplr_Mdcr_Stdzd_Amt":"58.234"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"391","Tot_Suplrs":"23","Tot_Suplr_Benes":"698","Tot_Suplr_Clms":"7103","Tot_Suplr_Srvcs":"234530","Avg_Suplr_Sbmtd_Chrg":"398.64293481","Avg_Suplr_Mdcr_Alowd_Amt":"231.03109777","Avg_Suplr_Mdcr_Pymt_Amt":"179.72767322","Avg_Suplr_Mdcr_Stdzd_Amt":"179.72767309"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"166","Tot_Suplr_Srvcs":"5523","Avg_Suplr_Sbmtd_Chrg":"420.76816042","Avg_Suplr_Mdcr_Alowd_Amt":"230.96732935","Avg_Suplr_Mdcr_Pymt_Amt":"180.37436176","Avg_Suplr_Mdcr_Stdzd_Amt":"180.37436176"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"1232","Avg_Suplr_Sbmtd_Chrg":"436.63136364","Avg_Suplr_Mdcr_Alowd_Amt":"230.70383929","Avg_Suplr_Mdcr_Pymt_Amt":"180.87183442","Avg_Suplr_Mdcr_Stdzd_Amt":"180.87183442"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"7","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"407","Tot_Suplr_Srvcs":"12445","Avg_Suplr_Sbmtd_Chrg":"412.04430213","Avg_Suplr_Mdcr_Alowd_Amt":"231.45176697","Avg_Suplr_Mdcr_Pymt_Amt":"179.82487425","Avg_Suplr_Mdcr_Stdzd_Amt":"179.82487425"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"108","Tot_Suplr_Srvcs":"3864","Avg_Suplr_Sbmtd_Chrg":"392.37769669","Avg_Suplr_Mdcr_Alowd_Amt":"231.52328416","Avg_Suplr_Mdcr_Pymt_Amt":"181.46547878","Avg_Suplr_Mdcr_Stdzd_Amt":"181.46547878"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"44","Tot_Suplrs":"7","Tot_Suplr_Benes":"82","Tot_Suplr_Clms":"788","Tot_Suplr_Srvcs":"23808","Avg_Suplr_Sbmtd_Chrg":"388.70989499","Avg_Suplr_Mdcr_Alowd_Amt":"231.1131019","Avg_Suplr_Mdcr_Pymt_Amt":"180.98211946","Avg_Suplr_Mdcr_Stdzd_Amt":"180.98211946"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"6","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"128","Tot_Suplr_Srvcs":"4858","Avg_Suplr_Sbmtd_Chrg":"401.35475504","Avg_Suplr_Mdcr_Alowd_Amt":"230.48154796","Avg_Suplr_Mdcr_Pymt_Amt":"180.69747221","Avg_Suplr_Mdcr_Stdzd_Amt":"180.69747221"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"5","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"196","Tot_Suplr_Srvcs":"6422","Avg_Suplr_Sbmtd_Chrg":"385.36870912","Avg_Suplr_Mdcr_Alowd_Amt":"230.45901744","Avg_Suplr_Mdcr_Pymt_Amt":"180.6686375","Avg_Suplr_Mdcr_Stdzd_Amt":"180.6686375"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"1176","Avg_Suplr_Sbmtd_Chrg":"423.51879252","Avg_Suplr_Mdcr_Alowd_Amt":"230.83516156","Avg_Suplr_Mdcr_Pymt_Amt":"180.97462585","Avg_Suplr_Mdcr_Stdzd_Amt":"180.97462585"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"3024","Avg_Suplr_Sbmtd_Chrg":"391.87429233","Avg_Suplr_Mdcr_Alowd_Amt":"230.95566468","Avg_Suplr_Mdcr_Pymt_Amt":"181.06911706","Avg_Suplr_Mdcr_Stdzd_Amt":"181.06911706"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"7","Tot_Suplr_Benes":"48","Tot_Suplr_Clms":"498","Tot_Suplr_Srvcs":"15099","Avg_Suplr_Sbmtd_Chrg":"423.61483608","Avg_Suplr_Mdcr_Alowd_Amt":"231.08549175","Avg_Suplr_Mdcr_Pymt_Amt":"180.16548314","Avg_Suplr_Mdcr_Stdzd_Amt":"180.16548314"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"63","Tot_Suplr_Srvcs":"1729","Avg_Suplr_Sbmtd_Chrg":"422.61224407","Avg_Suplr_Mdcr_Alowd_Amt":"230.93356275","Avg_Suplr_Mdcr_Pymt_Amt":"181.05174667","Avg_Suplr_Mdcr_Stdzd_Amt":"181.05174667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"1120","Avg_Suplr_Sbmtd_Chrg":"409.4075","Avg_Suplr_Mdcr_Alowd_Amt":"230.66441964","Avg_Suplr_Mdcr_Pymt_Amt":"180.84090179","Avg_Suplr_Mdcr_Stdzd_Amt":"180.84090179"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"6","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"301","Tot_Suplr_Srvcs":"10497","Avg_Suplr_Sbmtd_Chrg":"379.73269696","Avg_Suplr_Mdcr_Alowd_Amt":"231.00743069","Avg_Suplr_Mdcr_Pymt_Amt":"181.04365342","Avg_Suplr_Mdcr_Stdzd_Amt":"181.04365342"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"7","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"155","Tot_Suplr_Srvcs":"4564","Avg_Suplr_Sbmtd_Chrg":"422.08322524","Avg_Suplr_Mdcr_Alowd_Amt":"231.0416433","Avg_Suplr_Mdcr_Pymt_Amt":"181.10214943","Avg_Suplr_Mdcr_Stdzd_Amt":"181.10214943"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"2464","Avg_Suplr_Sbmtd_Chrg":"330.71270292","Avg_Suplr_Mdcr_Alowd_Amt":"230.92369318","Avg_Suplr_Mdcr_Pymt_Amt":"180.96787338","Avg_Suplr_Mdcr_Stdzd_Amt":"180.96787338"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"123","Tot_Suplr_Srvcs":"3783","Avg_Suplr_Sbmtd_Chrg":"427.84707639","Avg_Suplr_Mdcr_Alowd_Amt":"231.20487708","Avg_Suplr_Mdcr_Pymt_Amt":"181.22307957","Avg_Suplr_Mdcr_Stdzd_Amt":"181.22307957"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"6","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"166","Tot_Suplr_Srvcs":"5908","Avg_Suplr_Sbmtd_Chrg":"346.06081923","Avg_Suplr_Mdcr_Alowd_Amt":"231.18812288","Avg_Suplr_Mdcr_Pymt_Amt":"181.18221395","Avg_Suplr_Mdcr_Stdzd_Amt":"181.18221395"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"2072","Avg_Suplr_Sbmtd_Chrg":"403.36936776","Avg_Suplr_Mdcr_Alowd_Amt":"230.57225386","Avg_Suplr_Mdcr_Pymt_Amt":"180.62446911","Avg_Suplr_Mdcr_Stdzd_Amt":"180.62446911"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"315","Avg_Suplr_Sbmtd_Chrg":"506.30780952","Avg_Suplr_Mdcr_Alowd_Amt":"231.85012698","Avg_Suplr_Mdcr_Pymt_Amt":"181.77031746","Avg_Suplr_Mdcr_Stdzd_Amt":"181.77031746"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"3","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"102","Tot_Suplr_Srvcs":"4200","Avg_Suplr_Sbmtd_Chrg":"424.45340952","Avg_Suplr_Mdcr_Alowd_Amt":"231.84326429","Avg_Suplr_Mdcr_Pymt_Amt":"174.45910714","Avg_Suplr_Mdcr_Stdzd_Amt":"174.45910714"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"6","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"110","Tot_Suplr_Srvcs":"3426","Avg_Suplr_Sbmtd_Chrg":"428.11190309","Avg_Suplr_Mdcr_Alowd_Amt":"231.08298599","Avg_Suplr_Mdcr_Pymt_Amt":"169.81563923","Avg_Suplr_Mdcr_Stdzd_Amt":"169.81563923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"123","Tot_Suplr_Srvcs":"4221","Avg_Suplr_Sbmtd_Chrg":"413.83267235","Avg_Suplr_Mdcr_Alowd_Amt":"231.16730633","Avg_Suplr_Mdcr_Pymt_Amt":"178.72691305","Avg_Suplr_Mdcr_Stdzd_Amt":"178.72691068"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"163","Tot_Suplr_Srvcs":"6433","Avg_Suplr_Sbmtd_Chrg":"376.63102907","Avg_Suplr_Mdcr_Alowd_Amt":"231.14349915","Avg_Suplr_Mdcr_Pymt_Amt":"171.77167263","Avg_Suplr_Mdcr_Stdzd_Amt":"171.77167263"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"5","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"131","Tot_Suplr_Srvcs":"4002","Avg_Suplr_Sbmtd_Chrg":"417.67025987","Avg_Suplr_Mdcr_Alowd_Amt":"230.70578961","Avg_Suplr_Mdcr_Pymt_Amt":"180.84858071","Avg_Suplr_Mdcr_Stdzd_Amt":"180.84858071"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"364","Avg_Suplr_Sbmtd_Chrg":"464.20785714","Avg_Suplr_Mdcr_Alowd_Amt":"231.18120879","Avg_Suplr_Mdcr_Pymt_Amt":"181.24587912","Avg_Suplr_Mdcr_Stdzd_Amt":"181.24587912"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"5","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"141","Tot_Suplr_Srvcs":"3948","Avg_Suplr_Sbmtd_Chrg":"381.75745694","Avg_Suplr_Mdcr_Alowd_Amt":"231.21309524","Avg_Suplr_Mdcr_Pymt_Amt":"181.18405775","Avg_Suplr_Mdcr_Stdzd_Amt":"181.18405775"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"141","Tot_Suplr_Srvcs":"3871","Avg_Suplr_Sbmtd_Chrg":"399.55096616","Avg_Suplr_Mdcr_Alowd_Amt":"230.74719194","Avg_Suplr_Mdcr_Pymt_Amt":"180.88688711","Avg_Suplr_Mdcr_Stdzd_Amt":"180.88688711"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"71","Tot_Suplr_Srvcs":"2415","Avg_Suplr_Sbmtd_Chrg":"338.8647619","Avg_Suplr_Mdcr_Alowd_Amt":"231.65109317","Avg_Suplr_Mdcr_Pymt_Amt":"181.61436853","Avg_Suplr_Mdcr_Stdzd_Amt":"181.61436853"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"3","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"4517","Avg_Suplr_Sbmtd_Chrg":"410.90440115","Avg_Suplr_Mdcr_Alowd_Amt":"230.92089883","Avg_Suplr_Mdcr_Pymt_Amt":"160.97975205","Avg_Suplr_Mdcr_Stdzd_Amt":"160.97975205"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"221","Tot_Suplr_Srvcs":"8885","Avg_Suplr_Sbmtd_Chrg":"406.6478807","Avg_Suplr_Mdcr_Alowd_Amt":"231.06644569","Avg_Suplr_Mdcr_Pymt_Amt":"181.1278278","Avg_Suplr_Mdcr_Stdzd_Amt":"181.1278278"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"966","Avg_Suplr_Sbmtd_Chrg":"405.30634576","Avg_Suplr_Mdcr_Alowd_Amt":"229.70716356","Avg_Suplr_Mdcr_Pymt_Amt":"180.09036232","Avg_Suplr_Mdcr_Stdzd_Amt":"180.09036232"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"7","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"246","Tot_Suplr_Srvcs":"8988","Avg_Suplr_Sbmtd_Chrg":"391.13829884","Avg_Suplr_Mdcr_Alowd_Amt":"231.0707421","Avg_Suplr_Mdcr_Pymt_Amt":"181.15017913","Avg_Suplr_Mdcr_Stdzd_Amt":"181.15017913"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"3165","Avg_Suplr_Sbmtd_Chrg":"346.07109321","Avg_Suplr_Mdcr_Alowd_Amt":"230.82022117","Avg_Suplr_Mdcr_Pymt_Amt":"180.87456556","Avg_Suplr_Mdcr_Stdzd_Amt":"180.87456556"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"102","Tot_Suplr_Srvcs":"3958","Avg_Suplr_Sbmtd_Chrg":"373.8091713","Avg_Suplr_Mdcr_Alowd_Amt":"230.95912582","Avg_Suplr_Mdcr_Pymt_Amt":"181.07192521","Avg_Suplr_Mdcr_Stdzd_Amt":"181.07192521"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"4","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"187","Tot_Suplr_Srvcs":"6299","Avg_Suplr_Sbmtd_Chrg":"413.96936339","Avg_Suplr_Mdcr_Alowd_Amt":"230.96784093","Avg_Suplr_Mdcr_Pymt_Amt":"180.96159549","Avg_Suplr_Mdcr_Stdzd_Amt":"180.96159232"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"476","Avg_Suplr_Sbmtd_Chrg":"421.88361345","Avg_Suplr_Mdcr_Alowd_Amt":"232.00411765","Avg_Suplr_Mdcr_Pymt_Amt":"181.89105042","Avg_Suplr_Mdcr_Stdzd_Amt":"181.89105042"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"1428","Avg_Suplr_Sbmtd_Chrg":"364.35338936","Avg_Suplr_Mdcr_Alowd_Amt":"231.34795518","Avg_Suplr_Mdcr_Pymt_Amt":"181.37661765","Avg_Suplr_Mdcr_Stdzd_Amt":"181.37661765"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"36","Tot_Suplr_Srvcs":"1008","Avg_Suplr_Sbmtd_Chrg":"449.73970238","Avg_Suplr_Mdcr_Alowd_Amt":"231.59982143","Avg_Suplr_Mdcr_Pymt_Amt":"181.57409722","Avg_Suplr_Mdcr_Stdzd_Amt":"181.57409722"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"5","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"257","Tot_Suplr_Srvcs":"8547","Avg_Suplr_Sbmtd_Chrg":"416.00206739","Avg_Suplr_Mdcr_Alowd_Amt":"230.84908272","Avg_Suplr_Mdcr_Pymt_Amt":"180.87834094","Avg_Suplr_Mdcr_Stdzd_Amt":"180.87834094"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"10","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"721","Tot_Suplr_Srvcs":"23954","Avg_Suplr_Sbmtd_Chrg":"405.33446773","Avg_Suplr_Mdcr_Alowd_Amt":"230.91435126","Avg_Suplr_Mdcr_Pymt_Amt":"179.09589171","Avg_Suplr_Mdcr_Stdzd_Amt":"179.09589171"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"1540","Avg_Suplr_Sbmtd_Chrg":"421.7651039","Avg_Suplr_Mdcr_Alowd_Amt":"230.25344805","Avg_Suplr_Mdcr_Pymt_Amt":"180.51872078","Avg_Suplr_Mdcr_Stdzd_Amt":"180.51872078"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"364","Avg_Suplr_Sbmtd_Chrg":"231.69901099","Avg_Suplr_Mdcr_Alowd_Amt":"231.69901099","Avg_Suplr_Mdcr_Pymt_Amt":"181.13489011","Avg_Suplr_Mdcr_Stdzd_Amt":"181.13489011"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"120","Tot_Suplr_Srvcs":"3505","Avg_Suplr_Sbmtd_Chrg":"375.17316405","Avg_Suplr_Mdcr_Alowd_Amt":"230.72120114","Avg_Suplr_Mdcr_Pymt_Amt":"180.83161484","Avg_Suplr_Mdcr_Stdzd_Amt":"180.83161484"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"334","Tot_Suplr_Srvcs":"10682","Avg_Suplr_Sbmtd_Chrg":"392.66494477","Avg_Suplr_Mdcr_Alowd_Amt":"230.88933814","Avg_Suplr_Mdcr_Pymt_Amt":"180.98475005","Avg_Suplr_Mdcr_Stdzd_Amt":"180.98475005"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"336","Avg_Suplr_Sbmtd_Chrg":"231.33916667","Avg_Suplr_Mdcr_Alowd_Amt":"231.33916667","Avg_Suplr_Mdcr_Pymt_Amt":"181.36970238","Avg_Suplr_Mdcr_Stdzd_Amt":"181.36970238"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"1869","Avg_Suplr_Sbmtd_Chrg":"382.77159444","Avg_Suplr_Mdcr_Alowd_Amt":"231.77493847","Avg_Suplr_Mdcr_Pymt_Amt":"181.71142857","Avg_Suplr_Mdcr_Stdzd_Amt":"181.71142857"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension, 100 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"644","Avg_Suplr_Sbmtd_Chrg":"307.47639752","Avg_Suplr_Mdcr_Alowd_Amt":"232.20919255","Avg_Suplr_Mdcr_Pymt_Amt":"181.75964286","Avg_Suplr_Mdcr_Stdzd_Amt":"181.75964286"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2451","Tot_Suplrs":"2142","Tot_Suplr_Benes":"3095","Tot_Suplr_Clms":"9962","Tot_Suplr_Srvcs":"320547","Avg_Suplr_Sbmtd_Chrg":"23.670082796","Avg_Suplr_Mdcr_Alowd_Amt":"7.437685706","Avg_Suplr_Mdcr_Pymt_Amt":"5.7224774526","Avg_Suplr_Mdcr_Stdzd_Amt":"5.7224703398"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"29","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"99","Tot_Suplr_Srvcs":"3029","Avg_Suplr_Sbmtd_Chrg":"18.404021129","Avg_Suplr_Mdcr_Alowd_Amt":"7.1246252889","Avg_Suplr_Mdcr_Pymt_Amt":"5.3733311324","Avg_Suplr_Mdcr_Stdzd_Amt":"5.3733212281"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"50","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"147","Tot_Suplr_Srvcs":"4167","Avg_Suplr_Sbmtd_Chrg":"22.114722822","Avg_Suplr_Mdcr_Alowd_Amt":"7.584562035","Avg_Suplr_Mdcr_Pymt_Amt":"5.8495800336","Avg_Suplr_Mdcr_Stdzd_Amt":"5.849575234"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"21","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"78","Tot_Suplr_Srvcs":"2531","Avg_Suplr_Sbmtd_Chrg":"22.603457132","Avg_Suplr_Mdcr_Alowd_Amt":"7.3800948242","Avg_Suplr_Mdcr_Pymt_Amt":"5.6924535757","Avg_Suplr_Mdcr_Stdzd_Amt":"5.6924338206"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"294","Tot_Suplrs":"226","Tot_Suplr_Benes":"432","Tot_Suplr_Clms":"1146","Tot_Suplr_Srvcs":"39461","Avg_Suplr_Sbmtd_Chrg":"25.700936368","Avg_Suplr_Mdcr_Alowd_Amt":"7.0849413345","Avg_Suplr_Mdcr_Pymt_Amt":"5.4271685968","Avg_Suplr_Mdcr_Stdzd_Amt":"5.4271632751"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"17","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"1458","Avg_Suplr_Sbmtd_Chrg":"24.786982167","Avg_Suplr_Mdcr_Alowd_Amt":"7.6304458162","Avg_Suplr_Mdcr_Pymt_Amt":"5.7709122085","Avg_Suplr_Mdcr_Stdzd_Amt":"5.7708984911"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"31","Tot_Suplrs":"23","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"104","Tot_Suplr_Srvcs":"4427","Avg_Suplr_Sbmtd_Chrg":"29.882383104","Avg_Suplr_Mdcr_Alowd_Amt":"8.1917054439","Avg_Suplr_Mdcr_Pymt_Amt":"6.3853354416","Avg_Suplr_Mdcr_Stdzd_Amt":"6.385328665"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"14","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"2411","Avg_Suplr_Sbmtd_Chrg":"20.520153463","Avg_Suplr_Mdcr_Alowd_Amt":"7.7545126504","Avg_Suplr_Mdcr_Pymt_Amt":"5.765736209","Avg_Suplr_Mdcr_Stdzd_Amt":"5.765736209"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"140","Tot_Suplrs":"150","Tot_Suplr_Benes":"174","Tot_Suplr_Clms":"451","Tot_Suplr_Srvcs":"15055","Avg_Suplr_Sbmtd_Chrg":"33.573032215","Avg_Suplr_Mdcr_Alowd_Amt":"7.824186649","Avg_Suplr_Mdcr_Pymt_Amt":"6.0446250415","Avg_Suplr_Mdcr_Stdzd_Amt":"6.0446170707"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"44","Tot_Suplrs":"43","Tot_Suplr_Benes":"51","Tot_Suplr_Clms":"203","Tot_Suplr_Srvcs":"5757","Avg_Suplr_Sbmtd_Chrg":"23.90132708","Avg_Suplr_Mdcr_Alowd_Amt":"7.6587093973","Avg_Suplr_Mdcr_Pymt_Amt":"5.9352562098","Avg_Suplr_Mdcr_Stdzd_Amt":"5.9352492618"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"341","Avg_Suplr_Sbmtd_Chrg":"67.994369501","Avg_Suplr_Mdcr_Alowd_Amt":"7.9588856305","Avg_Suplr_Mdcr_Pymt_Amt":"6.2397360704","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2397360704"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"130","Tot_Suplrs":"137","Tot_Suplr_Benes":"155","Tot_Suplr_Clms":"548","Tot_Suplr_Srvcs":"14886","Avg_Suplr_Sbmtd_Chrg":"18.448259438","Avg_Suplr_Mdcr_Alowd_Amt":"6.9079652022","Avg_Suplr_Mdcr_Pymt_Amt":"5.2528563751","Avg_Suplr_Mdcr_Stdzd_Amt":"5.2528476421"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"70","Tot_Suplr_Benes":"84","Tot_Suplr_Clms":"276","Tot_Suplr_Srvcs":"8825","Avg_Suplr_Sbmtd_Chrg":"25.081990935","Avg_Suplr_Mdcr_Alowd_Amt":"8.1846413598","Avg_Suplr_Mdcr_Pymt_Amt":"6.3868577904","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3868543909"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"40","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"202","Tot_Suplr_Srvcs":"4824","Avg_Suplr_Sbmtd_Chrg":"20.231529851","Avg_Suplr_Mdcr_Alowd_Amt":"7.6511567164","Avg_Suplr_Mdcr_Pymt_Amt":"5.8458126036","Avg_Suplr_Mdcr_Stdzd_Amt":"5.8458105307"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23","Tot_Suplrs":"32","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"118","Tot_Suplr_Srvcs":"2669","Avg_Suplr_Sbmtd_Chrg":"20.949569127","Avg_Suplr_Mdcr_Alowd_Amt":"7.3574447359","Avg_Suplr_Mdcr_Pymt_Amt":"5.6973473211","Avg_Suplr_Mdcr_Stdzd_Amt":"5.6973435744"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"57","Tot_Suplrs":"56","Tot_Suplr_Benes":"68","Tot_Suplr_Clms":"252","Tot_Suplr_Srvcs":"6644","Avg_Suplr_Sbmtd_Chrg":"16.671291391","Avg_Suplr_Mdcr_Alowd_Amt":"7.3350270921","Avg_Suplr_Mdcr_Pymt_Amt":"5.6378958459","Avg_Suplr_Mdcr_Stdzd_Amt":"5.6378913305"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"19","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"2131","Avg_Suplr_Sbmtd_Chrg":"20.859084937","Avg_Suplr_Mdcr_Alowd_Amt":"8.1558939465","Avg_Suplr_Mdcr_Pymt_Amt":"6.3558610981","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3558610981"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"1599","Avg_Suplr_Sbmtd_Chrg":"38.370268918","Avg_Suplr_Mdcr_Alowd_Amt":"8.1144903064","Avg_Suplr_Mdcr_Pymt_Amt":"6.2297560976","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2297373358"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"37","Tot_Suplrs":"30","Tot_Suplr_Benes":"49","Tot_Suplr_Clms":"150","Tot_Suplr_Srvcs":"3355","Avg_Suplr_Sbmtd_Chrg":"20.14342772","Avg_Suplr_Mdcr_Alowd_Amt":"7.9482295082","Avg_Suplr_Mdcr_Pymt_Amt":"6.1143397914","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1143397914"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"74","Tot_Suplrs":"63","Tot_Suplr_Benes":"91","Tot_Suplr_Clms":"340","Tot_Suplr_Srvcs":"10846","Avg_Suplr_Sbmtd_Chrg":"21.92498156","Avg_Suplr_Mdcr_Alowd_Amt":"7.7937119675","Avg_Suplr_Mdcr_Pymt_Amt":"6.0115443481","Avg_Suplr_Mdcr_Stdzd_Amt":"6.0115434261"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"95","Tot_Suplrs":"70","Tot_Suplr_Benes":"97","Tot_Suplr_Clms":"348","Tot_Suplr_Srvcs":"10197","Avg_Suplr_Sbmtd_Chrg":"27.096807885","Avg_Suplr_Mdcr_Alowd_Amt":"7.653051878","Avg_Suplr_Mdcr_Pymt_Amt":"5.8890261842","Avg_Suplr_Mdcr_Stdzd_Amt":"5.8890232421"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"92","Tot_Suplrs":"72","Tot_Suplr_Benes":"115","Tot_Suplr_Clms":"480","Tot_Suplr_Srvcs":"19005","Avg_Suplr_Sbmtd_Chrg":"13.450253617","Avg_Suplr_Mdcr_Alowd_Amt":"6.2455290713","Avg_Suplr_Mdcr_Pymt_Amt":"4.8140205209","Avg_Suplr_Mdcr_Stdzd_Amt":"4.8140184162"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"13","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"1263","Avg_Suplr_Sbmtd_Chrg":"19.809952494","Avg_Suplr_Mdcr_Alowd_Amt":"7.4550197941","Avg_Suplr_Mdcr_Pymt_Amt":"5.8447347585","Avg_Suplr_Mdcr_Stdzd_Amt":"5.8447189232"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"34","Tot_Suplrs":"41","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"158","Tot_Suplr_Srvcs":"6808","Avg_Suplr_Sbmtd_Chrg":"42.228397474","Avg_Suplr_Mdcr_Alowd_Amt":"7.8133313749","Avg_Suplr_Mdcr_Pymt_Amt":"5.9829685664","Avg_Suplr_Mdcr_Stdzd_Amt":"5.9829641598"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"677","Avg_Suplr_Sbmtd_Chrg":"12.756587888","Avg_Suplr_Mdcr_Alowd_Amt":"7.2848153619","Avg_Suplr_Mdcr_Pymt_Amt":"5.5479911374","Avg_Suplr_Mdcr_Stdzd_Amt":"5.5479911374"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"31","Tot_Suplrs":"30","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"169","Tot_Suplr_Srvcs":"5890","Avg_Suplr_Sbmtd_Chrg":"12.757358234","Avg_Suplr_Mdcr_Alowd_Amt":"7.0196298812","Avg_Suplr_Mdcr_Pymt_Amt":"5.3868981324","Avg_Suplr_Mdcr_Stdzd_Amt":"5.3868828523"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"16","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"1593","Avg_Suplr_Sbmtd_Chrg":"14.727664783","Avg_Suplr_Mdcr_Alowd_Amt":"7.3846516008","Avg_Suplr_Mdcr_Pymt_Amt":"5.6794915254","Avg_Suplr_Mdcr_Stdzd_Amt":"5.6794789705"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"1714","Avg_Suplr_Sbmtd_Chrg":"19.824492415","Avg_Suplr_Mdcr_Alowd_Amt":"8.3220711785","Avg_Suplr_Mdcr_Pymt_Amt":"6.4767211202","Avg_Suplr_Mdcr_Stdzd_Amt":"6.47668028"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"160","Tot_Suplrs":"125","Tot_Suplr_Benes":"195","Tot_Suplr_Clms":"611","Tot_Suplr_Srvcs":"18623","Avg_Suplr_Sbmtd_Chrg":"23.032083445","Avg_Suplr_Mdcr_Alowd_Amt":"7.7754319927","Avg_Suplr_Mdcr_Pymt_Amt":"5.9924979864","Avg_Suplr_Mdcr_Stdzd_Amt":"5.9924883209"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"187","Tot_Suplrs":"151","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"619","Tot_Suplr_Srvcs":"21922","Avg_Suplr_Sbmtd_Chrg":"26.235208923","Avg_Suplr_Mdcr_Alowd_Amt":"7.6176758507","Avg_Suplr_Mdcr_Pymt_Amt":"5.8865737615","Avg_Suplr_Mdcr_Stdzd_Amt":"5.8865664629"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"32","Tot_Suplrs":"26","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"108","Tot_Suplr_Srvcs":"3035","Avg_Suplr_Sbmtd_Chrg":"21.672883031","Avg_Suplr_Mdcr_Alowd_Amt":"8.2603624382","Avg_Suplr_Mdcr_Pymt_Amt":"6.3327742998","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3327742998"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"18","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"82","Tot_Suplr_Srvcs":"2487","Avg_Suplr_Sbmtd_Chrg":"14.00548854","Avg_Suplr_Mdcr_Alowd_Amt":"6.8595215119","Avg_Suplr_Mdcr_Pymt_Amt":"5.3571210294","Avg_Suplr_Mdcr_Stdzd_Amt":"5.3571089666"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"97","Tot_Suplrs":"92","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"344","Tot_Suplr_Srvcs":"9536","Avg_Suplr_Sbmtd_Chrg":"25.619594169","Avg_Suplr_Mdcr_Alowd_Amt":"7.8607235738","Avg_Suplr_Mdcr_Pymt_Amt":"6.0802820889","Avg_Suplr_Mdcr_Stdzd_Amt":"6.0802768456"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"25","Tot_Suplrs":"26","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"98","Tot_Suplr_Srvcs":"4334","Avg_Suplr_Sbmtd_Chrg":"13.173034149","Avg_Suplr_Mdcr_Alowd_Amt":"6.8974434702","Avg_Suplr_Mdcr_Pymt_Amt":"5.3308537148","Avg_Suplr_Mdcr_Stdzd_Amt":"5.3308421781"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"2936","Avg_Suplr_Sbmtd_Chrg":"48.586287466","Avg_Suplr_Mdcr_Alowd_Amt":"7.9405006812","Avg_Suplr_Mdcr_Pymt_Amt":"6.1091757493","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1091723433"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"91","Tot_Suplrs":"80","Tot_Suplr_Benes":"118","Tot_Suplr_Clms":"448","Tot_Suplr_Srvcs":"12247","Avg_Suplr_Sbmtd_Chrg":"23.204241855","Avg_Suplr_Mdcr_Alowd_Amt":"7.6317743121","Avg_Suplr_Mdcr_Pymt_Amt":"5.9116061076","Avg_Suplr_Mdcr_Stdzd_Amt":"5.9115995754"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"36","Tot_Suplr_Srvcs":"758","Avg_Suplr_Sbmtd_Chrg":"26.269472296","Avg_Suplr_Mdcr_Alowd_Amt":"8.5231134565","Avg_Suplr_Mdcr_Pymt_Amt":"6.5656200528","Avg_Suplr_Mdcr_Stdzd_Amt":"6.5656200528"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"28","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"2544","Avg_Suplr_Sbmtd_Chrg":"22.225868711","Avg_Suplr_Mdcr_Alowd_Amt":"7.8981210692","Avg_Suplr_Mdcr_Pymt_Amt":"6.1618003145","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1617924528"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"17","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"58","Tot_Suplr_Srvcs":"1289","Avg_Suplr_Sbmtd_Chrg":"17.432125679","Avg_Suplr_Mdcr_Alowd_Amt":"7.0656012413","Avg_Suplr_Mdcr_Pymt_Amt":"5.4224903026","Avg_Suplr_Mdcr_Stdzd_Amt":"5.4224670287"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"36","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"3807","Avg_Suplr_Sbmtd_Chrg":"36.408253218","Avg_Suplr_Mdcr_Alowd_Amt":"7.8968006304","Avg_Suplr_Mdcr_Pymt_Amt":"6.063154715","Avg_Suplr_Mdcr_Stdzd_Amt":"6.063154715"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"187","Tot_Suplrs":"209","Tot_Suplr_Benes":"291","Tot_Suplr_Clms":"844","Tot_Suplr_Srvcs":"29006","Avg_Suplr_Sbmtd_Chrg":"19.662120596","Avg_Suplr_Mdcr_Alowd_Amt":"7.0882965593","Avg_Suplr_Mdcr_Pymt_Amt":"5.4550382679","Avg_Suplr_Mdcr_Stdzd_Amt":"5.4550293043"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"8","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"2226","Avg_Suplr_Sbmtd_Chrg":"21.299946092","Avg_Suplr_Mdcr_Alowd_Amt":"8.0911949686","Avg_Suplr_Mdcr_Pymt_Amt":"6.0989263252","Avg_Suplr_Mdcr_Stdzd_Amt":"6.0989263252"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"37","Tot_Suplr_Benes":"55","Tot_Suplr_Clms":"162","Tot_Suplr_Srvcs":"4500","Avg_Suplr_Sbmtd_Chrg":"29.544353333","Avg_Suplr_Mdcr_Alowd_Amt":"8.0943666667","Avg_Suplr_Mdcr_Pymt_Amt":"6.2702333333","Avg_Suplr_Mdcr_Stdzd_Amt":"6.2702133333"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"42","Tot_Suplrs":"48","Tot_Suplr_Benes":"62","Tot_Suplr_Clms":"230","Tot_Suplr_Srvcs":"6849","Avg_Suplr_Sbmtd_Chrg":"32.888737042","Avg_Suplr_Mdcr_Alowd_Amt":"6.4497488684","Avg_Suplr_Mdcr_Pymt_Amt":"4.6805460651","Avg_Suplr_Mdcr_Stdzd_Amt":"4.6805285443"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"27","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"84","Tot_Suplr_Srvcs":"3186","Avg_Suplr_Sbmtd_Chrg":"28.269428751","Avg_Suplr_Mdcr_Alowd_Amt":"7.9631701193","Avg_Suplr_Mdcr_Pymt_Amt":"6.113524796","Avg_Suplr_Mdcr_Stdzd_Amt":"6.1135091023"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7608","HCPCS_Desc":"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"61","Tot_Suplrs":"65","Tot_Suplr_Benes":"74","Tot_Suplr_Clms":"295","Tot_Suplr_Srvcs":"9202","Avg_Suplr_Sbmtd_Chrg":"19.862409259","Avg_Suplr_Mdcr_Alowd_Amt":"8.0825907411","Avg_Suplr_Mdcr_Pymt_Amt":"6.2900010867","Avg_Suplr_Mdcr_Stdzd_Amt":"6.289992393"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"40663","Tot_Suplrs":"23423","Tot_Suplr_Benes":"100754","Tot_Suplr_Clms":"489088","Tot_Suplr_Srvcs":"30298349","Avg_Suplr_Sbmtd_Chrg":"10.340549937","Avg_Suplr_Mdcr_Alowd_Amt":"1.1566620415","Avg_Suplr_Mdcr_Pymt_Amt":"0.8734266933","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8734262507"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"623","Tot_Suplrs":"421","Tot_Suplr_Benes":"1479","Tot_Suplr_Clms":"6897","Tot_Suplr_Srvcs":"418246","Avg_Suplr_Sbmtd_Chrg":"9.9568411892","Avg_Suplr_Mdcr_Alowd_Amt":"1.1557510891","Avg_Suplr_Mdcr_Pymt_Amt":"0.8753698541","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8753695911"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"60","Tot_Suplrs":"45","Tot_Suplr_Benes":"66","Tot_Suplr_Clms":"264","Tot_Suplr_Srvcs":"16922","Avg_Suplr_Sbmtd_Chrg":"9.5492039948","Avg_Suplr_Mdcr_Alowd_Amt":"1.1480368751","Avg_Suplr_Mdcr_Pymt_Amt":"0.8520216286","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8520198558"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"749","Tot_Suplrs":"604","Tot_Suplr_Benes":"2189","Tot_Suplr_Clms":"9861","Tot_Suplr_Srvcs":"623734","Avg_Suplr_Sbmtd_Chrg":"10.536296707","Avg_Suplr_Mdcr_Alowd_Amt":"1.1579256702","Avg_Suplr_Mdcr_Pymt_Amt":"0.882580475","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8825801383"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"575","Tot_Suplrs":"186","Tot_Suplr_Benes":"1333","Tot_Suplr_Clms":"7872","Tot_Suplr_Srvcs":"479161","Avg_Suplr_Sbmtd_Chrg":"10.333061247","Avg_Suplr_Mdcr_Alowd_Amt":"1.1567837115","Avg_Suplr_Mdcr_Pymt_Amt":"0.8774166929","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8774160668"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3070","Tot_Suplrs":"1977","Tot_Suplr_Benes":"7361","Tot_Suplr_Clms":"29677","Tot_Suplr_Srvcs":"1872450","Avg_Suplr_Sbmtd_Chrg":"10.249983321","Avg_Suplr_Mdcr_Alowd_Amt":"1.1581218297","Avg_Suplr_Mdcr_Pymt_Amt":"0.8758742984","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8758738605"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"543","Tot_Suplrs":"438","Tot_Suplr_Benes":"1106","Tot_Suplr_Clms":"5004","Tot_Suplr_Srvcs":"310233","Avg_Suplr_Sbmtd_Chrg":"9.8420971334","Avg_Suplr_Mdcr_Alowd_Amt":"1.1565040792","Avg_Suplr_Mdcr_Pymt_Amt":"0.8707316436","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8707305155"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"459","Tot_Suplrs":"419","Tot_Suplr_Benes":"1069","Tot_Suplr_Clms":"4343","Tot_Suplr_Srvcs":"281438","Avg_Suplr_Sbmtd_Chrg":"8.2998772021","Avg_Suplr_Mdcr_Alowd_Amt":"1.1568972918","Avg_Suplr_Mdcr_Pymt_Amt":"0.873977217","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8739765064"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"113","Tot_Suplrs":"110","Tot_Suplr_Benes":"304","Tot_Suplr_Clms":"1342","Tot_Suplr_Srvcs":"82893","Avg_Suplr_Sbmtd_Chrg":"9.6776831578","Avg_Suplr_Mdcr_Alowd_Amt":"1.1635690589","Avg_Suplr_Mdcr_Pymt_Amt":"0.8831483961","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8831483961"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"48","Tot_Suplrs":"67","Tot_Suplr_Benes":"77","Tot_Suplr_Clms":"216","Tot_Suplr_Srvcs":"14431","Avg_Suplr_Sbmtd_Chrg":"7.8640163537","Avg_Suplr_Mdcr_Alowd_Amt":"1.1662469683","Avg_Suplr_Mdcr_Pymt_Amt":"0.877071582","Avg_Suplr_Mdcr_Stdzd_Amt":"0.877071582"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2315","Tot_Suplrs":"1775","Tot_Suplr_Benes":"6265","Tot_Suplr_Clms":"27362","Tot_Suplr_Srvcs":"1670227","Avg_Suplr_Sbmtd_Chrg":"9.8296811272","Avg_Suplr_Mdcr_Alowd_Amt":"1.1566698","Avg_Suplr_Mdcr_Pymt_Amt":"0.8756557701","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8756552073"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"747","Tot_Suplrs":"628","Tot_Suplr_Benes":"1768","Tot_Suplr_Clms":"8961","Tot_Suplr_Srvcs":"529628","Avg_Suplr_Sbmtd_Chrg":"10.581975311","Avg_Suplr_Mdcr_Alowd_Amt":"1.1568057958","Avg_Suplr_Mdcr_Pymt_Amt":"0.8754722938","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8754721049"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"39","Tot_Suplrs":"44","Tot_Suplr_Benes":"60","Tot_Suplr_Clms":"161","Tot_Suplr_Srvcs":"10396","Avg_Suplr_Sbmtd_Chrg":"4.97600808","Avg_Suplr_Mdcr_Alowd_Amt":"1.1646200462","Avg_Suplr_Mdcr_Pymt_Amt":"0.8655194306","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8655175067"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"290","Tot_Suplrs":"126","Tot_Suplr_Benes":"752","Tot_Suplr_Clms":"4267","Tot_Suplr_Srvcs":"257752","Avg_Suplr_Sbmtd_Chrg":"11.340842981","Avg_Suplr_Mdcr_Alowd_Amt":"1.1579968342","Avg_Suplr_Mdcr_Pymt_Amt":"0.8732854061","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8732853285"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1576","Tot_Suplrs":"1165","Tot_Suplr_Benes":"4458","Tot_Suplr_Clms":"22901","Tot_Suplr_Srvcs":"1447458","Avg_Suplr_Sbmtd_Chrg":"10.086635923","Avg_Suplr_Mdcr_Alowd_Amt":"1.1556120938","Avg_Suplr_Mdcr_Pymt_Amt":"0.8720354511","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8720349468"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1114","Tot_Suplrs":"761","Tot_Suplr_Benes":"2933","Tot_Suplr_Clms":"14940","Tot_Suplr_Srvcs":"941165","Avg_Suplr_Sbmtd_Chrg":"10.405579702","Avg_Suplr_Mdcr_Alowd_Amt":"1.1542368873","Avg_Suplr_Mdcr_Pymt_Amt":"0.8701138483","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8701132533"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"775","Tot_Suplrs":"514","Tot_Suplr_Benes":"2122","Tot_Suplr_Clms":"11487","Tot_Suplr_Srvcs":"657037","Avg_Suplr_Sbmtd_Chrg":"12.342198917","Avg_Suplr_Mdcr_Alowd_Amt":"1.1580723764","Avg_Suplr_Mdcr_Pymt_Amt":"0.8655008622","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8655004969"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"859","Tot_Suplrs":"379","Tot_Suplr_Benes":"3241","Tot_Suplr_Clms":"19106","Tot_Suplr_Srvcs":"1152563","Avg_Suplr_Sbmtd_Chrg":"10.463736108","Avg_Suplr_Mdcr_Alowd_Amt":"1.1562780603","Avg_Suplr_Mdcr_Pymt_Amt":"0.8692879955","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8692877092"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"814","Tot_Suplrs":"550","Tot_Suplr_Benes":"2281","Tot_Suplr_Clms":"12214","Tot_Suplr_Srvcs":"736344","Avg_Suplr_Sbmtd_Chrg":"11.190248824","Avg_Suplr_Mdcr_Alowd_Amt":"1.155900503","Avg_Suplr_Mdcr_Pymt_Amt":"0.8778702889","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8778699765"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"443","Tot_Suplrs":"279","Tot_Suplr_Benes":"1096","Tot_Suplr_Clms":"5498","Tot_Suplr_Srvcs":"327555","Avg_Suplr_Sbmtd_Chrg":"11.270928974","Avg_Suplr_Mdcr_Alowd_Amt":"1.156857627","Avg_Suplr_Mdcr_Pymt_Amt":"0.8760580055","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8760574865"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"166","Tot_Suplrs":"123","Tot_Suplr_Benes":"239","Tot_Suplr_Clms":"1099","Tot_Suplr_Srvcs":"63671","Avg_Suplr_Sbmtd_Chrg":"10.025327072","Avg_Suplr_Mdcr_Alowd_Amt":"1.1577803081","Avg_Suplr_Mdcr_Pymt_Amt":"0.8751010664","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8751009094"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"633","Tot_Suplrs":"520","Tot_Suplr_Benes":"1838","Tot_Suplr_Clms":"7899","Tot_Suplr_Srvcs":"508307","Avg_Suplr_Sbmtd_Chrg":"11.027320281","Avg_Suplr_Mdcr_Alowd_Amt":"1.1585371045","Avg_Suplr_Mdcr_Pymt_Amt":"0.875707476","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8757072202"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1037","Tot_Suplrs":"761","Tot_Suplr_Benes":"2840","Tot_Suplr_Clms":"13303","Tot_Suplr_Srvcs":"863014","Avg_Suplr_Sbmtd_Chrg":"9.8082221957","Avg_Suplr_Mdcr_Alowd_Amt":"1.156575212","Avg_Suplr_Mdcr_Pymt_Amt":"0.8767531118","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8767527989"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1369","Tot_Suplrs":"806","Tot_Suplr_Benes":"2767","Tot_Suplr_Clms":"14247","Tot_Suplr_Srvcs":"903955","Avg_Suplr_Sbmtd_Chrg":"11.182767571","Avg_Suplr_Mdcr_Alowd_Amt":"1.1550028486","Avg_Suplr_Mdcr_Pymt_Amt":"0.8702627896","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8702620153"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1072","Tot_Suplrs":"693","Tot_Suplr_Benes":"1730","Tot_Suplr_Clms":"8571","Tot_Suplr_Srvcs":"536427","Avg_Suplr_Sbmtd_Chrg":"9.767282743","Avg_Suplr_Mdcr_Alowd_Amt":"1.1543765508","Avg_Suplr_Mdcr_Pymt_Amt":"0.8640454899","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8640450611"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"507","Tot_Suplrs":"225","Tot_Suplr_Benes":"1701","Tot_Suplr_Clms":"8987","Tot_Suplr_Srvcs":"553356","Avg_Suplr_Sbmtd_Chrg":"10.102903068","Avg_Suplr_Mdcr_Alowd_Amt":"1.1563503242","Avg_Suplr_Mdcr_Pymt_Amt":"0.8732751068","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8732743839"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1034","Tot_Suplrs":"598","Tot_Suplr_Benes":"2900","Tot_Suplr_Clms":"17014","Tot_Suplr_Srvcs":"1040235","Avg_Suplr_Sbmtd_Chrg":"11.131895216","Avg_Suplr_Mdcr_Alowd_Amt":"1.1582411378","Avg_Suplr_Mdcr_Pymt_Amt":"0.8778175893","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8778173586"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"204","Tot_Suplrs":"113","Tot_Suplr_Benes":"386","Tot_Suplr_Clms":"1936","Tot_Suplr_Srvcs":"114258","Avg_Suplr_Sbmtd_Chrg":"10.090405136","Avg_Suplr_Mdcr_Alowd_Amt":"1.152946402","Avg_Suplr_Mdcr_Pymt_Amt":"0.8567288067","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8567285442"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"496","Tot_Suplrs":"274","Tot_Suplr_Benes":"1189","Tot_Suplr_Clms":"6720","Tot_Suplr_Srvcs":"396720","Avg_Suplr_Sbmtd_Chrg":"11.101049027","Avg_Suplr_Mdcr_Alowd_Amt":"1.1586059689","Avg_Suplr_Mdcr_Pymt_Amt":"0.8726178413","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8726173876"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"246","Tot_Suplrs":"212","Tot_Suplr_Benes":"481","Tot_Suplr_Clms":"1893","Tot_Suplr_Srvcs":"126111","Avg_Suplr_Sbmtd_Chrg":"10.498228228","Avg_Suplr_Mdcr_Alowd_Amt":"1.1528695356","Avg_Suplr_Mdcr_Pymt_Amt":"0.8743172285","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8743171492"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"254","Tot_Suplrs":"200","Tot_Suplr_Benes":"605","Tot_Suplr_Clms":"2926","Tot_Suplr_Srvcs":"180916","Avg_Suplr_Sbmtd_Chrg":"10.316043412","Avg_Suplr_Mdcr_Alowd_Amt":"1.153910931","Avg_Suplr_Mdcr_Pymt_Amt":"0.8592292556","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8592289792"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1426","Tot_Suplrs":"1169","Tot_Suplr_Benes":"4861","Tot_Suplr_Clms":"19962","Tot_Suplr_Srvcs":"1260281","Avg_Suplr_Sbmtd_Chrg":"10.529407783","Avg_Suplr_Mdcr_Alowd_Amt":"1.1587093355","Avg_Suplr_Mdcr_Pymt_Amt":"0.8772799558","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8772795908"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"198","Tot_Suplrs":"122","Tot_Suplr_Benes":"353","Tot_Suplr_Clms":"1434","Tot_Suplr_Srvcs":"91807","Avg_Suplr_Sbmtd_Chrg":"10.22550165","Avg_Suplr_Mdcr_Alowd_Amt":"1.1573170891","Avg_Suplr_Mdcr_Pymt_Amt":"0.8751953555","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8751949198"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2503","Tot_Suplrs":"1912","Tot_Suplr_Benes":"6076","Tot_Suplr_Clms":"23698","Tot_Suplr_Srvcs":"1466688","Avg_Suplr_Sbmtd_Chrg":"9.8198800427","Avg_Suplr_Mdcr_Alowd_Amt":"1.1545649927","Avg_Suplr_Mdcr_Pymt_Amt":"0.8658635783","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8658631147"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1351","Tot_Suplrs":"873","Tot_Suplr_Benes":"3145","Tot_Suplr_Clms":"15676","Tot_Suplr_Srvcs":"971422","Avg_Suplr_Sbmtd_Chrg":"10.619141485","Avg_Suplr_Mdcr_Alowd_Amt":"1.1552628209","Avg_Suplr_Mdcr_Pymt_Amt":"0.8735365475","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8735360224"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"309","Tot_Suplrs":"162","Tot_Suplr_Benes":"858","Tot_Suplr_Clms":"4779","Tot_Suplr_Srvcs":"296336","Avg_Suplr_Sbmtd_Chrg":"11.405717969","Avg_Suplr_Mdcr_Alowd_Amt":"1.1553453512","Avg_Suplr_Mdcr_Pymt_Amt":"0.8761560188","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8761558501"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1367","Tot_Suplrs":"1108","Tot_Suplr_Benes":"2952","Tot_Suplr_Clms":"13405","Tot_Suplr_Srvcs":"847523","Avg_Suplr_Sbmtd_Chrg":"9.8813995018","Avg_Suplr_Mdcr_Alowd_Amt":"1.1555350592","Avg_Suplr_Mdcr_Pymt_Amt":"0.8722546881","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8722539919"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"653","Tot_Suplrs":"381","Tot_Suplr_Benes":"1738","Tot_Suplr_Clms":"8421","Tot_Suplr_Srvcs":"513595","Avg_Suplr_Sbmtd_Chrg":"9.8997322404","Avg_Suplr_Mdcr_Alowd_Amt":"1.1587617286","Avg_Suplr_Mdcr_Pymt_Amt":"0.8744784314","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8744778863"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"453","Tot_Suplrs":"237","Tot_Suplr_Benes":"800","Tot_Suplr_Clms":"4090","Tot_Suplr_Srvcs":"250108","Avg_Suplr_Sbmtd_Chrg":"11.285390671","Avg_Suplr_Mdcr_Alowd_Amt":"1.1555539607","Avg_Suplr_Mdcr_Pymt_Amt":"0.8597568251","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8597565852"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1747","Tot_Suplrs":"1412","Tot_Suplr_Benes":"4535","Tot_Suplr_Clms":"20450","Tot_Suplr_Srvcs":"1287954","Avg_Suplr_Sbmtd_Chrg":"10.508370283","Avg_Suplr_Mdcr_Alowd_Amt":"1.1571676007","Avg_Suplr_Mdcr_Pymt_Amt":"0.8748976594","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8748972945"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"80","Tot_Suplrs":"116","Tot_Suplr_Benes":"218","Tot_Suplr_Clms":"909","Tot_Suplr_Srvcs":"58521","Avg_Suplr_Sbmtd_Chrg":"9.5054356556","Avg_Suplr_Mdcr_Alowd_Amt":"1.1567541566","Avg_Suplr_Mdcr_Pymt_Amt":"0.8758218417","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8758216709"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"554","Tot_Suplrs":"428","Tot_Suplr_Benes":"1543","Tot_Suplr_Clms":"7647","Tot_Suplr_Srvcs":"468601","Avg_Suplr_Sbmtd_Chrg":"9.5284327605","Avg_Suplr_Mdcr_Alowd_Amt":"1.1552769627","Avg_Suplr_Mdcr_Pymt_Amt":"0.875112217","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8751118756"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"368","Tot_Suplrs":"257","Tot_Suplr_Benes":"1324","Tot_Suplr_Clms":"7288","Tot_Suplr_Srvcs":"428039","Avg_Suplr_Sbmtd_Chrg":"8.900628681","Avg_Suplr_Mdcr_Alowd_Amt":"1.1557265343","Avg_Suplr_Mdcr_Pymt_Amt":"0.8683109483","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8683107614"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"945","Tot_Suplrs":"696","Tot_Suplr_Benes":"2317","Tot_Suplr_Clms":"10600","Tot_Suplr_Srvcs":"671080","Avg_Suplr_Sbmtd_Chrg":"10.179354473","Avg_Suplr_Mdcr_Alowd_Amt":"1.1585181349","Avg_Suplr_Mdcr_Pymt_Amt":"0.8766106873","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8766102402"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2861","Tot_Suplrs":"2000","Tot_Suplr_Benes":"8039","Tot_Suplr_Clms":"34445","Tot_Suplr_Srvcs":"2142826","Avg_Suplr_Sbmtd_Chrg":"9.7354306556","Avg_Suplr_Mdcr_Alowd_Amt":"1.1580093251","Avg_Suplr_Mdcr_Pymt_Amt":"0.8784153916","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8784148736"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"279","Tot_Suplrs":"114","Tot_Suplr_Benes":"587","Tot_Suplr_Clms":"3262","Tot_Suplr_Srvcs":"201394","Avg_Suplr_Sbmtd_Chrg":"12.217542975","Avg_Suplr_Mdcr_Alowd_Amt":"1.1548951806","Avg_Suplr_Mdcr_Pymt_Amt":"0.8700642522","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8700641032"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"138","Tot_Suplrs":"81","Tot_Suplr_Benes":"186","Tot_Suplr_Clms":"1004","Tot_Suplr_Srvcs":"58501","Avg_Suplr_Sbmtd_Chrg":"10.002529017","Avg_Suplr_Mdcr_Alowd_Amt":"1.1550496573","Avg_Suplr_Mdcr_Pymt_Amt":"0.8581872105","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8581868686"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"998","Tot_Suplrs":"655","Tot_Suplr_Benes":"2862","Tot_Suplr_Clms":"14321","Tot_Suplr_Srvcs":"880458","Avg_Suplr_Sbmtd_Chrg":"10.988824793","Avg_Suplr_Mdcr_Alowd_Amt":"1.1585791259","Avg_Suplr_Mdcr_Pymt_Amt":"0.8808109643","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8808104418"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"758","Tot_Suplrs":"430","Tot_Suplr_Benes":"1526","Tot_Suplr_Clms":"7815","Tot_Suplr_Srvcs":"478125","Avg_Suplr_Sbmtd_Chrg":"11.401247498","Avg_Suplr_Mdcr_Alowd_Amt":"1.1549092183","Avg_Suplr_Mdcr_Pymt_Amt":"0.8637685333","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8637683242"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"336","Tot_Suplrs":"209","Tot_Suplr_Benes":"593","Tot_Suplr_Clms":"2811","Tot_Suplr_Srvcs":"179374","Avg_Suplr_Sbmtd_Chrg":"10.600862277","Avg_Suplr_Mdcr_Alowd_Amt":"1.1564763009","Avg_Suplr_Mdcr_Pymt_Amt":"0.8687918539","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8687913521"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"828","Tot_Suplrs":"604","Tot_Suplr_Benes":"1577","Tot_Suplr_Clms":"7546","Tot_Suplr_Srvcs":"475052","Avg_Suplr_Sbmtd_Chrg":"8.7775999049","Avg_Suplr_Mdcr_Alowd_Amt":"1.1527754014","Avg_Suplr_Mdcr_Pymt_Amt":"0.8585540741","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8585534847"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"220","Tot_Suplrs":"68","Tot_Suplr_Benes":"390","Tot_Suplr_Clms":"2145","Tot_Suplr_Srvcs":"128797","Avg_Suplr_Sbmtd_Chrg":"11.790431765","Avg_Suplr_Mdcr_Alowd_Amt":"1.15900316","Avg_Suplr_Mdcr_Pymt_Amt":"0.8738250891","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8738249338"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7626","HCPCS_Desc":"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"57","Tot_Suplrs":"24","Tot_Suplr_Benes":"124","Tot_Suplr_Clms":"398","Tot_Suplr_Srvcs":"24424","Avg_Suplr_Sbmtd_Chrg":"2.957288323","Avg_Suplr_Mdcr_Alowd_Amt":"1.1645283328","Avg_Suplr_Mdcr_Pymt_Amt":"0.8919853423","Avg_Suplr_Mdcr_Stdzd_Amt":"0.8919853423"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"398","Tot_Suplrs":"223","Tot_Suplr_Benes":"901","Tot_Suplr_Clms":"5645","Tot_Suplr_Srvcs":"448884","Avg_Suplr_Sbmtd_Chrg":"72.466845443","Avg_Suplr_Mdcr_Alowd_Amt":"52.695512404","Avg_Suplr_Mdcr_Pymt_Amt":"41.07013763","Avg_Suplr_Mdcr_Stdzd_Amt":"41.070137452"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"3600","Avg_Suplr_Sbmtd_Chrg":"62.40525","Avg_Suplr_Mdcr_Alowd_Amt":"52.813763889","Avg_Suplr_Mdcr_Pymt_Amt":"41.239486111","Avg_Suplr_Mdcr_Stdzd_Amt":"41.239486111"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"12","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"80","Tot_Suplr_Srvcs":"6453","Avg_Suplr_Sbmtd_Chrg":"81.137359368","Avg_Suplr_Mdcr_Alowd_Amt":"52.738292267","Avg_Suplr_Mdcr_Pymt_Amt":"41.307898652","Avg_Suplr_Mdcr_Stdzd_Amt":"41.307897102"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"132","Tot_Suplr_Srvcs":"10575","Avg_Suplr_Sbmtd_Chrg":"68.618804728","Avg_Suplr_Mdcr_Alowd_Amt":"52.747082742","Avg_Suplr_Mdcr_Pymt_Amt":"40.984373522","Avg_Suplr_Mdcr_Stdzd_Amt":"40.984373522"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"40","Tot_Suplrs":"35","Tot_Suplr_Benes":"90","Tot_Suplr_Clms":"533","Tot_Suplr_Srvcs":"40080","Avg_Suplr_Sbmtd_Chrg":"71.984716816","Avg_Suplr_Mdcr_Alowd_Amt":"52.716612774","Avg_Suplr_Mdcr_Pymt_Amt":"41.212976297","Avg_Suplr_Mdcr_Stdzd_Amt":"41.212976048"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"242","Tot_Suplr_Srvcs":"18806","Avg_Suplr_Sbmtd_Chrg":"76.450113262","Avg_Suplr_Mdcr_Alowd_Amt":"52.747047751","Avg_Suplr_Mdcr_Pymt_Amt":"40.509426247","Avg_Suplr_Mdcr_Stdzd_Amt":"40.509426247"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"75","Tot_Suplr_Srvcs":"6171","Avg_Suplr_Sbmtd_Chrg":"75.710745422","Avg_Suplr_Mdcr_Alowd_Amt":"52.8322152","Avg_Suplr_Mdcr_Pymt_Amt":"41.420458597","Avg_Suplr_Mdcr_Stdzd_Amt":"41.420455356"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"26","Tot_Suplr_Benes":"65","Tot_Suplr_Clms":"372","Tot_Suplr_Srvcs":"29475","Avg_Suplr_Sbmtd_Chrg":"73.991119932","Avg_Suplr_Mdcr_Alowd_Amt":"52.88082307","Avg_Suplr_Mdcr_Pymt_Amt":"41.369969805","Avg_Suplr_Mdcr_Stdzd_Amt":"41.369969805"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"15","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"153","Tot_Suplr_Srvcs":"12252","Avg_Suplr_Sbmtd_Chrg":"79.213217434","Avg_Suplr_Mdcr_Alowd_Amt":"52.725843944","Avg_Suplr_Mdcr_Pymt_Amt":"41.23517793","Avg_Suplr_Mdcr_Stdzd_Amt":"41.23517793"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"63","Tot_Suplr_Srvcs":"4731","Avg_Suplr_Sbmtd_Chrg":"100.31520609","Avg_Suplr_Mdcr_Alowd_Amt":"52.651458465","Avg_Suplr_Mdcr_Pymt_Amt":"41.134850983","Avg_Suplr_Mdcr_Stdzd_Amt":"41.134850983"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"15","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"127","Tot_Suplr_Srvcs":"9753","Avg_Suplr_Sbmtd_Chrg":"61.604449913","Avg_Suplr_Mdcr_Alowd_Amt":"52.495997129","Avg_Suplr_Mdcr_Pymt_Amt":"41.008007792","Avg_Suplr_Mdcr_Stdzd_Amt":"41.008007792"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"176","Tot_Suplr_Srvcs":"14100","Avg_Suplr_Sbmtd_Chrg":"79.107685106","Avg_Suplr_Mdcr_Alowd_Amt":"52.717412057","Avg_Suplr_Mdcr_Pymt_Amt":"41.262177305","Avg_Suplr_Mdcr_Stdzd_Amt":"41.262177305"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"36","Tot_Suplr_Srvcs":"2700","Avg_Suplr_Sbmtd_Chrg":"70.484855556","Avg_Suplr_Mdcr_Alowd_Amt":"52.794014815","Avg_Suplr_Mdcr_Pymt_Amt":"41.305437037","Avg_Suplr_Mdcr_Stdzd_Amt":"41.305437037"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"7","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"144","Tot_Suplr_Srvcs":"10833","Avg_Suplr_Sbmtd_Chrg":"77.607933167","Avg_Suplr_Mdcr_Alowd_Amt":"52.785468476","Avg_Suplr_Mdcr_Pymt_Amt":"41.302180375","Avg_Suplr_Mdcr_Stdzd_Amt":"41.302180375"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"150","Tot_Suplr_Srvcs":"15102","Avg_Suplr_Sbmtd_Chrg":"66.924789432","Avg_Suplr_Mdcr_Alowd_Amt":"52.873951794","Avg_Suplr_Mdcr_Pymt_Amt":"41.299009403","Avg_Suplr_Mdcr_Stdzd_Amt":"41.299009403"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"2025","Avg_Suplr_Sbmtd_Chrg":"78.69422716","Avg_Suplr_Mdcr_Alowd_Amt":"52.836498765","Avg_Suplr_Mdcr_Pymt_Amt":"41.330918519","Avg_Suplr_Mdcr_Stdzd_Amt":"41.330918519"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"3852","Avg_Suplr_Sbmtd_Chrg":"98.967281931","Avg_Suplr_Mdcr_Alowd_Amt":"52.771609553","Avg_Suplr_Mdcr_Pymt_Amt":"41.2180919","Avg_Suplr_Mdcr_Stdzd_Amt":"41.2180919"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"4125","Avg_Suplr_Sbmtd_Chrg":"52.555292121","Avg_Suplr_Mdcr_Alowd_Amt":"51.971347879","Avg_Suplr_Mdcr_Pymt_Amt":"40.74550303","Avg_Suplr_Mdcr_Stdzd_Amt":"40.74550303"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"20","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"111","Tot_Suplr_Srvcs":"8598","Avg_Suplr_Sbmtd_Chrg":"74.761415445","Avg_Suplr_Mdcr_Alowd_Amt":"52.742037683","Avg_Suplr_Mdcr_Pymt_Amt":"41.261172366","Avg_Suplr_Mdcr_Stdzd_Amt":"41.261172366"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"19","Tot_Suplr_Benes":"34","Tot_Suplr_Clms":"196","Tot_Suplr_Srvcs":"16809","Avg_Suplr_Sbmtd_Chrg":"63.038731037","Avg_Suplr_Mdcr_Alowd_Amt":"52.654892022","Avg_Suplr_Mdcr_Pymt_Amt":"40.95394729","Avg_Suplr_Mdcr_Stdzd_Amt":"40.95394729"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"7","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"124","Tot_Suplr_Srvcs":"9825","Avg_Suplr_Sbmtd_Chrg":"70.284625954","Avg_Suplr_Mdcr_Alowd_Amt":"52.792868193","Avg_Suplr_Mdcr_Pymt_Amt":"40.982587277","Avg_Suplr_Mdcr_Stdzd_Amt":"40.982587277"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"67","Tot_Suplr_Srvcs":"5775","Avg_Suplr_Sbmtd_Chrg":"66.45827013","Avg_Suplr_Mdcr_Alowd_Amt":"52.61785974","Avg_Suplr_Mdcr_Pymt_Amt":"41.168277056","Avg_Suplr_Mdcr_Stdzd_Amt":"41.168275325"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"13","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"199","Tot_Suplr_Srvcs":"14916","Avg_Suplr_Sbmtd_Chrg":"66.941458836","Avg_Suplr_Mdcr_Alowd_Amt":"52.769468356","Avg_Suplr_Mdcr_Pymt_Amt":"41.14180008","Avg_Suplr_Mdcr_Stdzd_Amt":"41.14180008"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"9","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"5262","Avg_Suplr_Sbmtd_Chrg":"77.912670087","Avg_Suplr_Mdcr_Alowd_Amt":"52.541843406","Avg_Suplr_Mdcr_Pymt_Amt":"38.017328012","Avg_Suplr_Mdcr_Stdzd_Amt":"38.017328012"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"76","Tot_Suplr_Srvcs":"5859","Avg_Suplr_Sbmtd_Chrg":"71.722841782","Avg_Suplr_Mdcr_Alowd_Amt":"52.843108039","Avg_Suplr_Mdcr_Pymt_Amt":"41.327378392","Avg_Suplr_Mdcr_Stdzd_Amt":"41.327378392"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"1500","Avg_Suplr_Sbmtd_Chrg":"65.203986667","Avg_Suplr_Mdcr_Alowd_Amt":"52.832666667","Avg_Suplr_Mdcr_Pymt_Amt":"41.115193333","Avg_Suplr_Mdcr_Stdzd_Amt":"41.115193333"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"2643","Avg_Suplr_Sbmtd_Chrg":"76.220442679","Avg_Suplr_Mdcr_Alowd_Amt":"52.615323496","Avg_Suplr_Mdcr_Pymt_Amt":"41.167113129","Avg_Suplr_Mdcr_Stdzd_Amt":"41.167113129"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"26","Tot_Suplr_Benes":"56","Tot_Suplr_Clms":"383","Tot_Suplr_Srvcs":"30771","Avg_Suplr_Sbmtd_Chrg":"71.674074291","Avg_Suplr_Mdcr_Alowd_Amt":"52.715359592","Avg_Suplr_Mdcr_Pymt_Amt":"40.940515745","Avg_Suplr_Mdcr_Stdzd_Amt":"40.940515095"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"11","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"180","Tot_Suplr_Srvcs":"15417","Avg_Suplr_Sbmtd_Chrg":"80.621178569","Avg_Suplr_Mdcr_Alowd_Amt":"52.663926185","Avg_Suplr_Mdcr_Pymt_Amt":"41.143911915","Avg_Suplr_Mdcr_Stdzd_Amt":"41.143911915"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"20","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"187","Tot_Suplr_Srvcs":"14025","Avg_Suplr_Sbmtd_Chrg":"67.378500535","Avg_Suplr_Mdcr_Alowd_Amt":"52.728488414","Avg_Suplr_Mdcr_Pymt_Amt":"40.849166488","Avg_Suplr_Mdcr_Stdzd_Amt":"40.849166488"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"10","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"109","Tot_Suplr_Srvcs":"9372","Avg_Suplr_Sbmtd_Chrg":"78.006452198","Avg_Suplr_Mdcr_Alowd_Amt":"52.793927657","Avg_Suplr_Mdcr_Pymt_Amt":"41.330219804","Avg_Suplr_Mdcr_Stdzd_Amt":"41.330219804"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"87","Tot_Suplr_Srvcs":"7437","Avg_Suplr_Sbmtd_Chrg":"66.296858949","Avg_Suplr_Mdcr_Alowd_Amt":"52.762000807","Avg_Suplr_Mdcr_Pymt_Amt":"41.243653355","Avg_Suplr_Mdcr_Stdzd_Amt":"41.243653355"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"27","Tot_Suplr_Benes":"52","Tot_Suplr_Clms":"308","Tot_Suplr_Srvcs":"24027","Avg_Suplr_Sbmtd_Chrg":"67.661550339","Avg_Suplr_Mdcr_Alowd_Amt":"52.398322304","Avg_Suplr_Mdcr_Pymt_Amt":"40.956068173","Avg_Suplr_Mdcr_Stdzd_Amt":"40.956068173"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"29","Tot_Suplr_Srvcs":"2175","Avg_Suplr_Sbmtd_Chrg":"62.27937931","Avg_Suplr_Mdcr_Alowd_Amt":"52.732845977","Avg_Suplr_Mdcr_Pymt_Amt":"41.187011494","Avg_Suplr_Mdcr_Stdzd_Amt":"41.187011494"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"122","Tot_Suplr_Srvcs":"9150","Avg_Suplr_Sbmtd_Chrg":"65.798465574","Avg_Suplr_Mdcr_Alowd_Amt":"52.710648087","Avg_Suplr_Mdcr_Pymt_Amt":"40.972815301","Avg_Suplr_Mdcr_Stdzd_Amt":"40.972815301"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"903","Avg_Suplr_Sbmtd_Chrg":"66.383222591","Avg_Suplr_Mdcr_Alowd_Amt":"52.754008859","Avg_Suplr_Mdcr_Pymt_Amt":"41.359169435","Avg_Suplr_Mdcr_Stdzd_Amt":"41.359169435"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"9","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"162","Tot_Suplr_Srvcs":"12300","Avg_Suplr_Sbmtd_Chrg":"68.289833333","Avg_Suplr_Mdcr_Alowd_Amt":"52.737886992","Avg_Suplr_Mdcr_Pymt_Amt":"41.215435772","Avg_Suplr_Mdcr_Stdzd_Amt":"41.215434959"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"17","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"210","Tot_Suplr_Srvcs":"16153","Avg_Suplr_Sbmtd_Chrg":"94.952515941","Avg_Suplr_Mdcr_Alowd_Amt":"52.783539281","Avg_Suplr_Mdcr_Pymt_Amt":"41.273151117","Avg_Suplr_Mdcr_Stdzd_Amt":"41.273151117"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"90","Tot_Suplr_Srvcs":"7431","Avg_Suplr_Sbmtd_Chrg":"80.399254474","Avg_Suplr_Mdcr_Alowd_Amt":"52.791834208","Avg_Suplr_Mdcr_Pymt_Amt":"40.515604898","Avg_Suplr_Mdcr_Stdzd_Amt":"40.515604898"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"60","Tot_Suplr_Srvcs":"4503","Avg_Suplr_Sbmtd_Chrg":"70.211003775","Avg_Suplr_Mdcr_Alowd_Amt":"52.801996447","Avg_Suplr_Mdcr_Pymt_Amt":"41.35500111","Avg_Suplr_Mdcr_Stdzd_Amt":"41.35500111"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"9","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"5283","Avg_Suplr_Sbmtd_Chrg":"74.240993754","Avg_Suplr_Mdcr_Alowd_Amt":"52.900626538","Avg_Suplr_Mdcr_Pymt_Amt":"41.38119629","Avg_Suplr_Mdcr_Stdzd_Amt":"41.38119629"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"4761","Avg_Suplr_Sbmtd_Chrg":"56.182010082","Avg_Suplr_Mdcr_Alowd_Amt":"50.184557866","Avg_Suplr_Mdcr_Pymt_Amt":"39.245599664","Avg_Suplr_Mdcr_Stdzd_Amt":"39.245599664"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"37","Tot_Suplr_Srvcs":"3468","Avg_Suplr_Sbmtd_Chrg":"68.536848328","Avg_Suplr_Mdcr_Alowd_Amt":"52.722205882","Avg_Suplr_Mdcr_Pymt_Amt":"41.279968281","Avg_Suplr_Mdcr_Stdzd_Amt":"41.279968281"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7639","HCPCS_Desc":"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"11","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"176","Tot_Suplr_Srvcs":"14313","Avg_Suplr_Sbmtd_Chrg":"61.657968979","Avg_Suplr_Mdcr_Alowd_Amt":"52.818945015","Avg_Suplr_Mdcr_Pymt_Amt":"41.407945923","Avg_Suplr_Mdcr_Stdzd_Amt":"41.407945923"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2534","Tot_Suplrs":"1041","Tot_Suplr_Benes":"3536","Tot_Suplr_Clms":"10783","Tot_Suplr_Srvcs":"585878","Avg_Suplr_Sbmtd_Chrg":"146.42442136","Avg_Suplr_Mdcr_Alowd_Amt":"17.619613742","Avg_Suplr_Mdcr_Pymt_Amt":"13.712429311","Avg_Suplr_Mdcr_Stdzd_Amt":"13.712428885"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"41","Tot_Suplrs":"23","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"192","Tot_Suplr_Srvcs":"10515","Avg_Suplr_Sbmtd_Chrg":"132.86985259","Avg_Suplr_Mdcr_Alowd_Amt":"17.694769377","Avg_Suplr_Mdcr_Pymt_Amt":"13.784486923","Avg_Suplr_Mdcr_Stdzd_Amt":"13.784486923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"49","Tot_Suplrs":"46","Tot_Suplr_Benes":"72","Tot_Suplr_Clms":"188","Tot_Suplr_Srvcs":"10035","Avg_Suplr_Sbmtd_Chrg":"152.35438964","Avg_Suplr_Mdcr_Alowd_Amt":"18.010824116","Avg_Suplr_Mdcr_Pymt_Amt":"14.021740907","Avg_Suplr_Mdcr_Stdzd_Amt":"14.021740907"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"13","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"76","Tot_Suplr_Srvcs":"4256","Avg_Suplr_Sbmtd_Chrg":"149.78450423","Avg_Suplr_Mdcr_Alowd_Amt":"18.237478853","Avg_Suplr_Mdcr_Pymt_Amt":"14.163101504","Avg_Suplr_Mdcr_Stdzd_Amt":"14.163101504"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"248","Tot_Suplrs":"92","Tot_Suplr_Benes":"348","Tot_Suplr_Clms":"1020","Tot_Suplr_Srvcs":"55830","Avg_Suplr_Sbmtd_Chrg":"180.16608902","Avg_Suplr_Mdcr_Alowd_Amt":"17.701506359","Avg_Suplr_Mdcr_Pymt_Amt":"13.764791689","Avg_Suplr_Mdcr_Stdzd_Amt":"13.764791152"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"32","Tot_Suplrs":"29","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"115","Tot_Suplr_Srvcs":"5712","Avg_Suplr_Sbmtd_Chrg":"137.37929097","Avg_Suplr_Mdcr_Alowd_Amt":"17.410871849","Avg_Suplr_Mdcr_Pymt_Amt":"13.584255952","Avg_Suplr_Mdcr_Stdzd_Amt":"13.584255952"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"19","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"102","Tot_Suplr_Srvcs":"6062","Avg_Suplr_Sbmtd_Chrg":"115.2945843","Avg_Suplr_Mdcr_Alowd_Amt":"18.00795447","Avg_Suplr_Mdcr_Pymt_Amt":"14.077015836","Avg_Suplr_Mdcr_Stdzd_Amt":"14.077015836"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"14","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"3360","Avg_Suplr_Sbmtd_Chrg":"135.61383929","Avg_Suplr_Mdcr_Alowd_Amt":"18.14375","Avg_Suplr_Mdcr_Pymt_Amt":"14.152526786","Avg_Suplr_Mdcr_Stdzd_Amt":"14.152526786"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"15","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"64","Tot_Suplr_Srvcs":"3422","Avg_Suplr_Sbmtd_Chrg":"120.18597019","Avg_Suplr_Mdcr_Alowd_Amt":"17.833474576","Avg_Suplr_Mdcr_Pymt_Amt":"13.844091175","Avg_Suplr_Mdcr_Stdzd_Amt":"13.84408533"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"194","Tot_Suplrs":"116","Tot_Suplr_Benes":"314","Tot_Suplr_Clms":"895","Tot_Suplr_Srvcs":"48297","Avg_Suplr_Sbmtd_Chrg":"146.91169514","Avg_Suplr_Mdcr_Alowd_Amt":"17.659630205","Avg_Suplr_Mdcr_Pymt_Amt":"13.725706566","Avg_Suplr_Mdcr_Stdzd_Amt":"13.725706359"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"69","Tot_Suplrs":"41","Tot_Suplr_Benes":"109","Tot_Suplr_Clms":"318","Tot_Suplr_Srvcs":"17576","Avg_Suplr_Sbmtd_Chrg":"181.36477924","Avg_Suplr_Mdcr_Alowd_Amt":"17.69829711","Avg_Suplr_Mdcr_Pymt_Amt":"13.746712563","Avg_Suplr_Mdcr_Stdzd_Amt":"13.746712563"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"768","Avg_Suplr_Sbmtd_Chrg":"224.9246875","Avg_Suplr_Mdcr_Alowd_Amt":"18.038697917","Avg_Suplr_Mdcr_Pymt_Amt":"14.142382813","Avg_Suplr_Mdcr_Stdzd_Amt":"14.14234375"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"13","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"2876","Avg_Suplr_Sbmtd_Chrg":"128.08892907","Avg_Suplr_Mdcr_Alowd_Amt":"17.290243394","Avg_Suplr_Mdcr_Pymt_Amt":"13.555559805","Avg_Suplr_Mdcr_Stdzd_Amt":"13.555559805"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"109","Tot_Suplrs":"79","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"445","Tot_Suplr_Srvcs":"26489","Avg_Suplr_Sbmtd_Chrg":"130.8699177","Avg_Suplr_Mdcr_Alowd_Amt":"18.035097588","Avg_Suplr_Mdcr_Pymt_Amt":"14.062913662","Avg_Suplr_Mdcr_Stdzd_Amt":"14.062913662"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"64","Tot_Suplrs":"37","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"242","Tot_Suplr_Srvcs":"14024","Avg_Suplr_Sbmtd_Chrg":"144.20750071","Avg_Suplr_Mdcr_Alowd_Amt":"17.789960068","Avg_Suplr_Mdcr_Pymt_Amt":"13.881591557","Avg_Suplr_Mdcr_Stdzd_Amt":"13.881591557"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"32","Tot_Suplrs":"29","Tot_Suplr_Benes":"49","Tot_Suplr_Clms":"149","Tot_Suplr_Srvcs":"9100","Avg_Suplr_Sbmtd_Chrg":"88.360512088","Avg_Suplr_Mdcr_Alowd_Amt":"16.754146154","Avg_Suplr_Mdcr_Pymt_Amt":"13.00242967","Avg_Suplr_Mdcr_Stdzd_Amt":"13.00242967"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"34","Tot_Suplrs":"28","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"179","Tot_Suplr_Srvcs":"10668","Avg_Suplr_Sbmtd_Chrg":"92.564718785","Avg_Suplr_Mdcr_Alowd_Amt":"17.410567117","Avg_Suplr_Mdcr_Pymt_Amt":"13.546071429","Avg_Suplr_Mdcr_Stdzd_Amt":"13.546071429"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"41","Tot_Suplrs":"19","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"140","Tot_Suplr_Srvcs":"6624","Avg_Suplr_Sbmtd_Chrg":"156.48787893","Avg_Suplr_Mdcr_Alowd_Amt":"17.405818237","Avg_Suplr_Mdcr_Pymt_Amt":"13.562270531","Avg_Suplr_Mdcr_Stdzd_Amt":"13.562270531"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"24","Tot_Suplr_Benes":"43","Tot_Suplr_Clms":"128","Tot_Suplr_Srvcs":"7100","Avg_Suplr_Sbmtd_Chrg":"144.48768592","Avg_Suplr_Mdcr_Alowd_Amt":"17.419250704","Avg_Suplr_Mdcr_Pymt_Amt":"13.518773239","Avg_Suplr_Mdcr_Stdzd_Amt":"13.518771831"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"13","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"2240","Avg_Suplr_Sbmtd_Chrg":"173.45904018","Avg_Suplr_Mdcr_Alowd_Amt":"17.075410714","Avg_Suplr_Mdcr_Pymt_Amt":"13.255535714","Avg_Suplr_Mdcr_Stdzd_Amt":"13.255535714"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"32","Tot_Suplr_Benes":"83","Tot_Suplr_Clms":"222","Tot_Suplr_Srvcs":"12451","Avg_Suplr_Sbmtd_Chrg":"138.45767569","Avg_Suplr_Mdcr_Alowd_Amt":"16.812775681","Avg_Suplr_Mdcr_Pymt_Amt":"13.107145611","Avg_Suplr_Mdcr_Stdzd_Amt":"13.107145611"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"109","Tot_Suplrs":"69","Tot_Suplr_Benes":"155","Tot_Suplr_Clms":"427","Tot_Suplr_Srvcs":"22206","Avg_Suplr_Sbmtd_Chrg":"170.13910249","Avg_Suplr_Mdcr_Alowd_Amt":"17.697370981","Avg_Suplr_Mdcr_Pymt_Amt":"13.790988021","Avg_Suplr_Mdcr_Stdzd_Amt":"13.790988021"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"73","Tot_Suplrs":"46","Tot_Suplr_Benes":"93","Tot_Suplr_Clms":"282","Tot_Suplr_Srvcs":"17552","Avg_Suplr_Sbmtd_Chrg":"142.34484275","Avg_Suplr_Mdcr_Alowd_Amt":"17.662119986","Avg_Suplr_Mdcr_Pymt_Amt":"13.687933569","Avg_Suplr_Mdcr_Stdzd_Amt":"13.687933569"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"30","Tot_Suplr_Benes":"66","Tot_Suplr_Clms":"163","Tot_Suplr_Srvcs":"8668","Avg_Suplr_Sbmtd_Chrg":"129.12743309","Avg_Suplr_Mdcr_Alowd_Amt":"17.393069912","Avg_Suplr_Mdcr_Pymt_Amt":"13.56107868","Avg_Suplr_Mdcr_Stdzd_Amt":"13.56107868"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"12","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"67","Tot_Suplr_Srvcs":"3752","Avg_Suplr_Sbmtd_Chrg":"96.730621002","Avg_Suplr_Mdcr_Alowd_Amt":"17.961223348","Avg_Suplr_Mdcr_Pymt_Amt":"14.074592217","Avg_Suplr_Mdcr_Stdzd_Amt":"14.074592217"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"51","Tot_Suplrs":"43","Tot_Suplr_Benes":"82","Tot_Suplr_Clms":"284","Tot_Suplr_Srvcs":"16285","Avg_Suplr_Sbmtd_Chrg":"122.54118514","Avg_Suplr_Mdcr_Alowd_Amt":"16.942534848","Avg_Suplr_Mdcr_Pymt_Amt":"13.13524716","Avg_Suplr_Mdcr_Stdzd_Amt":"13.13524716"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"1592","Avg_Suplr_Sbmtd_Chrg":"147.92210427","Avg_Suplr_Mdcr_Alowd_Amt":"17.581953518","Avg_Suplr_Mdcr_Pymt_Amt":"13.666099246","Avg_Suplr_Mdcr_Stdzd_Amt":"13.666099246"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"16","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"3002","Avg_Suplr_Sbmtd_Chrg":"165.09757828","Avg_Suplr_Mdcr_Alowd_Amt":"17.52203531","Avg_Suplr_Mdcr_Pymt_Amt":"13.711655563","Avg_Suplr_Mdcr_Stdzd_Amt":"13.711655563"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"11","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"1568","Avg_Suplr_Sbmtd_Chrg":"113.8576148","Avg_Suplr_Mdcr_Alowd_Amt":"17.411422194","Avg_Suplr_Mdcr_Pymt_Amt":"13.466045918","Avg_Suplr_Mdcr_Stdzd_Amt":"13.466045918"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"13","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"102","Tot_Suplr_Srvcs":"5316","Avg_Suplr_Sbmtd_Chrg":"154.29131114","Avg_Suplr_Mdcr_Alowd_Amt":"17.866017682","Avg_Suplr_Mdcr_Pymt_Amt":"13.812024078","Avg_Suplr_Mdcr_Stdzd_Amt":"13.812024078"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"66","Tot_Suplrs":"40","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"281","Tot_Suplr_Srvcs":"14685","Avg_Suplr_Sbmtd_Chrg":"169.07008784","Avg_Suplr_Mdcr_Alowd_Amt":"17.737758938","Avg_Suplr_Mdcr_Pymt_Amt":"13.822681648","Avg_Suplr_Mdcr_Stdzd_Amt":"13.822681648"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"1680","Avg_Suplr_Sbmtd_Chrg":"127.06584524","Avg_Suplr_Mdcr_Alowd_Amt":"17.989988095","Avg_Suplr_Mdcr_Pymt_Amt":"13.939005952","Avg_Suplr_Mdcr_Stdzd_Amt":"13.939005952"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"144","Tot_Suplrs":"78","Tot_Suplr_Benes":"205","Tot_Suplr_Clms":"630","Tot_Suplr_Srvcs":"32791","Avg_Suplr_Sbmtd_Chrg":"158.67914946","Avg_Suplr_Mdcr_Alowd_Amt":"17.572482998","Avg_Suplr_Mdcr_Pymt_Amt":"13.681604404","Avg_Suplr_Mdcr_Stdzd_Amt":"13.681603489"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"91","Tot_Suplrs":"47","Tot_Suplr_Benes":"118","Tot_Suplr_Clms":"345","Tot_Suplr_Srvcs":"18732","Avg_Suplr_Sbmtd_Chrg":"145.27548633","Avg_Suplr_Mdcr_Alowd_Amt":"17.468495622","Avg_Suplr_Mdcr_Pymt_Amt":"13.559525411","Avg_Suplr_Mdcr_Stdzd_Amt":"13.55952381"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1344","Avg_Suplr_Sbmtd_Chrg":"140.64541667","Avg_Suplr_Mdcr_Alowd_Amt":"17.852872024","Avg_Suplr_Mdcr_Pymt_Amt":"13.751316964","Avg_Suplr_Mdcr_Stdzd_Amt":"13.751316964"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"97","Tot_Suplrs":"51","Tot_Suplr_Benes":"133","Tot_Suplr_Clms":"423","Tot_Suplr_Srvcs":"21720","Avg_Suplr_Sbmtd_Chrg":"129.58296087","Avg_Suplr_Mdcr_Alowd_Amt":"17.638447974","Avg_Suplr_Mdcr_Pymt_Amt":"13.731679098","Avg_Suplr_Mdcr_Stdzd_Amt":"13.731679098"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"40","Tot_Suplrs":"24","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"209","Tot_Suplr_Srvcs":"11260","Avg_Suplr_Sbmtd_Chrg":"129.13639076","Avg_Suplr_Mdcr_Alowd_Amt":"17.605738899","Avg_Suplr_Mdcr_Pymt_Amt":"13.685465364","Avg_Suplr_Mdcr_Stdzd_Amt":"13.685465364"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"21","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"115","Tot_Suplr_Srvcs":"6562","Avg_Suplr_Sbmtd_Chrg":"140.93900183","Avg_Suplr_Mdcr_Alowd_Amt":"17.787825358","Avg_Suplr_Mdcr_Pymt_Amt":"13.769608351","Avg_Suplr_Mdcr_Stdzd_Amt":"13.769608351"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"140","Tot_Suplrs":"66","Tot_Suplr_Benes":"185","Tot_Suplr_Clms":"594","Tot_Suplr_Srvcs":"29782","Avg_Suplr_Sbmtd_Chrg":"141.1083893","Avg_Suplr_Mdcr_Alowd_Amt":"17.603205628","Avg_Suplr_Mdcr_Pymt_Amt":"13.679138406","Avg_Suplr_Mdcr_Stdzd_Amt":"13.679137734"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1344","Avg_Suplr_Sbmtd_Chrg":"164.54731399","Avg_Suplr_Mdcr_Alowd_Amt":"17.582165179","Avg_Suplr_Mdcr_Pymt_Amt":"13.784441964","Avg_Suplr_Mdcr_Stdzd_Amt":"13.784441964"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"67","Tot_Suplrs":"30","Tot_Suplr_Benes":"105","Tot_Suplr_Clms":"305","Tot_Suplr_Srvcs":"14949","Avg_Suplr_Sbmtd_Chrg":"149.11231788","Avg_Suplr_Mdcr_Alowd_Amt":"17.609582581","Avg_Suplr_Mdcr_Pymt_Amt":"13.761121145","Avg_Suplr_Mdcr_Stdzd_Amt":"13.761119138"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"868","Avg_Suplr_Sbmtd_Chrg":"89.693041475","Avg_Suplr_Mdcr_Alowd_Amt":"17.814412442","Avg_Suplr_Mdcr_Pymt_Amt":"13.749746544","Avg_Suplr_Mdcr_Stdzd_Amt":"13.749746544"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"35","Tot_Suplr_Benes":"97","Tot_Suplr_Clms":"286","Tot_Suplr_Srvcs":"15774","Avg_Suplr_Sbmtd_Chrg":"155.70034677","Avg_Suplr_Mdcr_Alowd_Amt":"17.815107772","Avg_Suplr_Mdcr_Pymt_Amt":"13.908113985","Avg_Suplr_Mdcr_Stdzd_Amt":"13.908112717"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"145","Tot_Suplrs":"76","Tot_Suplr_Benes":"215","Tot_Suplr_Clms":"604","Tot_Suplr_Srvcs":"32562","Avg_Suplr_Sbmtd_Chrg":"148.55045851","Avg_Suplr_Mdcr_Alowd_Amt":"17.712717278","Avg_Suplr_Mdcr_Pymt_Amt":"13.825547264","Avg_Suplr_Mdcr_Stdzd_Amt":"13.825547264"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"10","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"2464","Avg_Suplr_Sbmtd_Chrg":"91.119346591","Avg_Suplr_Mdcr_Alowd_Amt":"17.481684253","Avg_Suplr_Mdcr_Pymt_Amt":"13.580604708","Avg_Suplr_Mdcr_Stdzd_Amt":"13.580604708"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"29","Tot_Suplr_Srvcs":"1569","Avg_Suplr_Sbmtd_Chrg":"110.8231485","Avg_Suplr_Mdcr_Alowd_Amt":"17.790936902","Avg_Suplr_Mdcr_Pymt_Amt":"13.744926705","Avg_Suplr_Mdcr_Stdzd_Amt":"13.744926705"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"64","Tot_Suplrs":"36","Tot_Suplr_Benes":"95","Tot_Suplr_Clms":"318","Tot_Suplr_Srvcs":"18203","Avg_Suplr_Sbmtd_Chrg":"149.01930781","Avg_Suplr_Mdcr_Alowd_Amt":"17.389139702","Avg_Suplr_Mdcr_Pymt_Amt":"13.502177663","Avg_Suplr_Mdcr_Stdzd_Amt":"13.502177114"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"37","Tot_Suplrs":"37","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"159","Tot_Suplr_Srvcs":"8446","Avg_Suplr_Sbmtd_Chrg":"136.4277291","Avg_Suplr_Mdcr_Alowd_Amt":"17.176978451","Avg_Suplr_Mdcr_Pymt_Amt":"13.395298366","Avg_Suplr_Mdcr_Stdzd_Amt":"13.395297182"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"43","Tot_Suplr_Srvcs":"2364","Avg_Suplr_Sbmtd_Chrg":"164.73696277","Avg_Suplr_Mdcr_Alowd_Amt":"17.850109983","Avg_Suplr_Mdcr_Pymt_Amt":"13.914906937","Avg_Suplr_Mdcr_Stdzd_Amt":"13.914906937"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7682","HCPCS_Desc":"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"34","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"219","Tot_Suplr_Srvcs":"10929","Avg_Suplr_Sbmtd_Chrg":"117.99086284","Avg_Suplr_Mdcr_Alowd_Amt":"17.927983347","Avg_Suplr_Mdcr_Pymt_Amt":"14.004653674","Avg_Suplr_Mdcr_Stdzd_Amt":"14.004653674"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1566","Tot_Suplrs":"20","Tot_Suplr_Benes":"3682","Tot_Suplr_Clms":"7190","Tot_Suplr_Srvcs":"636240","Avg_Suplr_Sbmtd_Chrg":"56.875221536","Avg_Suplr_Mdcr_Alowd_Amt":"37.94872952","Avg_Suplr_Mdcr_Pymt_Amt":"29.751356045","Avg_Suplr_Mdcr_Stdzd_Amt":"29.751356045"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"4","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"3482","Avg_Suplr_Sbmtd_Chrg":"51.105686387","Avg_Suplr_Mdcr_Alowd_Amt":"28.971797817","Avg_Suplr_Mdcr_Pymt_Amt":"22.713862723","Avg_Suplr_Mdcr_Stdzd_Amt":"22.713862723"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"7","Tot_Suplr_Benes":"68","Tot_Suplr_Clms":"147","Tot_Suplr_Srvcs":"12570","Avg_Suplr_Sbmtd_Chrg":"58.937151949","Avg_Suplr_Mdcr_Alowd_Amt":"42.098641209","Avg_Suplr_Mdcr_Pymt_Amt":"33.005336516","Avg_Suplr_Mdcr_Stdzd_Amt":"33.005336516"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"5","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"6721","Avg_Suplr_Sbmtd_Chrg":"45.048355899","Avg_Suplr_Mdcr_Alowd_Amt":"28.210793037","Avg_Suplr_Mdcr_Pymt_Amt":"22.117247433","Avg_Suplr_Mdcr_Stdzd_Amt":"22.117247433"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"105","Tot_Suplrs":"8","Tot_Suplr_Benes":"298","Tot_Suplr_Clms":"553","Tot_Suplr_Srvcs":"58774","Avg_Suplr_Sbmtd_Chrg":"48.003368837","Avg_Suplr_Mdcr_Alowd_Amt":"38.416016266","Avg_Suplr_Mdcr_Pymt_Amt":"30.118158539","Avg_Suplr_Mdcr_Stdzd_Amt":"30.118158539"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"5","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"5403","Avg_Suplr_Sbmtd_Chrg":"49.646492689","Avg_Suplr_Mdcr_Alowd_Amt":"30.031138257","Avg_Suplr_Mdcr_Pymt_Amt":"23.544390154","Avg_Suplr_Mdcr_Stdzd_Amt":"23.544390154"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"5","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"7530","Avg_Suplr_Sbmtd_Chrg":"42.795484728","Avg_Suplr_Mdcr_Alowd_Amt":"37.208632138","Avg_Suplr_Mdcr_Pymt_Amt":"29.171565737","Avg_Suplr_Mdcr_Stdzd_Amt":"29.171565737"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"1050","Avg_Suplr_Sbmtd_Chrg":"60.685714286","Avg_Suplr_Mdcr_Alowd_Amt":"39.052628571","Avg_Suplr_Mdcr_Pymt_Amt":"30.617257143","Avg_Suplr_Mdcr_Stdzd_Amt":"30.617257143"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"134","Tot_Suplrs":"9","Tot_Suplr_Benes":"343","Tot_Suplr_Clms":"669","Tot_Suplr_Srvcs":"56888","Avg_Suplr_Sbmtd_Chrg":"58.504605541","Avg_Suplr_Mdcr_Alowd_Amt":"35.934904374","Avg_Suplr_Mdcr_Pymt_Amt":"28.169618021","Avg_Suplr_Mdcr_Stdzd_Amt":"28.169618021"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"48","Tot_Suplrs":"5","Tot_Suplr_Benes":"74","Tot_Suplr_Clms":"138","Tot_Suplr_Srvcs":"11915","Avg_Suplr_Sbmtd_Chrg":"57.498111624","Avg_Suplr_Mdcr_Alowd_Amt":"35.76403525","Avg_Suplr_Mdcr_Pymt_Amt":"28.032098196","Avg_Suplr_Mdcr_Stdzd_Amt":"28.032098196"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"1260","Avg_Suplr_Sbmtd_Chrg":"55.5","Avg_Suplr_Mdcr_Alowd_Amt":"41.288666667","Avg_Suplr_Mdcr_Pymt_Amt":"32.37031746","Avg_Suplr_Mdcr_Stdzd_Amt":"32.37031746"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"48","Tot_Suplrs":"7","Tot_Suplr_Benes":"105","Tot_Suplr_Clms":"175","Tot_Suplr_Srvcs":"14508","Avg_Suplr_Sbmtd_Chrg":"60.833333333","Avg_Suplr_Mdcr_Alowd_Amt":"38.498902674","Avg_Suplr_Mdcr_Pymt_Amt":"30.183104494","Avg_Suplr_Mdcr_Stdzd_Amt":"30.183104494"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"5","Tot_Suplr_Benes":"168","Tot_Suplr_Clms":"340","Tot_Suplr_Srvcs":"30325","Avg_Suplr_Sbmtd_Chrg":"55.798746908","Avg_Suplr_Mdcr_Alowd_Amt":"33.970535202","Avg_Suplr_Mdcr_Pymt_Amt":"26.632865293","Avg_Suplr_Mdcr_Stdzd_Amt":"26.632865293"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"6","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"5430","Avg_Suplr_Sbmtd_Chrg":"53.47145488","Avg_Suplr_Mdcr_Alowd_Amt":"40.183012891","Avg_Suplr_Mdcr_Pymt_Amt":"31.503484346","Avg_Suplr_Mdcr_Stdzd_Amt":"31.503484346"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"5","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"77","Tot_Suplr_Srvcs":"6240","Avg_Suplr_Sbmtd_Chrg":"61.415064103","Avg_Suplr_Mdcr_Alowd_Amt":"41.966064103","Avg_Suplr_Mdcr_Pymt_Amt":"32.901397436","Avg_Suplr_Mdcr_Stdzd_Amt":"32.901397436"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"42","Tot_Suplrs":"6","Tot_Suplr_Benes":"95","Tot_Suplr_Clms":"207","Tot_Suplr_Srvcs":"15097","Avg_Suplr_Sbmtd_Chrg":"67.302775386","Avg_Suplr_Mdcr_Alowd_Amt":"41.662685302","Avg_Suplr_Mdcr_Pymt_Amt":"32.66348811","Avg_Suplr_Mdcr_Stdzd_Amt":"32.66348811"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"5","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"73","Tot_Suplr_Srvcs":"6277","Avg_Suplr_Sbmtd_Chrg":"59.512505974","Avg_Suplr_Mdcr_Alowd_Amt":"35.531260156","Avg_Suplr_Mdcr_Pymt_Amt":"27.856469651","Avg_Suplr_Mdcr_Stdzd_Amt":"27.856469651"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"49","Tot_Suplrs":"7","Tot_Suplr_Benes":"121","Tot_Suplr_Clms":"233","Tot_Suplr_Srvcs":"21156","Avg_Suplr_Sbmtd_Chrg":"55.020797882","Avg_Suplr_Mdcr_Alowd_Amt":"39.946453016","Avg_Suplr_Mdcr_Pymt_Amt":"31.31802042","Avg_Suplr_Mdcr_Stdzd_Amt":"31.31802042"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"7","Tot_Suplr_Benes":"47","Tot_Suplr_Clms":"87","Tot_Suplr_Srvcs":"10440","Avg_Suplr_Sbmtd_Chrg":"45.708333333","Avg_Suplr_Mdcr_Alowd_Amt":"37.369862069","Avg_Suplr_Mdcr_Pymt_Amt":"29.29797318","Avg_Suplr_Mdcr_Stdzd_Amt":"29.29797318"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"69","Tot_Suplrs":"6","Tot_Suplr_Benes":"121","Tot_Suplr_Clms":"231","Tot_Suplr_Srvcs":"18287","Avg_Suplr_Sbmtd_Chrg":"65.782249686","Avg_Suplr_Mdcr_Alowd_Amt":"39.053091814","Avg_Suplr_Mdcr_Pymt_Amt":"30.617574233","Avg_Suplr_Mdcr_Stdzd_Amt":"30.617574233"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"6","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"3664","Avg_Suplr_Sbmtd_Chrg":"54.604257642","Avg_Suplr_Mdcr_Alowd_Amt":"33.171861354","Avg_Suplr_Mdcr_Pymt_Amt":"26.006713974","Avg_Suplr_Mdcr_Stdzd_Amt":"26.006713974"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"6","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"50","Tot_Suplr_Srvcs":"3906","Avg_Suplr_Sbmtd_Chrg":"66.175115207","Avg_Suplr_Mdcr_Alowd_Amt":"39.362734255","Avg_Suplr_Mdcr_Pymt_Amt":"30.860340502","Avg_Suplr_Mdcr_Stdzd_Amt":"30.860340502"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"39","Tot_Suplrs":"8","Tot_Suplr_Benes":"126","Tot_Suplr_Clms":"274","Tot_Suplr_Srvcs":"25911","Avg_Suplr_Sbmtd_Chrg":"53.635521593","Avg_Suplr_Mdcr_Alowd_Amt":"39.708841419","Avg_Suplr_Mdcr_Pymt_Amt":"31.131729767","Avg_Suplr_Mdcr_Stdzd_Amt":"31.131729767"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"4","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1890","Avg_Suplr_Sbmtd_Chrg":"64.624338624","Avg_Suplr_Mdcr_Alowd_Amt":"42.460529101","Avg_Suplr_Mdcr_Pymt_Amt":"33.289058201","Avg_Suplr_Mdcr_Stdzd_Amt":"33.289058201"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"5","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"6090","Avg_Suplr_Sbmtd_Chrg":"52.903119869","Avg_Suplr_Mdcr_Alowd_Amt":"40.98219376","Avg_Suplr_Mdcr_Pymt_Amt":"32.130042693","Avg_Suplr_Mdcr_Stdzd_Amt":"32.130042693"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"3931","Avg_Suplr_Sbmtd_Chrg":"42.332739761","Avg_Suplr_Mdcr_Alowd_Amt":"33.774347494","Avg_Suplr_Mdcr_Pymt_Amt":"26.47908929","Avg_Suplr_Mdcr_Stdzd_Amt":"26.47908929"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"71","Tot_Suplrs":"7","Tot_Suplr_Benes":"150","Tot_Suplr_Clms":"283","Tot_Suplr_Srvcs":"27400","Avg_Suplr_Sbmtd_Chrg":"51.206569343","Avg_Suplr_Mdcr_Alowd_Amt":"38.329856934","Avg_Suplr_Mdcr_Pymt_Amt":"30.050609489","Avg_Suplr_Mdcr_Stdzd_Amt":"30.050609489"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"91","Tot_Suplrs":"5","Tot_Suplr_Benes":"200","Tot_Suplr_Clms":"354","Tot_Suplr_Srvcs":"35014","Avg_Suplr_Sbmtd_Chrg":"51.699891472","Avg_Suplr_Mdcr_Alowd_Amt":"38.647009768","Avg_Suplr_Mdcr_Pymt_Amt":"30.299257725","Avg_Suplr_Mdcr_Stdzd_Amt":"30.299257725"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"64","Tot_Suplrs":"6","Tot_Suplr_Benes":"111","Tot_Suplr_Clms":"204","Tot_Suplr_Srvcs":"17439","Avg_Suplr_Sbmtd_Chrg":"58.472962899","Avg_Suplr_Mdcr_Alowd_Amt":"35.579588853","Avg_Suplr_Mdcr_Pymt_Amt":"27.894356901","Avg_Suplr_Mdcr_Stdzd_Amt":"27.894356901"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"6","Tot_Suplr_Benes":"158","Tot_Suplr_Clms":"316","Tot_Suplr_Srvcs":"26307","Avg_Suplr_Sbmtd_Chrg":"60.768236591","Avg_Suplr_Mdcr_Alowd_Amt":"36.608583647","Avg_Suplr_Mdcr_Pymt_Amt":"28.701086783","Avg_Suplr_Mdcr_Stdzd_Amt":"28.701086783"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"6","Tot_Suplr_Benes":"86","Tot_Suplr_Clms":"207","Tot_Suplr_Srvcs":"16569","Avg_Suplr_Sbmtd_Chrg":"61.27165188","Avg_Suplr_Mdcr_Alowd_Amt":"38.542384574","Avg_Suplr_Mdcr_Pymt_Amt":"30.21718088","Avg_Suplr_Mdcr_Stdzd_Amt":"30.21718088"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"3841","Avg_Suplr_Sbmtd_Chrg":"50.70814892","Avg_Suplr_Mdcr_Alowd_Amt":"39.128008331","Avg_Suplr_Mdcr_Pymt_Amt":"30.676360323","Avg_Suplr_Mdcr_Stdzd_Amt":"30.676360323"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"98","Tot_Suplrs":"10","Tot_Suplr_Benes":"279","Tot_Suplr_Clms":"561","Tot_Suplr_Srvcs":"49156","Avg_Suplr_Sbmtd_Chrg":"57.67698755","Avg_Suplr_Mdcr_Alowd_Amt":"40.360256734","Avg_Suplr_Mdcr_Pymt_Amt":"31.642442021","Avg_Suplr_Mdcr_Stdzd_Amt":"31.642442021"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"3000","Avg_Suplr_Sbmtd_Chrg":"60.776666667","Avg_Suplr_Mdcr_Alowd_Amt":"41.513346667","Avg_Suplr_Mdcr_Pymt_Amt":"32.546466667","Avg_Suplr_Mdcr_Stdzd_Amt":"32.546466667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"39","Tot_Suplrs":"5","Tot_Suplr_Benes":"82","Tot_Suplr_Clms":"133","Tot_Suplr_Srvcs":"12151","Avg_Suplr_Sbmtd_Chrg":"52.227800181","Avg_Suplr_Mdcr_Alowd_Amt":"33.682654926","Avg_Suplr_Mdcr_Pymt_Amt":"26.407167311","Avg_Suplr_Mdcr_Stdzd_Amt":"26.407167311"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"2250","Avg_Suplr_Sbmtd_Chrg":"36.6","Avg_Suplr_Mdcr_Alowd_Amt":"30.260773333","Avg_Suplr_Mdcr_Pymt_Amt":"23.724444444","Avg_Suplr_Mdcr_Stdzd_Amt":"23.724444444"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"7","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"181","Tot_Suplr_Srvcs":"14357","Avg_Suplr_Sbmtd_Chrg":"64.491885491","Avg_Suplr_Mdcr_Alowd_Amt":"38.032134847","Avg_Suplr_Mdcr_Pymt_Amt":"29.817149126","Avg_Suplr_Mdcr_Stdzd_Amt":"29.817149126"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"124","Tot_Suplrs":"8","Tot_Suplr_Benes":"395","Tot_Suplr_Clms":"811","Tot_Suplr_Srvcs":"62609","Avg_Suplr_Sbmtd_Chrg":"66.345413599","Avg_Suplr_Mdcr_Alowd_Amt":"39.575251481","Avg_Suplr_Mdcr_Pymt_Amt":"31.02693814","Avg_Suplr_Mdcr_Stdzd_Amt":"31.02693814"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"46","Tot_Suplrs":"4","Tot_Suplr_Benes":"115","Tot_Suplr_Clms":"223","Tot_Suplr_Srvcs":"17020","Avg_Suplr_Sbmtd_Chrg":"66.87720329","Avg_Suplr_Mdcr_Alowd_Amt":"40.219146298","Avg_Suplr_Mdcr_Pymt_Amt":"31.531751469","Avg_Suplr_Mdcr_Stdzd_Amt":"31.531751469"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"1740","Avg_Suplr_Sbmtd_Chrg":"65.114942529","Avg_Suplr_Mdcr_Alowd_Amt":"43.939563218","Avg_Suplr_Mdcr_Pymt_Amt":"34.44862069","Avg_Suplr_Mdcr_Stdzd_Amt":"34.44862069"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"5","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"3122","Avg_Suplr_Sbmtd_Chrg":"40.554692505","Avg_Suplr_Mdcr_Alowd_Amt":"29.792059577","Avg_Suplr_Mdcr_Pymt_Amt":"23.356969891","Avg_Suplr_Mdcr_Stdzd_Amt":"23.356969891"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7699","HCPCS_Desc":"Noc drugs, inhalation solution administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"4","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"29","Tot_Suplr_Srvcs":"2370","Avg_Suplr_Sbmtd_Chrg":"51.907172996","Avg_Suplr_Mdcr_Alowd_Amt":"37.180455696","Avg_Suplr_Mdcr_Pymt_Amt":"29.149451477","Avg_Suplr_Mdcr_Stdzd_Amt":"29.149451477"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7799","HCPCS_Desc":"Noc drugs, other than inhalation drugs, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"3","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"1467","Avg_Suplr_Sbmtd_Chrg":"287.62659168","Avg_Suplr_Mdcr_Alowd_Amt":"248.31193592","Avg_Suplr_Mdcr_Pymt_Amt":"194.67653033","Avg_Suplr_Mdcr_Stdzd_Amt":"194.67653033"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"595","Tot_Suplrs":"31","Tot_Suplr_Benes":"1223","Tot_Suplr_Clms":"8988","Tot_Suplr_Srvcs":"250698","Avg_Suplr_Sbmtd_Chrg":"1022.8106744","Avg_Suplr_Mdcr_Alowd_Amt":"742.23157951","Avg_Suplr_Mdcr_Pymt_Amt":"581.48286201","Avg_Suplr_Mdcr_Stdzd_Amt":"581.48286165"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"2","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"117","Tot_Suplr_Srvcs":"3232","Avg_Suplr_Sbmtd_Chrg":"756.30507735","Avg_Suplr_Mdcr_Alowd_Amt":"741.04709158","Avg_Suplr_Mdcr_Pymt_Amt":"580.73120668","Avg_Suplr_Mdcr_Stdzd_Amt":"580.73120668"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"7","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"154","Tot_Suplr_Srvcs":"4232","Avg_Suplr_Sbmtd_Chrg":"936.40602079","Avg_Suplr_Mdcr_Alowd_Amt":"741.1395983","Avg_Suplr_Mdcr_Pymt_Amt":"580.94147684","Avg_Suplr_Mdcr_Stdzd_Amt":"580.94147212"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"1568","Avg_Suplr_Sbmtd_Chrg":"1053.8848214","Avg_Suplr_Mdcr_Alowd_Amt":"743.1490625","Avg_Suplr_Mdcr_Pymt_Amt":"582.5925","Avg_Suplr_Mdcr_Stdzd_Amt":"582.5925"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"53","Tot_Suplrs":"7","Tot_Suplr_Benes":"101","Tot_Suplr_Clms":"701","Tot_Suplr_Srvcs":"19476","Avg_Suplr_Sbmtd_Chrg":"1049.2348444","Avg_Suplr_Mdcr_Alowd_Amt":"741.35643356","Avg_Suplr_Mdcr_Pymt_Amt":"581.07702095","Avg_Suplr_Mdcr_Stdzd_Amt":"581.07702095"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"198","Tot_Suplr_Srvcs":"5544","Avg_Suplr_Sbmtd_Chrg":"1472.3614628","Avg_Suplr_Mdcr_Alowd_Amt":"743.88537338","Avg_Suplr_Mdcr_Pymt_Amt":"583.01210498","Avg_Suplr_Mdcr_Stdzd_Amt":"583.01210498"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"206","Tot_Suplr_Srvcs":"5768","Avg_Suplr_Sbmtd_Chrg":"1172.1726578","Avg_Suplr_Mdcr_Alowd_Amt":"742.94477288","Avg_Suplr_Mdcr_Pymt_Amt":"582.33580097","Avg_Suplr_Mdcr_Stdzd_Amt":"582.33580097"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"339","Avg_Suplr_Sbmtd_Chrg":"762.119941","Avg_Suplr_Mdcr_Alowd_Amt":"741.29171091","Avg_Suplr_Mdcr_Pymt_Amt":"581.17274336","Avg_Suplr_Mdcr_Stdzd_Amt":"581.17274336"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"952","Avg_Suplr_Sbmtd_Chrg":"757.24789916","Avg_Suplr_Mdcr_Alowd_Amt":"736.67382353","Avg_Suplr_Mdcr_Pymt_Amt":"577.0972479","Avg_Suplr_Mdcr_Stdzd_Amt":"577.0972479"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"44","Tot_Suplrs":"9","Tot_Suplr_Benes":"86","Tot_Suplr_Clms":"745","Tot_Suplr_Srvcs":"20948","Avg_Suplr_Sbmtd_Chrg":"1059.387712","Avg_Suplr_Mdcr_Alowd_Amt":"742.11408392","Avg_Suplr_Mdcr_Pymt_Amt":"581.59889154","Avg_Suplr_Mdcr_Stdzd_Amt":"581.59889154"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"7","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"163","Tot_Suplr_Srvcs":"4712","Avg_Suplr_Sbmtd_Chrg":"899.70294355","Avg_Suplr_Mdcr_Alowd_Amt":"742.48133701","Avg_Suplr_Mdcr_Pymt_Amt":"581.92721774","Avg_Suplr_Mdcr_Stdzd_Amt":"581.92721774"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"336","Avg_Suplr_Sbmtd_Chrg":"1568.14","Avg_Suplr_Mdcr_Alowd_Amt":"743.92223214","Avg_Suplr_Mdcr_Pymt_Amt":"582.95443452","Avg_Suplr_Mdcr_Stdzd_Amt":"582.95443452"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"7","Tot_Suplr_Benes":"55","Tot_Suplr_Clms":"350","Tot_Suplr_Srvcs":"9780","Avg_Suplr_Sbmtd_Chrg":"989.99924642","Avg_Suplr_Mdcr_Alowd_Amt":"741.96851431","Avg_Suplr_Mdcr_Pymt_Amt":"578.26916871","Avg_Suplr_Mdcr_Stdzd_Amt":"578.26916871"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"7","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"4088","Avg_Suplr_Sbmtd_Chrg":"1345.5261791","Avg_Suplr_Mdcr_Alowd_Amt":"742.45984834","Avg_Suplr_Mdcr_Pymt_Amt":"581.82887965","Avg_Suplr_Mdcr_Stdzd_Amt":"581.82887965"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"4","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"87","Tot_Suplr_Srvcs":"2436","Avg_Suplr_Sbmtd_Chrg":"1253.3222373","Avg_Suplr_Mdcr_Alowd_Amt":"744.25887931","Avg_Suplr_Mdcr_Pymt_Amt":"583.17211823","Avg_Suplr_Mdcr_Stdzd_Amt":"583.17211823"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"2828","Avg_Suplr_Sbmtd_Chrg":"929.17320368","Avg_Suplr_Mdcr_Alowd_Amt":"741.01636492","Avg_Suplr_Mdcr_Pymt_Amt":"580.75360679","Avg_Suplr_Mdcr_Stdzd_Amt":"580.75360325"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"1736","Avg_Suplr_Sbmtd_Chrg":"1371.4721832","Avg_Suplr_Mdcr_Alowd_Amt":"747.94464862","Avg_Suplr_Mdcr_Pymt_Amt":"586.17178571","Avg_Suplr_Mdcr_Stdzd_Amt":"586.17178571"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"1540","Avg_Suplr_Sbmtd_Chrg":"1196.8528506","Avg_Suplr_Mdcr_Alowd_Amt":"747.90088961","Avg_Suplr_Mdcr_Pymt_Amt":"586.2537987","Avg_Suplr_Mdcr_Stdzd_Amt":"586.2537987"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"448","Avg_Suplr_Sbmtd_Chrg":"1432.7688839","Avg_Suplr_Mdcr_Alowd_Amt":"748.00042411","Avg_Suplr_Mdcr_Pymt_Amt":"586.01223214","Avg_Suplr_Mdcr_Stdzd_Amt":"586.01223214"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"6","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"210","Tot_Suplr_Srvcs":"5815","Avg_Suplr_Sbmtd_Chrg":"1057.3219725","Avg_Suplr_Mdcr_Alowd_Amt":"742.48809458","Avg_Suplr_Mdcr_Pymt_Amt":"581.89552365","Avg_Suplr_Mdcr_Stdzd_Amt":"581.89552365"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"10","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"591","Tot_Suplr_Srvcs":"16413","Avg_Suplr_Sbmtd_Chrg":"878.54884786","Avg_Suplr_Mdcr_Alowd_Amt":"742.60039481","Avg_Suplr_Mdcr_Pymt_Amt":"582.01268811","Avg_Suplr_Mdcr_Stdzd_Amt":"582.01268811"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"6","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"173","Tot_Suplr_Srvcs":"4792","Avg_Suplr_Sbmtd_Chrg":"795.65573664","Avg_Suplr_Mdcr_Alowd_Amt":"738.06347871","Avg_Suplr_Mdcr_Pymt_Amt":"572.16555301","Avg_Suplr_Mdcr_Stdzd_Amt":"572.16555301"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"8","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"313","Tot_Suplr_Srvcs":"8664","Avg_Suplr_Sbmtd_Chrg":"992.09741574","Avg_Suplr_Mdcr_Alowd_Amt":"741.33748384","Avg_Suplr_Mdcr_Pymt_Amt":"580.98232572","Avg_Suplr_Mdcr_Stdzd_Amt":"580.98232572"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"644","Avg_Suplr_Sbmtd_Chrg":"1143.6601242","Avg_Suplr_Mdcr_Alowd_Amt":"740.49406832","Avg_Suplr_Mdcr_Pymt_Amt":"580.00319876","Avg_Suplr_Mdcr_Stdzd_Amt":"580.00319876"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"10","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"329","Tot_Suplr_Srvcs":"9142","Avg_Suplr_Sbmtd_Chrg":"953.50501969","Avg_Suplr_Mdcr_Alowd_Amt":"741.61661343","Avg_Suplr_Mdcr_Pymt_Amt":"581.28363268","Avg_Suplr_Mdcr_Stdzd_Amt":"581.28363268"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"1176","Avg_Suplr_Sbmtd_Chrg":"1228.0880102","Avg_Suplr_Mdcr_Alowd_Amt":"743.08977041","Avg_Suplr_Mdcr_Pymt_Amt":"582.24634354","Avg_Suplr_Mdcr_Stdzd_Amt":"582.24634354"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"560","Avg_Suplr_Sbmtd_Chrg":"1405.4227143","Avg_Suplr_Mdcr_Alowd_Amt":"740.69639286","Avg_Suplr_Mdcr_Pymt_Amt":"580.70596429","Avg_Suplr_Mdcr_Stdzd_Amt":"580.70596429"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"6","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"168","Tot_Suplr_Srvcs":"4684","Avg_Suplr_Sbmtd_Chrg":"1030.3605679","Avg_Suplr_Mdcr_Alowd_Amt":"742.6411123","Avg_Suplr_Mdcr_Pymt_Amt":"581.92540137","Avg_Suplr_Mdcr_Stdzd_Amt":"581.92539923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"98","Tot_Suplr_Srvcs":"2744","Avg_Suplr_Sbmtd_Chrg":"1142.9223579","Avg_Suplr_Mdcr_Alowd_Amt":"741.52659621","Avg_Suplr_Mdcr_Pymt_Amt":"581.23266399","Avg_Suplr_Mdcr_Stdzd_Amt":"581.23266399"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"6","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"297","Tot_Suplr_Srvcs":"8372","Avg_Suplr_Sbmtd_Chrg":"959.07553392","Avg_Suplr_Mdcr_Alowd_Amt":"741.57888796","Avg_Suplr_Mdcr_Pymt_Amt":"581.2540743","Avg_Suplr_Mdcr_Stdzd_Amt":"581.2540743"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"8","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"382","Tot_Suplr_Srvcs":"10676","Avg_Suplr_Sbmtd_Chrg":"959.58349944","Avg_Suplr_Mdcr_Alowd_Amt":"743.64946609","Avg_Suplr_Mdcr_Pymt_Amt":"582.8401199","Avg_Suplr_Mdcr_Stdzd_Amt":"582.84011896"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"1520","Avg_Suplr_Sbmtd_Chrg":"951.31938158","Avg_Suplr_Mdcr_Alowd_Amt":"743.05871711","Avg_Suplr_Mdcr_Pymt_Amt":"582.53732237","Avg_Suplr_Mdcr_Stdzd_Amt":"582.53732237"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"5","Tot_Suplr_Benes":"48","Tot_Suplr_Clms":"315","Tot_Suplr_Srvcs":"8800","Avg_Suplr_Sbmtd_Chrg":"1111.6455216","Avg_Suplr_Mdcr_Alowd_Amt":"741.41459545","Avg_Suplr_Mdcr_Pymt_Amt":"581.02474205","Avg_Suplr_Mdcr_Stdzd_Amt":"581.02474205"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"64","Tot_Suplr_Srvcs":"1792","Avg_Suplr_Sbmtd_Chrg":"961.79888951","Avg_Suplr_Mdcr_Alowd_Amt":"740.21879464","Avg_Suplr_Mdcr_Pymt_Amt":"580.19609375","Avg_Suplr_Mdcr_Stdzd_Amt":"580.19609375"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"6","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"94","Tot_Suplr_Srvcs":"2632","Avg_Suplr_Sbmtd_Chrg":"1149.8405471","Avg_Suplr_Mdcr_Alowd_Amt":"741.77281155","Avg_Suplr_Mdcr_Pymt_Amt":"581.32916413","Avg_Suplr_Mdcr_Stdzd_Amt":"581.32916413"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"46","Tot_Suplrs":"7","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"508","Tot_Suplr_Srvcs":"14114","Avg_Suplr_Sbmtd_Chrg":"930.50518705","Avg_Suplr_Mdcr_Alowd_Amt":"741.75190874","Avg_Suplr_Mdcr_Pymt_Amt":"581.35061216","Avg_Suplr_Mdcr_Stdzd_Amt":"581.35061074"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"288","Avg_Suplr_Sbmtd_Chrg":"754.55729167","Avg_Suplr_Mdcr_Alowd_Amt":"738.12972222","Avg_Suplr_Mdcr_Pymt_Amt":"578.69375","Avg_Suplr_Mdcr_Stdzd_Amt":"578.69375"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"8","Tot_Suplr_Benes":"56","Tot_Suplr_Clms":"387","Tot_Suplr_Srvcs":"10752","Avg_Suplr_Sbmtd_Chrg":"990.52522693","Avg_Suplr_Mdcr_Alowd_Amt":"742.47420573","Avg_Suplr_Mdcr_Pymt_Amt":"581.93938802","Avg_Suplr_Mdcr_Stdzd_Amt":"581.93938802"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"8","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"167","Tot_Suplr_Srvcs":"4657","Avg_Suplr_Sbmtd_Chrg":"1125.5156925","Avg_Suplr_Mdcr_Alowd_Amt":"744.72618853","Avg_Suplr_Mdcr_Pymt_Amt":"583.83060339","Avg_Suplr_Mdcr_Stdzd_Amt":"583.83060339"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"42","Tot_Suplrs":"9","Tot_Suplr_Benes":"93","Tot_Suplr_Clms":"654","Tot_Suplr_Srvcs":"18254","Avg_Suplr_Sbmtd_Chrg":"1012.2483089","Avg_Suplr_Mdcr_Alowd_Amt":"742.47009313","Avg_Suplr_Mdcr_Pymt_Amt":"581.9646346","Avg_Suplr_Mdcr_Stdzd_Amt":"581.9646346"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"123","Tot_Suplr_Srvcs":"3424","Avg_Suplr_Sbmtd_Chrg":"1322.7392523","Avg_Suplr_Mdcr_Alowd_Amt":"745.82470794","Avg_Suplr_Mdcr_Pymt_Amt":"584.53531834","Avg_Suplr_Mdcr_Stdzd_Amt":"584.5353125"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"364","Avg_Suplr_Sbmtd_Chrg":"754.55357143","Avg_Suplr_Mdcr_Alowd_Amt":"742.20255495","Avg_Suplr_Mdcr_Pymt_Amt":"581.69774725","Avg_Suplr_Mdcr_Stdzd_Amt":"581.69774725"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"6","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"338","Tot_Suplr_Srvcs":"9440","Avg_Suplr_Sbmtd_Chrg":"948.56213242","Avg_Suplr_Mdcr_Alowd_Amt":"741.85133475","Avg_Suplr_Mdcr_Pymt_Amt":"581.40514725","Avg_Suplr_Mdcr_Stdzd_Amt":"581.40514725"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"6","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"94","Tot_Suplr_Srvcs":"2592","Avg_Suplr_Sbmtd_Chrg":"1426.5869059","Avg_Suplr_Mdcr_Alowd_Amt":"744.4683179","Avg_Suplr_Mdcr_Pymt_Amt":"583.54266975","Avg_Suplr_Mdcr_Stdzd_Amt":"583.54266975"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"1408","Avg_Suplr_Sbmtd_Chrg":"972.17184659","Avg_Suplr_Mdcr_Alowd_Amt":"745.58744318","Avg_Suplr_Mdcr_Pymt_Amt":"584.54055398","Avg_Suplr_Mdcr_Stdzd_Amt":"584.54055398"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7686","HCPCS_Desc":"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"8","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"247","Tot_Suplr_Srvcs":"6876","Avg_Suplr_Sbmtd_Chrg":"843.92314572","Avg_Suplr_Mdcr_Alowd_Amt":"741.2065605","Avg_Suplr_Mdcr_Pymt_Amt":"580.94197644","Avg_Suplr_Mdcr_Stdzd_Amt":"580.94197644"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG004N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"Q4074","HCPCS_Desc":"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"4438","Avg_Suplr_Sbmtd_Chrg":"254.6","Avg_Suplr_Mdcr_Alowd_Amt":"146.81149842","Avg_Suplr_Mdcr_Pymt_Amt":"114.99049572","Avg_Suplr_Mdcr_Stdzd_Amt":"114.99049572"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14590","Tot_Suplrs":"7949","Tot_Suplr_Benes":"32849","Tot_Suplr_Clms":"207119","Tot_Suplr_Srvcs":"12395332","Avg_Suplr_Sbmtd_Chrg":"17.954186272","Avg_Suplr_Mdcr_Alowd_Amt":"1.5802307159","Avg_Suplr_Mdcr_Pymt_Amt":"1.1593672771","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1593671981"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"239","Tot_Suplrs":"85","Tot_Suplr_Benes":"516","Tot_Suplr_Clms":"3353","Tot_Suplr_Srvcs":"197336","Avg_Suplr_Sbmtd_Chrg":"18.174916842","Avg_Suplr_Mdcr_Alowd_Amt":"1.6040061621","Avg_Suplr_Mdcr_Pymt_Amt":"1.1650654721","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1650654721"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"2970","Avg_Suplr_Sbmtd_Chrg":"17.705717172","Avg_Suplr_Mdcr_Alowd_Amt":"1.6511515152","Avg_Suplr_Mdcr_Pymt_Amt":"1.1435286195","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1435286195"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"297","Tot_Suplrs":"231","Tot_Suplr_Benes":"780","Tot_Suplr_Clms":"4809","Tot_Suplr_Srvcs":"291167","Avg_Suplr_Sbmtd_Chrg":"20.808528645","Avg_Suplr_Mdcr_Alowd_Amt":"1.5992804816","Avg_Suplr_Mdcr_Pymt_Amt":"1.1795364516","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1795364516"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"279","Tot_Suplrs":"52","Tot_Suplr_Benes":"599","Tot_Suplr_Clms":"4169","Tot_Suplr_Srvcs":"246240","Avg_Suplr_Sbmtd_Chrg":"15.397618299","Avg_Suplr_Mdcr_Alowd_Amt":"1.5826568795","Avg_Suplr_Mdcr_Pymt_Amt":"1.1602924789","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1602924383"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"822","Tot_Suplrs":"459","Tot_Suplr_Benes":"1659","Tot_Suplr_Clms":"8941","Tot_Suplr_Srvcs":"532574","Avg_Suplr_Sbmtd_Chrg":"17.796154807","Avg_Suplr_Mdcr_Alowd_Amt":"1.5796441246","Avg_Suplr_Mdcr_Pymt_Amt":"1.1584415499","Avg_Suplr_Mdcr_Stdzd_Amt":"1.158441456"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"141","Tot_Suplrs":"87","Tot_Suplr_Benes":"278","Tot_Suplr_Clms":"1739","Tot_Suplr_Srvcs":"103350","Avg_Suplr_Sbmtd_Chrg":"16.691666376","Avg_Suplr_Mdcr_Alowd_Amt":"1.5915500726","Avg_Suplr_Mdcr_Pymt_Amt":"1.1888285438","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1888285438"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"120","Tot_Suplrs":"106","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"1137","Tot_Suplr_Srvcs":"73742","Avg_Suplr_Sbmtd_Chrg":"16.707955982","Avg_Suplr_Mdcr_Alowd_Amt":"1.5715577283","Avg_Suplr_Mdcr_Pymt_Amt":"1.1559587481","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1559587481"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"52","Tot_Suplrs":"48","Tot_Suplr_Benes":"128","Tot_Suplr_Clms":"623","Tot_Suplr_Srvcs":"36654","Avg_Suplr_Sbmtd_Chrg":"16.294620778","Avg_Suplr_Mdcr_Alowd_Amt":"1.4792148197","Avg_Suplr_Mdcr_Pymt_Amt":"1.0801939761","Avg_Suplr_Mdcr_Stdzd_Amt":"1.0801939761"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"2100","Avg_Suplr_Sbmtd_Chrg":"17.959495238","Avg_Suplr_Mdcr_Alowd_Amt":"1.5203142857","Avg_Suplr_Mdcr_Pymt_Amt":"1.1166238095","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1166238095"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"821","Tot_Suplrs":"468","Tot_Suplr_Benes":"1959","Tot_Suplr_Clms":"11438","Tot_Suplr_Srvcs":"673412","Avg_Suplr_Sbmtd_Chrg":"17.365710531","Avg_Suplr_Mdcr_Alowd_Amt":"1.5898998384","Avg_Suplr_Mdcr_Pymt_Amt":"1.1729814141","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1729812656"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"355","Tot_Suplrs":"237","Tot_Suplr_Benes":"810","Tot_Suplr_Clms":"4983","Tot_Suplr_Srvcs":"295385","Avg_Suplr_Sbmtd_Chrg":"19.865678454","Avg_Suplr_Mdcr_Alowd_Amt":"1.5883834995","Avg_Suplr_Mdcr_Pymt_Amt":"1.1743421975","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1743420959"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"1290","Avg_Suplr_Sbmtd_Chrg":"21.141658915","Avg_Suplr_Mdcr_Alowd_Amt":"1.6352093023","Avg_Suplr_Mdcr_Pymt_Amt":"1.1646434109","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1646434109"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"128","Tot_Suplrs":"46","Tot_Suplr_Benes":"275","Tot_Suplr_Clms":"1983","Tot_Suplr_Srvcs":"115291","Avg_Suplr_Sbmtd_Chrg":"15.95421542","Avg_Suplr_Mdcr_Alowd_Amt":"1.5676717177","Avg_Suplr_Mdcr_Pymt_Amt":"1.1382401055","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1382401055"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"688","Tot_Suplrs":"456","Tot_Suplr_Benes":"1762","Tot_Suplr_Clms":"11242","Tot_Suplr_Srvcs":"670568","Avg_Suplr_Sbmtd_Chrg":"17.761334033","Avg_Suplr_Mdcr_Alowd_Amt":"1.5764108338","Avg_Suplr_Mdcr_Pymt_Amt":"1.1505812684","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1505812088"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"441","Tot_Suplrs":"292","Tot_Suplr_Benes":"1126","Tot_Suplr_Clms":"6913","Tot_Suplr_Srvcs":"415577","Avg_Suplr_Sbmtd_Chrg":"18.336453269","Avg_Suplr_Mdcr_Alowd_Amt":"1.5839072903","Avg_Suplr_Mdcr_Pymt_Amt":"1.157990962","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1579909138"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"337","Tot_Suplrs":"289","Tot_Suplr_Benes":"909","Tot_Suplr_Clms":"5692","Tot_Suplr_Srvcs":"343678","Avg_Suplr_Sbmtd_Chrg":"18.859537125","Avg_Suplr_Mdcr_Alowd_Amt":"1.5619387915","Avg_Suplr_Mdcr_Pymt_Amt":"1.1416978684","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1416978102"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"518","Tot_Suplrs":"270","Tot_Suplr_Benes":"1869","Tot_Suplr_Clms":"12299","Tot_Suplr_Srvcs":"749188","Avg_Suplr_Sbmtd_Chrg":"16.617926435","Avg_Suplr_Mdcr_Alowd_Amt":"1.5837853516","Avg_Suplr_Mdcr_Pymt_Amt":"1.1563287986","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1563287186"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"421","Tot_Suplrs":"249","Tot_Suplr_Benes":"1047","Tot_Suplr_Clms":"6580","Tot_Suplr_Srvcs":"390816","Avg_Suplr_Sbmtd_Chrg":"19.208984126","Avg_Suplr_Mdcr_Alowd_Amt":"1.5892414333","Avg_Suplr_Mdcr_Pymt_Amt":"1.1680066835","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1680066067"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"170","Tot_Suplrs":"79","Tot_Suplr_Benes":"435","Tot_Suplr_Clms":"2878","Tot_Suplr_Srvcs":"167604","Avg_Suplr_Sbmtd_Chrg":"17.230951827","Avg_Suplr_Mdcr_Alowd_Amt":"1.5766636834","Avg_Suplr_Mdcr_Pymt_Amt":"1.1451817379","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1451816782"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"61","Tot_Suplrs":"35","Tot_Suplr_Benes":"79","Tot_Suplr_Clms":"403","Tot_Suplr_Srvcs":"24826","Avg_Suplr_Sbmtd_Chrg":"16.286452509","Avg_Suplr_Mdcr_Alowd_Amt":"1.5391025538","Avg_Suplr_Mdcr_Pymt_Amt":"1.1138020624","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1138020624"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"161","Tot_Suplrs":"121","Tot_Suplr_Benes":"374","Tot_Suplr_Clms":"2045","Tot_Suplr_Srvcs":"122964","Avg_Suplr_Sbmtd_Chrg":"19.942019778","Avg_Suplr_Mdcr_Alowd_Amt":"1.5317570996","Avg_Suplr_Mdcr_Pymt_Amt":"1.1197944927","Avg_Suplr_Mdcr_Stdzd_Amt":"1.11979433"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"320","Tot_Suplrs":"248","Tot_Suplr_Benes":"727","Tot_Suplr_Clms":"4444","Tot_Suplr_Srvcs":"260385","Avg_Suplr_Sbmtd_Chrg":"17.499829867","Avg_Suplr_Mdcr_Alowd_Amt":"1.5811158477","Avg_Suplr_Mdcr_Pymt_Amt":"1.1615177142","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1615176757"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"417","Tot_Suplrs":"201","Tot_Suplr_Benes":"799","Tot_Suplr_Clms":"5287","Tot_Suplr_Srvcs":"316242","Avg_Suplr_Sbmtd_Chrg":"19.740713346","Avg_Suplr_Mdcr_Alowd_Amt":"1.5975253761","Avg_Suplr_Mdcr_Pymt_Amt":"1.1632976961","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1632976961"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"339","Tot_Suplrs":"256","Tot_Suplr_Benes":"459","Tot_Suplr_Clms":"2865","Tot_Suplr_Srvcs":"178236","Avg_Suplr_Sbmtd_Chrg":"17.695210507","Avg_Suplr_Mdcr_Alowd_Amt":"1.5965269642","Avg_Suplr_Mdcr_Pymt_Amt":"1.1672291793","Avg_Suplr_Mdcr_Stdzd_Amt":"1.167229011"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"241","Tot_Suplrs":"110","Tot_Suplr_Benes":"750","Tot_Suplr_Clms":"5017","Tot_Suplr_Srvcs":"294807","Avg_Suplr_Sbmtd_Chrg":"16.570966531","Avg_Suplr_Mdcr_Alowd_Amt":"1.5843706561","Avg_Suplr_Mdcr_Pymt_Amt":"1.1563628747","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1563628408"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"524","Tot_Suplrs":"283","Tot_Suplr_Benes":"1301","Tot_Suplr_Clms":"9132","Tot_Suplr_Srvcs":"547036","Avg_Suplr_Sbmtd_Chrg":"16.632554439","Avg_Suplr_Mdcr_Alowd_Amt":"1.580255559","Avg_Suplr_Mdcr_Pymt_Amt":"1.1572412967","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1572412236"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"48","Tot_Suplrs":"30","Tot_Suplr_Benes":"67","Tot_Suplr_Clms":"433","Tot_Suplr_Srvcs":"25086","Avg_Suplr_Sbmtd_Chrg":"17.846265248","Avg_Suplr_Mdcr_Alowd_Amt":"1.5490054214","Avg_Suplr_Mdcr_Pymt_Amt":"1.1317507773","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1317507773"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"282","Tot_Suplrs":"156","Tot_Suplr_Benes":"688","Tot_Suplr_Clms":"4240","Tot_Suplr_Srvcs":"251718","Avg_Suplr_Sbmtd_Chrg":"18.662451871","Avg_Suplr_Mdcr_Alowd_Amt":"1.5516974551","Avg_Suplr_Mdcr_Pymt_Amt":"1.1318437299","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1318436504"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"65","Tot_Suplrs":"40","Tot_Suplr_Benes":"127","Tot_Suplr_Clms":"810","Tot_Suplr_Srvcs":"48200","Avg_Suplr_Sbmtd_Chrg":"17.22311805","Avg_Suplr_Mdcr_Alowd_Amt":"1.6029636929","Avg_Suplr_Mdcr_Pymt_Amt":"1.161173444","Avg_Suplr_Mdcr_Stdzd_Amt":"1.161173029"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"74","Tot_Suplrs":"59","Tot_Suplr_Benes":"154","Tot_Suplr_Clms":"960","Tot_Suplr_Srvcs":"55216","Avg_Suplr_Sbmtd_Chrg":"16.602399667","Avg_Suplr_Mdcr_Alowd_Amt":"1.5789146262","Avg_Suplr_Mdcr_Pymt_Amt":"1.1493923863","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1493920241"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"399","Tot_Suplrs":"404","Tot_Suplr_Benes":"1394","Tot_Suplr_Clms":"7705","Tot_Suplr_Srvcs":"460624","Avg_Suplr_Sbmtd_Chrg":"19.813593017","Avg_Suplr_Mdcr_Alowd_Amt":"1.555734699","Avg_Suplr_Mdcr_Pymt_Amt":"1.1464929965","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1464929313"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"63","Tot_Suplrs":"28","Tot_Suplr_Benes":"87","Tot_Suplr_Clms":"501","Tot_Suplr_Srvcs":"29292","Avg_Suplr_Sbmtd_Chrg":"16.205752765","Avg_Suplr_Mdcr_Alowd_Amt":"1.6373849515","Avg_Suplr_Mdcr_Pymt_Amt":"1.1960060767","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1960060767"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"640","Tot_Suplrs":"539","Tot_Suplr_Benes":"1385","Tot_Suplr_Clms":"7333","Tot_Suplr_Srvcs":"441924","Avg_Suplr_Sbmtd_Chrg":"18.416030924","Avg_Suplr_Mdcr_Alowd_Amt":"1.5872491198","Avg_Suplr_Mdcr_Pymt_Amt":"1.1636839366","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1636838687"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"523","Tot_Suplrs":"252","Tot_Suplr_Benes":"914","Tot_Suplr_Clms":"6030","Tot_Suplr_Srvcs":"356587","Avg_Suplr_Sbmtd_Chrg":"17.847247236","Avg_Suplr_Mdcr_Alowd_Amt":"1.5706218679","Avg_Suplr_Mdcr_Pymt_Amt":"1.1596962593","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1596962312"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"103","Tot_Suplrs":"75","Tot_Suplr_Benes":"240","Tot_Suplr_Clms":"1601","Tot_Suplr_Srvcs":"99966","Avg_Suplr_Sbmtd_Chrg":"19.11994178","Avg_Suplr_Mdcr_Alowd_Amt":"1.5886340356","Avg_Suplr_Mdcr_Pymt_Amt":"1.1645386431","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1645386431"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"455","Tot_Suplrs":"307","Tot_Suplr_Benes":"821","Tot_Suplr_Clms":"4789","Tot_Suplr_Srvcs":"288600","Avg_Suplr_Sbmtd_Chrg":"18.287164068","Avg_Suplr_Mdcr_Alowd_Amt":"1.5869051282","Avg_Suplr_Mdcr_Pymt_Amt":"1.1736916493","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1736915107"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"297","Tot_Suplrs":"170","Tot_Suplr_Benes":"796","Tot_Suplr_Clms":"4808","Tot_Suplr_Srvcs":"287988","Avg_Suplr_Sbmtd_Chrg":"18.396280678","Avg_Suplr_Mdcr_Alowd_Amt":"1.5854171354","Avg_Suplr_Mdcr_Pymt_Amt":"1.1689764851","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1689762768"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"196","Tot_Suplrs":"76","Tot_Suplr_Benes":"319","Tot_Suplr_Clms":"2128","Tot_Suplr_Srvcs":"126682","Avg_Suplr_Sbmtd_Chrg":"15.975727254","Avg_Suplr_Mdcr_Alowd_Amt":"1.5908635007","Avg_Suplr_Mdcr_Pymt_Amt":"1.1467228967","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1467228178"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"554","Tot_Suplrs":"525","Tot_Suplr_Benes":"1406","Tot_Suplr_Clms":"7996","Tot_Suplr_Srvcs":"493659","Avg_Suplr_Sbmtd_Chrg":"16.502203788","Avg_Suplr_Mdcr_Alowd_Amt":"1.564247041","Avg_Suplr_Mdcr_Pymt_Amt":"1.1693363233","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1693362422"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"31","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"413","Tot_Suplr_Srvcs":"25080","Avg_Suplr_Sbmtd_Chrg":"20.218482057","Avg_Suplr_Mdcr_Alowd_Amt":"1.5617057416","Avg_Suplr_Mdcr_Pymt_Amt":"1.165203748","Avg_Suplr_Mdcr_Stdzd_Amt":"1.165203748"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"263","Tot_Suplrs":"151","Tot_Suplr_Benes":"502","Tot_Suplr_Clms":"3045","Tot_Suplr_Srvcs":"180570","Avg_Suplr_Sbmtd_Chrg":"17.538615329","Avg_Suplr_Mdcr_Alowd_Amt":"1.5894877887","Avg_Suplr_Mdcr_Pymt_Amt":"1.1695129313","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1695128759"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"210","Tot_Suplrs":"172","Tot_Suplr_Benes":"605","Tot_Suplr_Clms":"3588","Tot_Suplr_Srvcs":"217920","Avg_Suplr_Sbmtd_Chrg":"16.552560022","Avg_Suplr_Mdcr_Alowd_Amt":"1.5872941905","Avg_Suplr_Mdcr_Pymt_Amt":"1.1622120962","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1622120503"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"372","Tot_Suplrs":"233","Tot_Suplr_Benes":"797","Tot_Suplr_Clms":"4798","Tot_Suplr_Srvcs":"285676","Avg_Suplr_Sbmtd_Chrg":"18.958496514","Avg_Suplr_Mdcr_Alowd_Amt":"1.5767047984","Avg_Suplr_Mdcr_Pymt_Amt":"1.1557662177","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1557661827"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"803","Tot_Suplrs":"538","Tot_Suplr_Benes":"1899","Tot_Suplr_Clms":"10947","Tot_Suplr_Srvcs":"667169","Avg_Suplr_Sbmtd_Chrg":"19.170474782","Avg_Suplr_Mdcr_Alowd_Amt":"1.5829504668","Avg_Suplr_Mdcr_Pymt_Amt":"1.1725788368","Avg_Suplr_Mdcr_Stdzd_Amt":"1.172578642"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"175","Tot_Suplrs":"48","Tot_Suplr_Benes":"347","Tot_Suplr_Clms":"2358","Tot_Suplr_Srvcs":"139184","Avg_Suplr_Sbmtd_Chrg":"15.040833429","Avg_Suplr_Mdcr_Alowd_Amt":"1.6033661197","Avg_Suplr_Mdcr_Pymt_Amt":"1.1751324146","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1751323428"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"30","Tot_Suplrs":"21","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"209","Tot_Suplr_Srvcs":"12246","Avg_Suplr_Sbmtd_Chrg":"17.348763678","Avg_Suplr_Mdcr_Alowd_Amt":"1.5409227503","Avg_Suplr_Mdcr_Pymt_Amt":"1.1004875061","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1004875061"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"420","Tot_Suplrs":"201","Tot_Suplr_Benes":"1053","Tot_Suplr_Clms":"6594","Tot_Suplr_Srvcs":"387582","Avg_Suplr_Sbmtd_Chrg":"18.45143647","Avg_Suplr_Mdcr_Alowd_Amt":"1.5717386514","Avg_Suplr_Mdcr_Pymt_Amt":"1.145374682","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1453746562"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"256","Tot_Suplrs":"108","Tot_Suplr_Benes":"533","Tot_Suplr_Clms":"3597","Tot_Suplr_Srvcs":"214764","Avg_Suplr_Sbmtd_Chrg":"16.300003585","Avg_Suplr_Mdcr_Alowd_Amt":"1.6039240748","Avg_Suplr_Mdcr_Pymt_Amt":"1.1518169712","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1518168781"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"144","Tot_Suplrs":"74","Tot_Suplr_Benes":"222","Tot_Suplr_Clms":"1231","Tot_Suplr_Srvcs":"73470","Avg_Suplr_Sbmtd_Chrg":"18.350060841","Avg_Suplr_Mdcr_Alowd_Amt":"1.555147271","Avg_Suplr_Mdcr_Pymt_Amt":"1.1290665578","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1290664217"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"145","Tot_Suplrs":"136","Tot_Suplr_Benes":"256","Tot_Suplr_Clms":"1440","Tot_Suplr_Srvcs":"87551","Avg_Suplr_Sbmtd_Chrg":"23.991938527","Avg_Suplr_Mdcr_Alowd_Amt":"1.5504061633","Avg_Suplr_Mdcr_Pymt_Amt":"1.1551458007","Avg_Suplr_Mdcr_Stdzd_Amt":"1.1551456865"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"133","Tot_Suplrs":"38","Tot_Suplr_Benes":"210","Tot_Suplr_Clms":"1450","Tot_Suplr_Srvcs":"83160","Avg_Suplr_Sbmtd_Chrg":"16.012804834","Avg_Suplr_Mdcr_Alowd_Amt":"1.5699844877","Avg_Suplr_Mdcr_Pymt_Amt":"1.143789923","Avg_Suplr_Mdcr_Stdzd_Amt":"1.143789923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7605","HCPCS_Desc":"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1410","Avg_Suplr_Sbmtd_Chrg":"15.583680851","Avg_Suplr_Mdcr_Alowd_Amt":"1.8291489362","Avg_Suplr_Mdcr_Pymt_Amt":"1.3568439716","Avg_Suplr_Mdcr_Stdzd_Amt":"1.3568439716"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11247","Tot_Suplrs":"5874","Tot_Suplr_Benes":"25921","Tot_Suplr_Clms":"157121","Tot_Suplr_Srvcs":"9411492","Avg_Suplr_Sbmtd_Chrg":"18.640018527","Avg_Suplr_Mdcr_Alowd_Amt":"3.3038896181","Avg_Suplr_Mdcr_Pymt_Amt":"2.4802649633","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4802648422"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"184","Tot_Suplrs":"47","Tot_Suplr_Benes":"359","Tot_Suplr_Clms":"2333","Tot_Suplr_Srvcs":"135957","Avg_Suplr_Sbmtd_Chrg":"17.146575535","Avg_Suplr_Mdcr_Alowd_Amt":"3.3257056275","Avg_Suplr_Mdcr_Pymt_Amt":"2.4680807167","Avg_Suplr_Mdcr_Stdzd_Amt":"2.468080496"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"17","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"98","Tot_Suplr_Srvcs":"6550","Avg_Suplr_Sbmtd_Chrg":"24.318798473","Avg_Suplr_Mdcr_Alowd_Amt":"3.2769847328","Avg_Suplr_Mdcr_Pymt_Amt":"2.5228839695","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5228839695"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"241","Tot_Suplrs":"141","Tot_Suplr_Benes":"711","Tot_Suplr_Clms":"3760","Tot_Suplr_Srvcs":"220855","Avg_Suplr_Sbmtd_Chrg":"20.684205565","Avg_Suplr_Mdcr_Alowd_Amt":"3.2909053451","Avg_Suplr_Mdcr_Pymt_Amt":"2.4890985941","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4890985035"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"205","Tot_Suplrs":"37","Tot_Suplr_Benes":"376","Tot_Suplr_Clms":"2522","Tot_Suplr_Srvcs":"147294","Avg_Suplr_Sbmtd_Chrg":"14.801792945","Avg_Suplr_Mdcr_Alowd_Amt":"3.3172210002","Avg_Suplr_Mdcr_Pymt_Amt":"2.4947913696","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4947913018"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"752","Tot_Suplrs":"380","Tot_Suplr_Benes":"2058","Tot_Suplr_Clms":"11147","Tot_Suplr_Srvcs":"657438","Avg_Suplr_Sbmtd_Chrg":"17.207082174","Avg_Suplr_Mdcr_Alowd_Amt":"3.2871103435","Avg_Suplr_Mdcr_Pymt_Amt":"2.464308528","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4643084063"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"148","Tot_Suplrs":"112","Tot_Suplr_Benes":"279","Tot_Suplr_Clms":"1627","Tot_Suplr_Srvcs":"97413","Avg_Suplr_Sbmtd_Chrg":"17.416974942","Avg_Suplr_Mdcr_Alowd_Amt":"3.3319610319","Avg_Suplr_Mdcr_Pymt_Amt":"2.5036224118","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5036224118"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"120","Tot_Suplrs":"94","Tot_Suplr_Benes":"218","Tot_Suplr_Clms":"1158","Tot_Suplr_Srvcs":"69583","Avg_Suplr_Sbmtd_Chrg":"17.001069227","Avg_Suplr_Mdcr_Alowd_Amt":"3.2913256111","Avg_Suplr_Mdcr_Pymt_Amt":"2.5008326746","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5008325309"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"32","Tot_Suplr_Benes":"84","Tot_Suplr_Clms":"430","Tot_Suplr_Srvcs":"25896","Avg_Suplr_Sbmtd_Chrg":"18.52178097","Avg_Suplr_Mdcr_Alowd_Amt":"3.2921053445","Avg_Suplr_Mdcr_Pymt_Amt":"2.4788936515","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4788936515"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"10","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"4022","Avg_Suplr_Sbmtd_Chrg":"16.274537544","Avg_Suplr_Mdcr_Alowd_Amt":"3.1911437096","Avg_Suplr_Mdcr_Pymt_Amt":"2.415099453","Avg_Suplr_Mdcr_Stdzd_Amt":"2.415099453"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"626","Tot_Suplrs":"393","Tot_Suplr_Benes":"1634","Tot_Suplr_Clms":"8951","Tot_Suplr_Srvcs":"530174","Avg_Suplr_Sbmtd_Chrg":"18.139746008","Avg_Suplr_Mdcr_Alowd_Amt":"3.3016557394","Avg_Suplr_Mdcr_Pymt_Amt":"2.4892812926","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4892811605"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"233","Tot_Suplrs":"110","Tot_Suplr_Benes":"504","Tot_Suplr_Clms":"3069","Tot_Suplr_Srvcs":"183486","Avg_Suplr_Sbmtd_Chrg":"21.549860262","Avg_Suplr_Mdcr_Alowd_Amt":"3.319993133","Avg_Suplr_Mdcr_Pymt_Amt":"2.5092663745","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5092662655"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"1410","Avg_Suplr_Sbmtd_Chrg":"18.033382979","Avg_Suplr_Mdcr_Alowd_Amt":"2.9724255319","Avg_Suplr_Mdcr_Pymt_Amt":"2.3303475177","Avg_Suplr_Mdcr_Stdzd_Amt":"2.3303475177"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"124","Tot_Suplrs":"52","Tot_Suplr_Benes":"306","Tot_Suplr_Clms":"1908","Tot_Suplr_Srvcs":"111480","Avg_Suplr_Sbmtd_Chrg":"15.748692142","Avg_Suplr_Mdcr_Alowd_Amt":"3.2931786868","Avg_Suplr_Mdcr_Pymt_Amt":"2.4633141371","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4633140474"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"499","Tot_Suplrs":"300","Tot_Suplr_Benes":"1164","Tot_Suplr_Clms":"7244","Tot_Suplr_Srvcs":"438846","Avg_Suplr_Sbmtd_Chrg":"16.491273454","Avg_Suplr_Mdcr_Alowd_Amt":"3.3021348947","Avg_Suplr_Mdcr_Pymt_Amt":"2.4676053331","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4676052647"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"298","Tot_Suplrs":"159","Tot_Suplr_Benes":"728","Tot_Suplr_Clms":"4679","Tot_Suplr_Srvcs":"279934","Avg_Suplr_Sbmtd_Chrg":"21.252638015","Avg_Suplr_Mdcr_Alowd_Amt":"3.3339671494","Avg_Suplr_Mdcr_Pymt_Amt":"2.4980024577","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4980022791"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"207","Tot_Suplrs":"207","Tot_Suplr_Benes":"487","Tot_Suplr_Clms":"2836","Tot_Suplr_Srvcs":"171149","Avg_Suplr_Sbmtd_Chrg":"20.908593857","Avg_Suplr_Mdcr_Alowd_Amt":"3.316939801","Avg_Suplr_Mdcr_Pymt_Amt":"2.4695205347","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4695203595"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"205","Tot_Suplrs":"105","Tot_Suplr_Benes":"595","Tot_Suplr_Clms":"4133","Tot_Suplr_Srvcs":"245005","Avg_Suplr_Sbmtd_Chrg":"20.59865166","Avg_Suplr_Mdcr_Alowd_Amt":"3.3003673394","Avg_Suplr_Mdcr_Pymt_Amt":"2.469205608","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4692055672"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"253","Tot_Suplrs":"142","Tot_Suplr_Benes":"723","Tot_Suplr_Clms":"4547","Tot_Suplr_Srvcs":"270586","Avg_Suplr_Sbmtd_Chrg":"19.612335191","Avg_Suplr_Mdcr_Alowd_Amt":"3.3080141988","Avg_Suplr_Mdcr_Pymt_Amt":"2.4977717251","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4977716142"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"130","Tot_Suplrs":"28","Tot_Suplr_Benes":"274","Tot_Suplr_Clms":"1945","Tot_Suplr_Srvcs":"114300","Avg_Suplr_Sbmtd_Chrg":"16.553950919","Avg_Suplr_Mdcr_Alowd_Amt":"3.3258128609","Avg_Suplr_Mdcr_Pymt_Amt":"2.453084252","Avg_Suplr_Mdcr_Stdzd_Amt":"2.453083902"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"58","Tot_Suplrs":"38","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"428","Tot_Suplr_Srvcs":"26541","Avg_Suplr_Sbmtd_Chrg":"14.732818281","Avg_Suplr_Mdcr_Alowd_Amt":"3.2918284918","Avg_Suplr_Mdcr_Pymt_Amt":"2.4594646019","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4594646019"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"188","Tot_Suplrs":"148","Tot_Suplr_Benes":"725","Tot_Suplr_Clms":"3875","Tot_Suplr_Srvcs":"237238","Avg_Suplr_Sbmtd_Chrg":"22.539804121","Avg_Suplr_Mdcr_Alowd_Amt":"3.3175127931","Avg_Suplr_Mdcr_Pymt_Amt":"2.494549777","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4945495241"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"323","Tot_Suplrs":"228","Tot_Suplr_Benes":"983","Tot_Suplr_Clms":"5997","Tot_Suplr_Srvcs":"358695","Avg_Suplr_Sbmtd_Chrg":"17.139088864","Avg_Suplr_Mdcr_Alowd_Amt":"3.2976065738","Avg_Suplr_Mdcr_Pymt_Amt":"2.4674276753","Avg_Suplr_Mdcr_Stdzd_Amt":"2.467427508"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"391","Tot_Suplrs":"172","Tot_Suplr_Benes":"647","Tot_Suplr_Clms":"4068","Tot_Suplr_Srvcs":"241762","Avg_Suplr_Sbmtd_Chrg":"17.960421654","Avg_Suplr_Mdcr_Alowd_Amt":"3.3116272202","Avg_Suplr_Mdcr_Pymt_Amt":"2.4623300188","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4623299361"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"216","Tot_Suplrs":"149","Tot_Suplr_Benes":"264","Tot_Suplr_Clms":"1611","Tot_Suplr_Srvcs":"100542","Avg_Suplr_Sbmtd_Chrg":"18.010981679","Avg_Suplr_Mdcr_Alowd_Amt":"3.3028882457","Avg_Suplr_Mdcr_Pymt_Amt":"2.4792662768","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4792661773"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"171","Tot_Suplrs":"62","Tot_Suplr_Benes":"400","Tot_Suplr_Clms":"2533","Tot_Suplr_Srvcs":"150170","Avg_Suplr_Sbmtd_Chrg":"15.886967503","Avg_Suplr_Mdcr_Alowd_Amt":"3.3196515949","Avg_Suplr_Mdcr_Pymt_Amt":"2.4762961311","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4762957981"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"402","Tot_Suplrs":"185","Tot_Suplr_Benes":"881","Tot_Suplr_Clms":"6147","Tot_Suplr_Srvcs":"364391","Avg_Suplr_Sbmtd_Chrg":"17.382290534","Avg_Suplr_Mdcr_Alowd_Amt":"3.2984274584","Avg_Suplr_Mdcr_Pymt_Amt":"2.4714632359","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4714632085"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"53","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"877","Tot_Suplr_Srvcs":"50640","Avg_Suplr_Sbmtd_Chrg":"16.714675948","Avg_Suplr_Mdcr_Alowd_Amt":"3.3649350316","Avg_Suplr_Mdcr_Pymt_Amt":"2.491610782","Avg_Suplr_Mdcr_Stdzd_Amt":"2.491610782"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"138","Tot_Suplrs":"69","Tot_Suplr_Benes":"259","Tot_Suplr_Clms":"1605","Tot_Suplr_Srvcs":"96540","Avg_Suplr_Sbmtd_Chrg":"19.78391444","Avg_Suplr_Mdcr_Alowd_Amt":"3.2863888544","Avg_Suplr_Mdcr_Pymt_Amt":"2.451614046","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4516139424"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"61","Tot_Suplrs":"38","Tot_Suplr_Benes":"101","Tot_Suplr_Clms":"500","Tot_Suplr_Srvcs":"30240","Avg_Suplr_Sbmtd_Chrg":"19.185899471","Avg_Suplr_Mdcr_Alowd_Amt":"3.3287748016","Avg_Suplr_Mdcr_Pymt_Amt":"2.5066372354","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5066372354"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"78","Tot_Suplrs":"56","Tot_Suplr_Benes":"168","Tot_Suplr_Clms":"1117","Tot_Suplr_Srvcs":"66570","Avg_Suplr_Sbmtd_Chrg":"16.880252967","Avg_Suplr_Mdcr_Alowd_Amt":"3.3312397476","Avg_Suplr_Mdcr_Pymt_Amt":"2.4805538531","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4805538531"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"333","Tot_Suplrs":"290","Tot_Suplr_Benes":"1148","Tot_Suplr_Clms":"5987","Tot_Suplr_Srvcs":"366147","Avg_Suplr_Sbmtd_Chrg":"22.554800777","Avg_Suplr_Mdcr_Alowd_Amt":"3.2890723671","Avg_Suplr_Mdcr_Pymt_Amt":"2.4917494886","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4917493247"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"55","Tot_Suplrs":"35","Tot_Suplr_Benes":"118","Tot_Suplr_Clms":"607","Tot_Suplr_Srvcs":"36054","Avg_Suplr_Sbmtd_Chrg":"17.90470877","Avg_Suplr_Mdcr_Alowd_Amt":"3.3060614634","Avg_Suplr_Mdcr_Pymt_Amt":"2.4928407389","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4928404615"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"393","Tot_Suplrs":"253","Tot_Suplr_Benes":"726","Tot_Suplr_Clms":"3959","Tot_Suplr_Srvcs":"245889","Avg_Suplr_Sbmtd_Chrg":"18.708015487","Avg_Suplr_Mdcr_Alowd_Amt":"3.2980183741","Avg_Suplr_Mdcr_Pymt_Amt":"2.4819725974","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4819725974"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"472","Tot_Suplrs":"238","Tot_Suplr_Benes":"1021","Tot_Suplr_Clms":"6265","Tot_Suplr_Srvcs":"369114","Avg_Suplr_Sbmtd_Chrg":"17.922285364","Avg_Suplr_Mdcr_Alowd_Amt":"3.3225651967","Avg_Suplr_Mdcr_Pymt_Amt":"2.4989569347","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4989568263"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"123","Tot_Suplrs":"79","Tot_Suplr_Benes":"334","Tot_Suplr_Clms":"2103","Tot_Suplr_Srvcs":"131098","Avg_Suplr_Sbmtd_Chrg":"18.616686067","Avg_Suplr_Mdcr_Alowd_Amt":"3.299027674","Avg_Suplr_Mdcr_Pymt_Amt":"2.4754907779","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4754903965"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"377","Tot_Suplrs":"277","Tot_Suplr_Benes":"677","Tot_Suplr_Clms":"3837","Tot_Suplr_Srvcs":"238217","Avg_Suplr_Sbmtd_Chrg":"17.291094842","Avg_Suplr_Mdcr_Alowd_Amt":"3.2837031362","Avg_Suplr_Mdcr_Pymt_Amt":"2.465657027","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4656569011"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"161","Tot_Suplrs":"75","Tot_Suplr_Benes":"318","Tot_Suplr_Clms":"1950","Tot_Suplr_Srvcs":"116238","Avg_Suplr_Sbmtd_Chrg":"18.144921368","Avg_Suplr_Mdcr_Alowd_Amt":"3.3200243466","Avg_Suplr_Mdcr_Pymt_Amt":"2.4957401194","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4957401194"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"102","Tot_Suplrs":"47","Tot_Suplr_Benes":"137","Tot_Suplr_Clms":"772","Tot_Suplr_Srvcs":"44970","Avg_Suplr_Sbmtd_Chrg":"16.515527907","Avg_Suplr_Mdcr_Alowd_Amt":"3.2953215477","Avg_Suplr_Mdcr_Pymt_Amt":"2.433718479","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4337182566"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"444","Tot_Suplrs":"316","Tot_Suplr_Benes":"1062","Tot_Suplr_Clms":"6082","Tot_Suplr_Srvcs":"366957","Avg_Suplr_Sbmtd_Chrg":"19.972378589","Avg_Suplr_Mdcr_Alowd_Amt":"3.275601392","Avg_Suplr_Mdcr_Pymt_Amt":"2.4651542279","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4651541189"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"30","Tot_Suplr_Benes":"66","Tot_Suplr_Clms":"359","Tot_Suplr_Srvcs":"21152","Avg_Suplr_Sbmtd_Chrg":"19.174580654","Avg_Suplr_Mdcr_Alowd_Amt":"3.2784228442","Avg_Suplr_Mdcr_Pymt_Amt":"2.4662414902","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4662414902"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"210","Tot_Suplrs":"102","Tot_Suplr_Benes":"509","Tot_Suplr_Clms":"3096","Tot_Suplr_Srvcs":"183730","Avg_Suplr_Sbmtd_Chrg":"18.113077124","Avg_Suplr_Mdcr_Alowd_Amt":"3.313448593","Avg_Suplr_Mdcr_Pymt_Amt":"2.4978743809","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4978743265"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"109","Tot_Suplrs":"134","Tot_Suplr_Benes":"368","Tot_Suplr_Clms":"2026","Tot_Suplr_Srvcs":"124056","Avg_Suplr_Sbmtd_Chrg":"17.727063101","Avg_Suplr_Mdcr_Alowd_Amt":"3.2800935868","Avg_Suplr_Mdcr_Pymt_Amt":"2.4714054137","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4714053331"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"313","Tot_Suplrs":"151","Tot_Suplr_Benes":"626","Tot_Suplr_Clms":"3658","Tot_Suplr_Srvcs":"219357","Avg_Suplr_Sbmtd_Chrg":"17.637079874","Avg_Suplr_Mdcr_Alowd_Amt":"3.3011880633","Avg_Suplr_Mdcr_Pymt_Amt":"2.494675848","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4946757569"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"746","Tot_Suplrs":"533","Tot_Suplr_Benes":"2412","Tot_Suplr_Clms":"13863","Tot_Suplr_Srvcs":"834801","Avg_Suplr_Sbmtd_Chrg":"20.633710441","Avg_Suplr_Mdcr_Alowd_Amt":"3.3101222806","Avg_Suplr_Mdcr_Pymt_Amt":"2.4939987853","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4939986176"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"83","Tot_Suplrs":"23","Tot_Suplr_Benes":"112","Tot_Suplr_Clms":"679","Tot_Suplr_Srvcs":"40050","Avg_Suplr_Sbmtd_Chrg":"17.748141074","Avg_Suplr_Mdcr_Alowd_Amt":"3.2695632959","Avg_Suplr_Mdcr_Pymt_Amt":"2.4149927591","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4149927591"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"37","Tot_Suplrs":"24","Tot_Suplr_Benes":"52","Tot_Suplr_Clms":"305","Tot_Suplr_Srvcs":"19144","Avg_Suplr_Sbmtd_Chrg":"18.322328667","Avg_Suplr_Mdcr_Alowd_Amt":"3.316730046","Avg_Suplr_Mdcr_Pymt_Amt":"2.4535488926","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4535488926"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"338","Tot_Suplrs":"168","Tot_Suplr_Benes":"863","Tot_Suplr_Clms":"5184","Tot_Suplr_Srvcs":"304288","Avg_Suplr_Sbmtd_Chrg":"17.565331692","Avg_Suplr_Mdcr_Alowd_Amt":"3.2984828518","Avg_Suplr_Mdcr_Pymt_Amt":"2.4647890814","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4647889499"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"214","Tot_Suplrs":"96","Tot_Suplr_Benes":"314","Tot_Suplr_Clms":"1989","Tot_Suplr_Srvcs":"120240","Avg_Suplr_Sbmtd_Chrg":"17.343287758","Avg_Suplr_Mdcr_Alowd_Amt":"3.3024695609","Avg_Suplr_Mdcr_Pymt_Amt":"2.4796175981","Avg_Suplr_Mdcr_Stdzd_Amt":"2.479617515"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"97","Tot_Suplrs":"39","Tot_Suplr_Benes":"160","Tot_Suplr_Clms":"975","Tot_Suplr_Srvcs":"59226","Avg_Suplr_Sbmtd_Chrg":"18.097200723","Avg_Suplr_Mdcr_Alowd_Amt":"3.3444058353","Avg_Suplr_Mdcr_Pymt_Amt":"2.4825146051","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4825144362"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"182","Tot_Suplrs":"152","Tot_Suplr_Benes":"302","Tot_Suplr_Clms":"1719","Tot_Suplr_Srvcs":"109567","Avg_Suplr_Sbmtd_Chrg":"18.495333449","Avg_Suplr_Mdcr_Alowd_Amt":"3.3155916471","Avg_Suplr_Mdcr_Pymt_Amt":"2.4955525843","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4955525843"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"53","Tot_Suplrs":"16","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"420","Tot_Suplr_Srvcs":"23490","Avg_Suplr_Sbmtd_Chrg":"14.953103023","Avg_Suplr_Mdcr_Alowd_Amt":"3.2546296296","Avg_Suplr_Mdcr_Pymt_Amt":"2.4341111111","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4341111111"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7606","HCPCS_Desc":"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"3000","Avg_Suplr_Sbmtd_Chrg":"14.77686","Avg_Suplr_Mdcr_Alowd_Amt":"3.40092","Avg_Suplr_Mdcr_Pymt_Amt":"2.4630633333","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4630633333"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"673","Tot_Suplrs":"605","Tot_Suplr_Benes":"687","Tot_Suplr_Clms":"1134","Tot_Suplr_Srvcs":"306988","Avg_Suplr_Sbmtd_Chrg":"0.3098456943","Avg_Suplr_Mdcr_Alowd_Amt":"0.1647333446","Avg_Suplr_Mdcr_Pymt_Amt":"0.1241966787","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1241966461"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"14","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"5045","Avg_Suplr_Sbmtd_Chrg":"0.2388543112","Avg_Suplr_Mdcr_Alowd_Amt":"0.1587690783","Avg_Suplr_Mdcr_Pymt_Amt":"0.1175282458","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1175282458"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"122","Tot_Suplrs":"118","Tot_Suplr_Benes":"131","Tot_Suplr_Clms":"234","Tot_Suplr_Srvcs":"64396","Avg_Suplr_Sbmtd_Chrg":"0.2747023107","Avg_Suplr_Mdcr_Alowd_Amt":"0.1675746941","Avg_Suplr_Mdcr_Pymt_Amt":"0.1237867259","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1237867259"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"3148","Avg_Suplr_Sbmtd_Chrg":"0.3332083863","Avg_Suplr_Mdcr_Alowd_Amt":"0.1744631512","Avg_Suplr_Mdcr_Pymt_Amt":"0.1367789072","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1367789072"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"43","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"18540","Avg_Suplr_Sbmtd_Chrg":"0.2940550162","Avg_Suplr_Mdcr_Alowd_Amt":"0.1635938511","Avg_Suplr_Mdcr_Pymt_Amt":"0.1253888889","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1253888889"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"26","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"9075","Avg_Suplr_Sbmtd_Chrg":"0.6149663912","Avg_Suplr_Mdcr_Alowd_Amt":"0.1660011019","Avg_Suplr_Mdcr_Pymt_Amt":"0.1253157025","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1253157025"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"14","Tot_Suplrs":"12","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"5400","Avg_Suplr_Sbmtd_Chrg":"0.363962963","Avg_Suplr_Mdcr_Alowd_Amt":"0.1661833333","Avg_Suplr_Mdcr_Pymt_Amt":"0.1193074074","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1193074074"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"6865","Avg_Suplr_Sbmtd_Chrg":"0.3237057538","Avg_Suplr_Mdcr_Alowd_Amt":"0.1644005827","Avg_Suplr_Mdcr_Pymt_Amt":"0.1207822287","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1207822287"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"22","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"11790","Avg_Suplr_Sbmtd_Chrg":"0.4969245123","Avg_Suplr_Mdcr_Alowd_Amt":"0.1667141645","Avg_Suplr_Mdcr_Pymt_Amt":"0.1277302799","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1277302799"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"18","Tot_Suplrs":"18","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"3850","Avg_Suplr_Sbmtd_Chrg":"0.3155766234","Avg_Suplr_Mdcr_Alowd_Amt":"0.1728363636","Avg_Suplr_Mdcr_Pymt_Amt":"0.1355012987","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1355012987"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"10","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"5625","Avg_Suplr_Sbmtd_Chrg":"0.2478915556","Avg_Suplr_Mdcr_Alowd_Amt":"0.1656408889","Avg_Suplr_Mdcr_Pymt_Amt":"0.1298613333","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1298613333"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"11","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"4350","Avg_Suplr_Sbmtd_Chrg":"0.224308046","Avg_Suplr_Mdcr_Alowd_Amt":"0.1675034483","Avg_Suplr_Mdcr_Pymt_Amt":"0.1272942529","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1272942529"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"3825","Avg_Suplr_Sbmtd_Chrg":"0.2793411765","Avg_Suplr_Mdcr_Alowd_Amt":"0.1667921569","Avg_Suplr_Mdcr_Pymt_Amt":"0.1307633987","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1307633987"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"28","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"7278","Avg_Suplr_Sbmtd_Chrg":"0.4300522121","Avg_Suplr_Mdcr_Alowd_Amt":"0.1691330036","Avg_Suplr_Mdcr_Pymt_Amt":"0.1296757351","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1296757351"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"33","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"19082","Avg_Suplr_Sbmtd_Chrg":"0.5479965412","Avg_Suplr_Mdcr_Alowd_Amt":"0.1624635782","Avg_Suplr_Mdcr_Pymt_Amt":"0.1210486322","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1210486322"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"24","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"9975","Avg_Suplr_Sbmtd_Chrg":"0.2607659148","Avg_Suplr_Mdcr_Alowd_Amt":"0.1605293233","Avg_Suplr_Mdcr_Pymt_Amt":"0.1214596491","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1214596491"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"13","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"5125","Avg_Suplr_Sbmtd_Chrg":"0.2540039024","Avg_Suplr_Mdcr_Alowd_Amt":"0.1608721951","Avg_Suplr_Mdcr_Pymt_Amt":"0.1150478049","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1150478049"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"9","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"8385","Avg_Suplr_Sbmtd_Chrg":"0.225425164","Avg_Suplr_Mdcr_Alowd_Amt":"0.1667215265","Avg_Suplr_Mdcr_Pymt_Amt":"0.125994037","Avg_Suplr_Mdcr_Stdzd_Amt":"0.125994037"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"19","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"59","Tot_Suplr_Srvcs":"17425","Avg_Suplr_Sbmtd_Chrg":"0.239461693","Avg_Suplr_Mdcr_Alowd_Amt":"0.1709710187","Avg_Suplr_Mdcr_Pymt_Amt":"0.1330347202","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1330341463"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"12","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"8400","Avg_Suplr_Sbmtd_Chrg":"0.2402547619","Avg_Suplr_Mdcr_Alowd_Amt":"0.1645202381","Avg_Suplr_Mdcr_Pymt_Amt":"0.122177381","Avg_Suplr_Mdcr_Stdzd_Amt":"0.122177381"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"1350","Avg_Suplr_Sbmtd_Chrg":"0.3072296296","Avg_Suplr_Mdcr_Alowd_Amt":"0.1636222222","Avg_Suplr_Mdcr_Pymt_Amt":"0.1152962963","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1152962963"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"14","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"7433","Avg_Suplr_Sbmtd_Chrg":"0.2025561684","Avg_Suplr_Mdcr_Alowd_Amt":"0.1270671331","Avg_Suplr_Mdcr_Pymt_Amt":"0.0996219561","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0996219561"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"26","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"15796","Avg_Suplr_Sbmtd_Chrg":"0.1969264371","Avg_Suplr_Mdcr_Alowd_Amt":"0.1577684224","Avg_Suplr_Mdcr_Pymt_Amt":"0.1229095974","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1229095974"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"18","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"5762","Avg_Suplr_Sbmtd_Chrg":"0.2753123915","Avg_Suplr_Mdcr_Alowd_Amt":"0.1651683443","Avg_Suplr_Mdcr_Pymt_Amt":"0.1188476224","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1188476224"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"16","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"9025","Avg_Suplr_Sbmtd_Chrg":"0.2729883657","Avg_Suplr_Mdcr_Alowd_Amt":"0.1702637119","Avg_Suplr_Mdcr_Pymt_Amt":"0.1246803324","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1246803324"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"11","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"7876","Avg_Suplr_Sbmtd_Chrg":"0.3353466227","Avg_Suplr_Mdcr_Alowd_Amt":"0.1646216353","Avg_Suplr_Mdcr_Pymt_Amt":"0.1246089385","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1246089385"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7611","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"18","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"11100","Avg_Suplr_Sbmtd_Chrg":"0.263727027","Avg_Suplr_Mdcr_Alowd_Amt":"0.1655693694","Avg_Suplr_Mdcr_Pymt_Amt":"0.1280234234","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1280234234"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"308","Tot_Suplrs":"302","Tot_Suplr_Benes":"305","Tot_Suplr_Clms":"528","Tot_Suplr_Srvcs":"185166","Avg_Suplr_Sbmtd_Chrg":"2.5076595055","Avg_Suplr_Mdcr_Alowd_Amt":"0.2601284253","Avg_Suplr_Mdcr_Pymt_Amt":"0.1945240487","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1945239407"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"3510","Avg_Suplr_Sbmtd_Chrg":"1.443022792","Avg_Suplr_Mdcr_Alowd_Amt":"0.2575612536","Avg_Suplr_Mdcr_Pymt_Amt":"0.2019287749","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2019287749"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"39","Tot_Suplrs":"38","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"19049","Avg_Suplr_Sbmtd_Chrg":"6.072648433","Avg_Suplr_Mdcr_Alowd_Amt":"0.2588429839","Avg_Suplr_Mdcr_Pymt_Amt":"0.192730852","Avg_Suplr_Mdcr_Stdzd_Amt":"0.192730852"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"14","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"6450","Avg_Suplr_Sbmtd_Chrg":"1.3485829457","Avg_Suplr_Mdcr_Alowd_Amt":"0.272372093","Avg_Suplr_Mdcr_Pymt_Amt":"0.1966899225","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1966899225"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"7200","Avg_Suplr_Sbmtd_Chrg":"1.3765736111","Avg_Suplr_Mdcr_Alowd_Amt":"0.257375","Avg_Suplr_Mdcr_Pymt_Amt":"0.2017791667","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2017791667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"4350","Avg_Suplr_Sbmtd_Chrg":"1.3739011494","Avg_Suplr_Mdcr_Alowd_Amt":"0.2460344828","Avg_Suplr_Mdcr_Pymt_Amt":"0.1928873563","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1928873563"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"8625","Avg_Suplr_Sbmtd_Chrg":"1.405964058","Avg_Suplr_Mdcr_Alowd_Amt":"0.2683571014","Avg_Suplr_Mdcr_Pymt_Amt":"0.1977901449","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1977901449"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"4050","Avg_Suplr_Sbmtd_Chrg":"1.717254321","Avg_Suplr_Mdcr_Alowd_Amt":"0.2581481481","Avg_Suplr_Mdcr_Pymt_Amt":"0.2023851852","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2023851852"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"25","Tot_Suplrs":"18","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"84","Tot_Suplr_Srvcs":"31711","Avg_Suplr_Sbmtd_Chrg":"1.4810251963","Avg_Suplr_Mdcr_Alowd_Amt":"0.2654063259","Avg_Suplr_Mdcr_Pymt_Amt":"0.1990766611","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1990766611"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"11","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"5250","Avg_Suplr_Sbmtd_Chrg":"22.078611429","Avg_Suplr_Mdcr_Alowd_Amt":"0.2405580952","Avg_Suplr_Mdcr_Pymt_Amt":"0.188592381","Avg_Suplr_Mdcr_Stdzd_Amt":"0.188592381"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"7590","Avg_Suplr_Sbmtd_Chrg":"1.202942029","Avg_Suplr_Mdcr_Alowd_Amt":"0.2607364954","Avg_Suplr_Mdcr_Pymt_Amt":"0.1900961792","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1900961792"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"4290","Avg_Suplr_Sbmtd_Chrg":"1.6122121212","Avg_Suplr_Mdcr_Alowd_Amt":"0.2587039627","Avg_Suplr_Mdcr_Pymt_Amt":"0.1551958042","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1551958042"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"22","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"11130","Avg_Suplr_Sbmtd_Chrg":"1.3561114106","Avg_Suplr_Mdcr_Alowd_Amt":"0.2589784367","Avg_Suplr_Mdcr_Pymt_Amt":"0.1931671159","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1931671159"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"13","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"6900","Avg_Suplr_Sbmtd_Chrg":"1.3672333333","Avg_Suplr_Mdcr_Alowd_Amt":"0.2664347826","Avg_Suplr_Mdcr_Pymt_Amt":"0.1889927536","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1889927536"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"3477","Avg_Suplr_Sbmtd_Chrg":"1.3288553351","Avg_Suplr_Mdcr_Alowd_Amt":"0.2486655162","Avg_Suplr_Mdcr_Pymt_Amt":"0.174118493","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1741156169"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"25","Tot_Suplrs":"22","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"11919","Avg_Suplr_Sbmtd_Chrg":"1.7337587046","Avg_Suplr_Mdcr_Alowd_Amt":"0.2610084739","Avg_Suplr_Mdcr_Pymt_Amt":"0.1967262354","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1967262354"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"6450","Avg_Suplr_Sbmtd_Chrg":"1.447944186","Avg_Suplr_Mdcr_Alowd_Amt":"0.2443953488","Avg_Suplr_Mdcr_Pymt_Amt":"0.1916015504","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1916015504"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7612","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"4800","Avg_Suplr_Sbmtd_Chrg":"1.4390770833","Avg_Suplr_Mdcr_Alowd_Amt":"0.25659375","Avg_Suplr_Mdcr_Pymt_Amt":"0.186075","Avg_Suplr_Mdcr_Stdzd_Amt":"0.186075"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"86336","Tot_Suplrs":"32767","Tot_Suplr_Benes":"180722","Tot_Suplr_Clms":"507017","Tot_Suplr_Srvcs":"112659295","Avg_Suplr_Sbmtd_Chrg":"0.3958169456","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498944156","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361369459","Avg_Suplr_Mdcr_Stdzd_Amt":"0.036136919"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1106","Tot_Suplrs":"619","Tot_Suplr_Benes":"2266","Tot_Suplr_Clms":"7049","Tot_Suplr_Srvcs":"1640156","Avg_Suplr_Sbmtd_Chrg":"0.3332614154","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497720827","Avg_Suplr_Mdcr_Pymt_Amt":"0.0360919327","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0360919266"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"155","Tot_Suplrs":"66","Tot_Suplr_Benes":"243","Tot_Suplr_Clms":"515","Tot_Suplr_Srvcs":"99086","Avg_Suplr_Sbmtd_Chrg":"0.4701302909","Avg_Suplr_Mdcr_Alowd_Amt":"0.0505564863","Avg_Suplr_Mdcr_Pymt_Amt":"0.0356842541","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0356842541"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1449","Tot_Suplrs":"846","Tot_Suplr_Benes":"3061","Tot_Suplr_Clms":"7228","Tot_Suplr_Srvcs":"1620957","Avg_Suplr_Sbmtd_Chrg":"0.3419370964","Avg_Suplr_Mdcr_Alowd_Amt":"0.0496894797","Avg_Suplr_Mdcr_Pymt_Amt":"0.0362746822","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0362746452"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"982","Tot_Suplrs":"348","Tot_Suplr_Benes":"2185","Tot_Suplr_Clms":"7934","Tot_Suplr_Srvcs":"1926911","Avg_Suplr_Sbmtd_Chrg":"0.4053413365","Avg_Suplr_Mdcr_Alowd_Amt":"0.0495969041","Avg_Suplr_Mdcr_Pymt_Amt":"0.0360745151","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0360744892"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7706","Tot_Suplrs":"3062","Tot_Suplr_Benes":"15508","Tot_Suplr_Clms":"43033","Tot_Suplr_Srvcs":"9362724","Avg_Suplr_Sbmtd_Chrg":"0.3887677998","Avg_Suplr_Mdcr_Alowd_Amt":"0.0502557172","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361757251","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0361757113"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1137","Tot_Suplrs":"622","Tot_Suplr_Benes":"1718","Tot_Suplr_Clms":"4609","Tot_Suplr_Srvcs":"975859","Avg_Suplr_Sbmtd_Chrg":"0.3950230002","Avg_Suplr_Mdcr_Alowd_Amt":"0.0506978262","Avg_Suplr_Mdcr_Pymt_Amt":"0.0370779795","Avg_Suplr_Mdcr_Stdzd_Amt":"0.037077918"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"988","Tot_Suplrs":"586","Tot_Suplr_Benes":"2272","Tot_Suplr_Clms":"6208","Tot_Suplr_Srvcs":"1303350","Avg_Suplr_Sbmtd_Chrg":"0.3664867764","Avg_Suplr_Mdcr_Alowd_Amt":"0.0495892584","Avg_Suplr_Mdcr_Pymt_Amt":"0.0360009207","Avg_Suplr_Mdcr_Stdzd_Amt":"0.036000867"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"376","Tot_Suplrs":"211","Tot_Suplr_Benes":"1032","Tot_Suplr_Clms":"2483","Tot_Suplr_Srvcs":"603912","Avg_Suplr_Sbmtd_Chrg":"0.3341436997","Avg_Suplr_Mdcr_Alowd_Amt":"0.0511444051","Avg_Suplr_Mdcr_Pymt_Amt":"0.0373836089","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0373835923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"153","Tot_Suplrs":"176","Tot_Suplr_Benes":"258","Tot_Suplr_Clms":"561","Tot_Suplr_Srvcs":"144646","Avg_Suplr_Sbmtd_Chrg":"0.333385645","Avg_Suplr_Mdcr_Alowd_Amt":"0.0491946545","Avg_Suplr_Mdcr_Pymt_Amt":"0.035283658","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0352835889"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4586","Tot_Suplrs":"2769","Tot_Suplr_Benes":"9909","Tot_Suplr_Clms":"25833","Tot_Suplr_Srvcs":"5999402","Avg_Suplr_Sbmtd_Chrg":"0.3776603251","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497414609","Avg_Suplr_Mdcr_Pymt_Amt":"0.0363704583","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0363704233"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1697","Tot_Suplrs":"1153","Tot_Suplr_Benes":"3543","Tot_Suplr_Clms":"9724","Tot_Suplr_Srvcs":"2212539","Avg_Suplr_Sbmtd_Chrg":"0.4154686494","Avg_Suplr_Mdcr_Alowd_Amt":"0.0501781392","Avg_Suplr_Mdcr_Pymt_Amt":"0.0367264306","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0367263854"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"164","Tot_Suplrs":"87","Tot_Suplr_Benes":"224","Tot_Suplr_Clms":"461","Tot_Suplr_Srvcs":"67440","Avg_Suplr_Sbmtd_Chrg":"0.3584289739","Avg_Suplr_Mdcr_Alowd_Amt":"0.0495235765","Avg_Suplr_Mdcr_Pymt_Amt":"0.0329870996","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0329870996"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"396","Tot_Suplrs":"197","Tot_Suplr_Benes":"639","Tot_Suplr_Clms":"1882","Tot_Suplr_Srvcs":"406030","Avg_Suplr_Sbmtd_Chrg":"0.3479586484","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497508312","Avg_Suplr_Mdcr_Pymt_Amt":"0.0364415191","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0364414945"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3755","Tot_Suplrs":"1767","Tot_Suplr_Benes":"8859","Tot_Suplr_Clms":"25143","Tot_Suplr_Srvcs":"5697619","Avg_Suplr_Sbmtd_Chrg":"0.4238446885","Avg_Suplr_Mdcr_Alowd_Amt":"0.0492513961","Avg_Suplr_Mdcr_Pymt_Amt":"0.0355259434","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0355259083"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2623","Tot_Suplrs":"1088","Tot_Suplr_Benes":"6036","Tot_Suplr_Clms":"16812","Tot_Suplr_Srvcs":"3803673","Avg_Suplr_Sbmtd_Chrg":"0.3708181855","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497497866","Avg_Suplr_Mdcr_Pymt_Amt":"0.0358869204","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0358868888"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1458","Tot_Suplrs":"663","Tot_Suplr_Benes":"3463","Tot_Suplr_Clms":"9932","Tot_Suplr_Srvcs":"1866330","Avg_Suplr_Sbmtd_Chrg":"0.5196460862","Avg_Suplr_Mdcr_Alowd_Amt":"0.050386384","Avg_Suplr_Mdcr_Pymt_Amt":"0.0362995665","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0362995612"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1134","Tot_Suplrs":"479","Tot_Suplr_Benes":"2583","Tot_Suplr_Clms":"9210","Tot_Suplr_Srvcs":"1792783","Avg_Suplr_Sbmtd_Chrg":"0.405121752","Avg_Suplr_Mdcr_Alowd_Amt":"0.0503080127","Avg_Suplr_Mdcr_Pymt_Amt":"0.0365204657","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0365204266"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2001","Tot_Suplrs":"852","Tot_Suplr_Benes":"4435","Tot_Suplr_Clms":"12633","Tot_Suplr_Srvcs":"2696815","Avg_Suplr_Sbmtd_Chrg":"0.5750423704","Avg_Suplr_Mdcr_Alowd_Amt":"0.0492172989","Avg_Suplr_Mdcr_Pymt_Amt":"0.0354333538","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0354333278"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1001","Tot_Suplrs":"510","Tot_Suplr_Benes":"2113","Tot_Suplr_Clms":"6325","Tot_Suplr_Srvcs":"1438571","Avg_Suplr_Sbmtd_Chrg":"0.5233283863","Avg_Suplr_Mdcr_Alowd_Amt":"0.0495969125","Avg_Suplr_Mdcr_Pymt_Amt":"0.0357894744","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0357894675"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"572","Tot_Suplrs":"269","Tot_Suplr_Benes":"1037","Tot_Suplr_Clms":"2661","Tot_Suplr_Srvcs":"638616","Avg_Suplr_Sbmtd_Chrg":"0.4081663002","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494393658","Avg_Suplr_Mdcr_Pymt_Amt":"0.034632831","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034632784"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1856","Tot_Suplrs":"837","Tot_Suplr_Benes":"4363","Tot_Suplr_Clms":"10814","Tot_Suplr_Srvcs":"2523615","Avg_Suplr_Sbmtd_Chrg":"0.3698236419","Avg_Suplr_Mdcr_Alowd_Amt":"0.050351793","Avg_Suplr_Mdcr_Pymt_Amt":"0.0364595313","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0364594956"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3106","Tot_Suplrs":"1133","Tot_Suplr_Benes":"7807","Tot_Suplr_Clms":"20406","Tot_Suplr_Srvcs":"4326306","Avg_Suplr_Sbmtd_Chrg":"0.3053751237","Avg_Suplr_Mdcr_Alowd_Amt":"0.0496923542","Avg_Suplr_Mdcr_Pymt_Amt":"0.0360565457","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0360565318"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3160","Tot_Suplrs":"1250","Tot_Suplr_Benes":"5850","Tot_Suplr_Clms":"16173","Tot_Suplr_Srvcs":"4164930","Avg_Suplr_Sbmtd_Chrg":"0.3482243759","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494697438","Avg_Suplr_Mdcr_Pymt_Amt":"0.0355751165","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0355750781"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1982","Tot_Suplrs":"925","Tot_Suplr_Benes":"3037","Tot_Suplr_Clms":"8393","Tot_Suplr_Srvcs":"1403296","Avg_Suplr_Sbmtd_Chrg":"0.4045798463","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498886051","Avg_Suplr_Mdcr_Pymt_Amt":"0.0358166916","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0358166773"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"884","Tot_Suplrs":"324","Tot_Suplr_Benes":"2260","Tot_Suplr_Clms":"8070","Tot_Suplr_Srvcs":"1925931","Avg_Suplr_Sbmtd_Chrg":"0.547494256","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494119208","Avg_Suplr_Mdcr_Pymt_Amt":"0.0357858823","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0357858823"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1852","Tot_Suplrs":"911","Tot_Suplr_Benes":"4042","Tot_Suplr_Clms":"13390","Tot_Suplr_Srvcs":"2998682","Avg_Suplr_Sbmtd_Chrg":"0.5131899648","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494959519","Avg_Suplr_Mdcr_Pymt_Amt":"0.0357671537","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0357671337"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"335","Tot_Suplrs":"149","Tot_Suplr_Benes":"581","Tot_Suplr_Clms":"1668","Tot_Suplr_Srvcs":"323185","Avg_Suplr_Sbmtd_Chrg":"0.4072262945","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494613302","Avg_Suplr_Mdcr_Pymt_Amt":"0.0351641011","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0351641011"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"683","Tot_Suplrs":"326","Tot_Suplr_Benes":"1250","Tot_Suplr_Clms":"4268","Tot_Suplr_Srvcs":"825329","Avg_Suplr_Sbmtd_Chrg":"0.4252935981","Avg_Suplr_Mdcr_Alowd_Amt":"0.0500592128","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361641115","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0361641115"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"533","Tot_Suplrs":"327","Tot_Suplr_Benes":"1068","Tot_Suplr_Clms":"2709","Tot_Suplr_Srvcs":"662328","Avg_Suplr_Sbmtd_Chrg":"0.3063492862","Avg_Suplr_Mdcr_Alowd_Amt":"0.0500113388","Avg_Suplr_Mdcr_Pymt_Amt":"0.0364976568","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0364976568"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"512","Tot_Suplrs":"286","Tot_Suplr_Benes":"1012","Tot_Suplr_Clms":"2650","Tot_Suplr_Srvcs":"590093","Avg_Suplr_Sbmtd_Chrg":"0.2873309631","Avg_Suplr_Mdcr_Alowd_Amt":"0.0494932155","Avg_Suplr_Mdcr_Pymt_Amt":"0.0357710734","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0357710564"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2782","Tot_Suplrs":"1470","Tot_Suplr_Benes":"7089","Tot_Suplr_Clms":"17446","Tot_Suplr_Srvcs":"3428576","Avg_Suplr_Sbmtd_Chrg":"0.4701817664","Avg_Suplr_Mdcr_Alowd_Amt":"0.0502419576","Avg_Suplr_Mdcr_Pymt_Amt":"0.0367184569","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0367184102"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"441","Tot_Suplrs":"221","Tot_Suplr_Benes":"762","Tot_Suplr_Clms":"2145","Tot_Suplr_Srvcs":"481141","Avg_Suplr_Sbmtd_Chrg":"0.2888908657","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498794324","Avg_Suplr_Mdcr_Pymt_Amt":"0.0358654739","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0358654324"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6110","Tot_Suplrs":"2923","Tot_Suplr_Benes":"12959","Tot_Suplr_Clms":"32218","Tot_Suplr_Srvcs":"6423818","Avg_Suplr_Sbmtd_Chrg":"0.470807115","Avg_Suplr_Mdcr_Alowd_Amt":"0.0499098527","Avg_Suplr_Mdcr_Pymt_Amt":"0.0360603787","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0360603507"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2565","Tot_Suplrs":"1329","Tot_Suplr_Benes":"5040","Tot_Suplr_Clms":"14426","Tot_Suplr_Srvcs":"3258445","Avg_Suplr_Sbmtd_Chrg":"0.3736809889","Avg_Suplr_Mdcr_Alowd_Amt":"0.0495707216","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361967104","Avg_Suplr_Mdcr_Stdzd_Amt":"0.036196692"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"296","Tot_Suplrs":"160","Tot_Suplr_Benes":"663","Tot_Suplr_Clms":"2093","Tot_Suplr_Srvcs":"376453","Avg_Suplr_Sbmtd_Chrg":"0.5144549253","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497287842","Avg_Suplr_Mdcr_Pymt_Amt":"0.0359313912","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0359313912"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3515","Tot_Suplrs":"1690","Tot_Suplr_Benes":"7602","Tot_Suplr_Clms":"20521","Tot_Suplr_Srvcs":"5040430","Avg_Suplr_Sbmtd_Chrg":"0.343943975","Avg_Suplr_Mdcr_Alowd_Amt":"0.0500014364","Avg_Suplr_Mdcr_Pymt_Amt":"0.036096343","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0360963211"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1244","Tot_Suplrs":"499","Tot_Suplr_Benes":"2705","Tot_Suplr_Clms":"7740","Tot_Suplr_Srvcs":"1730813","Avg_Suplr_Sbmtd_Chrg":"0.3401437301","Avg_Suplr_Mdcr_Alowd_Amt":"0.0497224252","Avg_Suplr_Mdcr_Pymt_Amt":"0.0357134248","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0357133728"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"826","Tot_Suplrs":"354","Tot_Suplr_Benes":"1357","Tot_Suplr_Clms":"4079","Tot_Suplr_Srvcs":"981514","Avg_Suplr_Sbmtd_Chrg":"0.2780932926","Avg_Suplr_Mdcr_Alowd_Amt":"0.0503255786","Avg_Suplr_Mdcr_Pymt_Amt":"0.0359937199","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0359937199"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3956","Tot_Suplrs":"2046","Tot_Suplr_Benes":"8413","Tot_Suplr_Clms":"23096","Tot_Suplr_Srvcs":"5095090","Avg_Suplr_Sbmtd_Chrg":"0.4332540976","Avg_Suplr_Mdcr_Alowd_Amt":"0.0503083086","Avg_Suplr_Mdcr_Pymt_Amt":"0.0363495326","Avg_Suplr_Mdcr_Stdzd_Amt":"0.036349509"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"247","Tot_Suplrs":"214","Tot_Suplr_Benes":"516","Tot_Suplr_Clms":"1287","Tot_Suplr_Srvcs":"256132","Avg_Suplr_Sbmtd_Chrg":"0.3058070058","Avg_Suplr_Mdcr_Alowd_Amt":"0.049257258","Avg_Suplr_Mdcr_Pymt_Amt":"0.0358905564","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0358905564"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1227","Tot_Suplrs":"701","Tot_Suplr_Benes":"2962","Tot_Suplr_Clms":"8098","Tot_Suplr_Srvcs":"1881623","Avg_Suplr_Sbmtd_Chrg":"0.2966459647","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498877246","Avg_Suplr_Mdcr_Pymt_Amt":"0.0367400111","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0367399899"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"445","Tot_Suplrs":"230","Tot_Suplr_Benes":"915","Tot_Suplr_Clms":"2850","Tot_Suplr_Srvcs":"541679","Avg_Suplr_Sbmtd_Chrg":"0.6544490187","Avg_Suplr_Mdcr_Alowd_Amt":"0.0493836017","Avg_Suplr_Mdcr_Pymt_Amt":"0.0355109391","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0355108838"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2129","Tot_Suplrs":"1071","Tot_Suplr_Benes":"4560","Tot_Suplr_Clms":"12858","Tot_Suplr_Srvcs":"3257996","Avg_Suplr_Sbmtd_Chrg":"0.4085386937","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498216818","Avg_Suplr_Mdcr_Pymt_Amt":"0.036184317","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0361842955"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4795","Tot_Suplrs":"2675","Tot_Suplr_Benes":"10386","Tot_Suplr_Clms":"27530","Tot_Suplr_Srvcs":"6460970","Avg_Suplr_Sbmtd_Chrg":"0.3290755769","Avg_Suplr_Mdcr_Alowd_Amt":"0.0504136283","Avg_Suplr_Mdcr_Pymt_Amt":"0.0369450965","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0369450516"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"373","Tot_Suplrs":"212","Tot_Suplr_Benes":"589","Tot_Suplr_Clms":"1900","Tot_Suplr_Srvcs":"363718","Avg_Suplr_Sbmtd_Chrg":"0.2922935076","Avg_Suplr_Mdcr_Alowd_Amt":"0.0499810842","Avg_Suplr_Mdcr_Pymt_Amt":"0.0368412616","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0368412616"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"321","Tot_Suplrs":"144","Tot_Suplr_Benes":"513","Tot_Suplr_Clms":"1562","Tot_Suplr_Srvcs":"306998","Avg_Suplr_Sbmtd_Chrg":"0.3838248458","Avg_Suplr_Mdcr_Alowd_Amt":"0.049793712","Avg_Suplr_Mdcr_Pymt_Amt":"0.0345481404","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0345481078"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2119","Tot_Suplrs":"1088","Tot_Suplr_Benes":"5216","Tot_Suplr_Clms":"14831","Tot_Suplr_Srvcs":"3259981","Avg_Suplr_Sbmtd_Chrg":"0.3587349712","Avg_Suplr_Mdcr_Alowd_Amt":"0.0501330008","Avg_Suplr_Mdcr_Pymt_Amt":"0.0365083293","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0365083109"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1440","Tot_Suplrs":"704","Tot_Suplr_Benes":"2580","Tot_Suplr_Clms":"7875","Tot_Suplr_Srvcs":"1834382","Avg_Suplr_Sbmtd_Chrg":"0.3386656978","Avg_Suplr_Mdcr_Alowd_Amt":"0.0504230907","Avg_Suplr_Mdcr_Pymt_Amt":"0.036738869","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0367388581"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"953","Tot_Suplrs":"401","Tot_Suplr_Benes":"2016","Tot_Suplr_Clms":"5660","Tot_Suplr_Srvcs":"1496193","Avg_Suplr_Sbmtd_Chrg":"0.3524086465","Avg_Suplr_Mdcr_Alowd_Amt":"0.0498066961","Avg_Suplr_Mdcr_Pymt_Amt":"0.0352516687","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0352516286"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1927","Tot_Suplrs":"871","Tot_Suplr_Benes":"3292","Tot_Suplr_Clms":"8567","Tot_Suplr_Srvcs":"1835482","Avg_Suplr_Sbmtd_Chrg":"0.3760290757","Avg_Suplr_Mdcr_Alowd_Amt":"0.0491250527","Avg_Suplr_Mdcr_Pymt_Amt":"0.0352250853","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0352250581"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"212","Tot_Suplrs":"73","Tot_Suplr_Benes":"348","Tot_Suplr_Clms":"1176","Tot_Suplr_Srvcs":"243196","Avg_Suplr_Sbmtd_Chrg":"0.311673095","Avg_Suplr_Mdcr_Alowd_Amt":"0.0502377095","Avg_Suplr_Mdcr_Pymt_Amt":"0.0366259725","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0366258902"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7613","HCPCS_Desc":"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"59","Tot_Suplrs":"23","Tot_Suplr_Benes":"114","Tot_Suplr_Clms":"263","Tot_Suplr_Srvcs":"59843","Avg_Suplr_Sbmtd_Chrg":"0.1167287736","Avg_Suplr_Mdcr_Alowd_Amt":"0.0491004796","Avg_Suplr_Mdcr_Pymt_Amt":"0.036341928","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0363417609"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13329","Tot_Suplrs":"11902","Tot_Suplr_Benes":"17695","Tot_Suplr_Clms":"46553","Tot_Suplr_Srvcs":"8447462","Avg_Suplr_Sbmtd_Chrg":"3.0349476257","Avg_Suplr_Mdcr_Alowd_Amt":"0.0565628789","Avg_Suplr_Mdcr_Pymt_Amt":"0.0419705445","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0419704913"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"178","Tot_Suplrs":"188","Tot_Suplr_Benes":"234","Tot_Suplr_Clms":"634","Tot_Suplr_Srvcs":"120096","Avg_Suplr_Sbmtd_Chrg":"2.9160512423","Avg_Suplr_Mdcr_Alowd_Amt":"0.0569261258","Avg_Suplr_Mdcr_Pymt_Amt":"0.0427672029","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0427672029"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"2975","Avg_Suplr_Sbmtd_Chrg":"3.2641210084","Avg_Suplr_Mdcr_Alowd_Amt":"0.0575294118","Avg_Suplr_Mdcr_Pymt_Amt":"0.0450957983","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0450957983"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"230","Tot_Suplrs":"246","Tot_Suplr_Benes":"328","Tot_Suplr_Clms":"791","Tot_Suplr_Srvcs":"157628","Avg_Suplr_Sbmtd_Chrg":"3.2183731317","Avg_Suplr_Mdcr_Alowd_Amt":"0.058901718","Avg_Suplr_Mdcr_Pymt_Amt":"0.0448024463","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0448024463"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"80","Tot_Suplrs":"68","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"271","Tot_Suplr_Srvcs":"50876","Avg_Suplr_Sbmtd_Chrg":"2.8648276201","Avg_Suplr_Mdcr_Alowd_Amt":"0.0566685667","Avg_Suplr_Mdcr_Pymt_Amt":"0.0415976099","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0415976099"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1212","Tot_Suplrs":"1094","Tot_Suplr_Benes":"1564","Tot_Suplr_Clms":"4073","Tot_Suplr_Srvcs":"665668","Avg_Suplr_Sbmtd_Chrg":"3.1341559757","Avg_Suplr_Mdcr_Alowd_Amt":"0.0562329269","Avg_Suplr_Mdcr_Pymt_Amt":"0.0415843333","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0415842582"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"128","Tot_Suplrs":"118","Tot_Suplr_Benes":"150","Tot_Suplr_Clms":"428","Tot_Suplr_Srvcs":"79813","Avg_Suplr_Sbmtd_Chrg":"2.8762983474","Avg_Suplr_Mdcr_Alowd_Amt":"0.0558543094","Avg_Suplr_Mdcr_Pymt_Amt":"0.0412741032","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0412739779"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"163","Tot_Suplrs":"154","Tot_Suplr_Benes":"225","Tot_Suplr_Clms":"621","Tot_Suplr_Srvcs":"96769","Avg_Suplr_Sbmtd_Chrg":"3.2894446569","Avg_Suplr_Mdcr_Alowd_Amt":"0.055043764","Avg_Suplr_Mdcr_Pymt_Amt":"0.0411733096","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0411733096"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"48","Tot_Suplrs":"45","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"153","Tot_Suplr_Srvcs":"27969","Avg_Suplr_Sbmtd_Chrg":"2.6364514284","Avg_Suplr_Mdcr_Alowd_Amt":"0.0579008903","Avg_Suplr_Mdcr_Pymt_Amt":"0.0430698273","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0430698273"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"26","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"10061","Avg_Suplr_Sbmtd_Chrg":"2.9909859855","Avg_Suplr_Mdcr_Alowd_Amt":"0.0566971474","Avg_Suplr_Mdcr_Pymt_Amt":"0.0405228109","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0405228109"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"956","Tot_Suplrs":"998","Tot_Suplr_Benes":"1386","Tot_Suplr_Clms":"3381","Tot_Suplr_Srvcs":"606902","Avg_Suplr_Sbmtd_Chrg":"3.4305926327","Avg_Suplr_Mdcr_Alowd_Amt":"0.0563361465","Avg_Suplr_Mdcr_Pymt_Amt":"0.0418977528","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0418977034"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"342","Tot_Suplrs":"347","Tot_Suplr_Benes":"460","Tot_Suplr_Clms":"1276","Tot_Suplr_Srvcs":"228769","Avg_Suplr_Sbmtd_Chrg":"2.899767451","Avg_Suplr_Mdcr_Alowd_Amt":"0.056029226","Avg_Suplr_Mdcr_Pymt_Amt":"0.0416017467","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0416016593"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"22","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"6675","Avg_Suplr_Sbmtd_Chrg":"3.0168599251","Avg_Suplr_Mdcr_Alowd_Amt":"0.0547625468","Avg_Suplr_Mdcr_Pymt_Amt":"0.0407985019","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0407985019"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"44","Tot_Suplr_Benes":"64","Tot_Suplr_Clms":"197","Tot_Suplr_Srvcs":"33388","Avg_Suplr_Sbmtd_Chrg":"2.6400467234","Avg_Suplr_Mdcr_Alowd_Amt":"0.0557535642","Avg_Suplr_Mdcr_Pymt_Amt":"0.0384287768","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0384287768"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"485","Tot_Suplrs":"486","Tot_Suplr_Benes":"627","Tot_Suplr_Clms":"1662","Tot_Suplr_Srvcs":"323180","Avg_Suplr_Sbmtd_Chrg":"2.9239652825","Avg_Suplr_Mdcr_Alowd_Amt":"0.0559266663","Avg_Suplr_Mdcr_Pymt_Amt":"0.0413813664","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0413813664"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"448","Tot_Suplrs":"413","Tot_Suplr_Benes":"633","Tot_Suplr_Clms":"1515","Tot_Suplr_Srvcs":"317506","Avg_Suplr_Sbmtd_Chrg":"2.8891739684","Avg_Suplr_Mdcr_Alowd_Amt":"0.0554238975","Avg_Suplr_Mdcr_Pymt_Amt":"0.0408381259","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0408381259"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"194","Tot_Suplrs":"195","Tot_Suplr_Benes":"259","Tot_Suplr_Clms":"848","Tot_Suplr_Srvcs":"130671","Avg_Suplr_Sbmtd_Chrg":"2.6333342517","Avg_Suplr_Mdcr_Alowd_Amt":"0.0556509095","Avg_Suplr_Mdcr_Pymt_Amt":"0.0413401596","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0413398535"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"201","Tot_Suplrs":"144","Tot_Suplr_Benes":"208","Tot_Suplr_Clms":"676","Tot_Suplr_Srvcs":"110517","Avg_Suplr_Sbmtd_Chrg":"2.6467927106","Avg_Suplr_Mdcr_Alowd_Amt":"0.0566936308","Avg_Suplr_Mdcr_Pymt_Amt":"0.041593782","Avg_Suplr_Mdcr_Stdzd_Amt":"0.041593782"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"272","Tot_Suplrs":"252","Tot_Suplr_Benes":"354","Tot_Suplr_Clms":"831","Tot_Suplr_Srvcs":"144780","Avg_Suplr_Sbmtd_Chrg":"3.1298965327","Avg_Suplr_Mdcr_Alowd_Amt":"0.0568686283","Avg_Suplr_Mdcr_Pymt_Amt":"0.0419276834","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0419276834"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"192","Tot_Suplrs":"178","Tot_Suplr_Benes":"245","Tot_Suplr_Clms":"681","Tot_Suplr_Srvcs":"109540","Avg_Suplr_Sbmtd_Chrg":"3.3643759357","Avg_Suplr_Mdcr_Alowd_Amt":"0.0571348366","Avg_Suplr_Mdcr_Pymt_Amt":"0.0421229688","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0421229688"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"32","Tot_Suplrs":"38","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"120","Tot_Suplr_Srvcs":"17779","Avg_Suplr_Sbmtd_Chrg":"2.5636672479","Avg_Suplr_Mdcr_Alowd_Amt":"0.0583851735","Avg_Suplr_Mdcr_Pymt_Amt":"0.0446785533","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0446785533"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"270","Tot_Suplrs":"274","Tot_Suplr_Benes":"378","Tot_Suplr_Clms":"864","Tot_Suplr_Srvcs":"180107","Avg_Suplr_Sbmtd_Chrg":"3.0750734286","Avg_Suplr_Mdcr_Alowd_Amt":"0.0575681678","Avg_Suplr_Mdcr_Pymt_Amt":"0.0429832266","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0429832266"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"373","Tot_Suplrs":"374","Tot_Suplr_Benes":"552","Tot_Suplr_Clms":"1184","Tot_Suplr_Srvcs":"225100","Avg_Suplr_Sbmtd_Chrg":"3.0673727232","Avg_Suplr_Mdcr_Alowd_Amt":"0.0572178587","Avg_Suplr_Mdcr_Pymt_Amt":"0.0424972012","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0424971568"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"312","Tot_Suplrs":"292","Tot_Suplr_Benes":"348","Tot_Suplr_Clms":"877","Tot_Suplr_Srvcs":"187570","Avg_Suplr_Sbmtd_Chrg":"2.8275179933","Avg_Suplr_Mdcr_Alowd_Amt":"0.0574943221","Avg_Suplr_Mdcr_Pymt_Amt":"0.042556219","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0425561657"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"258","Tot_Suplrs":"242","Tot_Suplr_Benes":"310","Tot_Suplr_Clms":"1072","Tot_Suplr_Srvcs":"177099","Avg_Suplr_Sbmtd_Chrg":"2.9597967803","Avg_Suplr_Mdcr_Alowd_Amt":"0.0562036488","Avg_Suplr_Mdcr_Pymt_Amt":"0.0415809237","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0415807543"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"117","Tot_Suplrs":"98","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"378","Tot_Suplr_Srvcs":"65092","Avg_Suplr_Sbmtd_Chrg":"3.5013377988","Avg_Suplr_Mdcr_Alowd_Amt":"0.0573503656","Avg_Suplr_Mdcr_Pymt_Amt":"0.0431765808","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0431765808"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"280","Tot_Suplrs":"266","Tot_Suplr_Benes":"362","Tot_Suplr_Clms":"1023","Tot_Suplr_Srvcs":"198843","Avg_Suplr_Sbmtd_Chrg":"3.1396616426","Avg_Suplr_Mdcr_Alowd_Amt":"0.0558334968","Avg_Suplr_Mdcr_Pymt_Amt":"0.0411858602","Avg_Suplr_Mdcr_Stdzd_Amt":"0.041185659"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"50","Tot_Suplrs":"48","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"172","Tot_Suplr_Srvcs":"24757","Avg_Suplr_Sbmtd_Chrg":"2.7618734095","Avg_Suplr_Mdcr_Alowd_Amt":"0.0557721049","Avg_Suplr_Mdcr_Pymt_Amt":"0.0396304076","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0396304076"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"85","Tot_Suplrs":"74","Tot_Suplr_Benes":"95","Tot_Suplr_Clms":"296","Tot_Suplr_Srvcs":"49630","Avg_Suplr_Sbmtd_Chrg":"2.5978593593","Avg_Suplr_Mdcr_Alowd_Amt":"0.0556911142","Avg_Suplr_Mdcr_Pymt_Amt":"0.0409389482","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0409387467"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"99","Tot_Suplrs":"119","Tot_Suplr_Benes":"181","Tot_Suplr_Clms":"423","Tot_Suplr_Srvcs":"90658","Avg_Suplr_Sbmtd_Chrg":"3.1977805599","Avg_Suplr_Mdcr_Alowd_Amt":"0.0542298529","Avg_Suplr_Mdcr_Pymt_Amt":"0.0400089347","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0400089347"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"75","Tot_Suplrs":"70","Tot_Suplr_Benes":"86","Tot_Suplr_Clms":"220","Tot_Suplr_Srvcs":"38700","Avg_Suplr_Sbmtd_Chrg":"2.5147020672","Avg_Suplr_Mdcr_Alowd_Amt":"0.0580604651","Avg_Suplr_Mdcr_Pymt_Amt":"0.0429839793","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0429837209"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"475","Tot_Suplrs":"454","Tot_Suplr_Benes":"654","Tot_Suplr_Clms":"1513","Tot_Suplr_Srvcs":"266167","Avg_Suplr_Sbmtd_Chrg":"2.8360412448","Avg_Suplr_Mdcr_Alowd_Amt":"0.0561791281","Avg_Suplr_Mdcr_Pymt_Amt":"0.0420117445","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0420116318"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"44","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"174","Tot_Suplr_Srvcs":"27805","Avg_Suplr_Sbmtd_Chrg":"3.0643776299","Avg_Suplr_Mdcr_Alowd_Amt":"0.0583513757","Avg_Suplr_Mdcr_Pymt_Amt":"0.0427700054","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0427700054"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"948","Tot_Suplrs":"874","Tot_Suplr_Benes":"1514","Tot_Suplr_Clms":"3731","Tot_Suplr_Srvcs":"626426","Avg_Suplr_Sbmtd_Chrg":"3.3107090542","Avg_Suplr_Mdcr_Alowd_Amt":"0.0566412314","Avg_Suplr_Mdcr_Pymt_Amt":"0.0423804248","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0423804089"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"423","Tot_Suplrs":"405","Tot_Suplr_Benes":"529","Tot_Suplr_Clms":"1315","Tot_Suplr_Srvcs":"264519","Avg_Suplr_Sbmtd_Chrg":"2.9175969212","Avg_Suplr_Mdcr_Alowd_Amt":"0.0566458742","Avg_Suplr_Mdcr_Pymt_Amt":"0.0420866932","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0420866932"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"87","Tot_Suplrs":"70","Tot_Suplr_Benes":"131","Tot_Suplr_Clms":"527","Tot_Suplr_Srvcs":"81140","Avg_Suplr_Sbmtd_Chrg":"3.6648193246","Avg_Suplr_Mdcr_Alowd_Amt":"0.0573830417","Avg_Suplr_Mdcr_Pymt_Amt":"0.0428337441","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0428337441"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"587","Tot_Suplrs":"540","Tot_Suplr_Benes":"724","Tot_Suplr_Clms":"1995","Tot_Suplr_Srvcs":"415360","Avg_Suplr_Sbmtd_Chrg":"2.6566740659","Avg_Suplr_Mdcr_Alowd_Amt":"0.0559233436","Avg_Suplr_Mdcr_Pymt_Amt":"0.0413442315","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0413442074"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"200","Tot_Suplrs":"176","Tot_Suplr_Benes":"259","Tot_Suplr_Clms":"765","Tot_Suplr_Srvcs":"152156","Avg_Suplr_Sbmtd_Chrg":"2.776448119","Avg_Suplr_Mdcr_Alowd_Amt":"0.0558020058","Avg_Suplr_Mdcr_Pymt_Amt":"0.0411790531","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0411790531"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"72","Tot_Suplrs":"75","Tot_Suplr_Benes":"87","Tot_Suplr_Clms":"295","Tot_Suplr_Srvcs":"42262","Avg_Suplr_Sbmtd_Chrg":"2.9993978042","Avg_Suplr_Mdcr_Alowd_Amt":"0.0588419857","Avg_Suplr_Mdcr_Pymt_Amt":"0.0443715394","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0443715394"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"686","Tot_Suplrs":"671","Tot_Suplr_Benes":"964","Tot_Suplr_Clms":"2378","Tot_Suplr_Srvcs":"419893","Avg_Suplr_Sbmtd_Chrg":"3.1487449422","Avg_Suplr_Mdcr_Alowd_Amt":"0.0570624421","Avg_Suplr_Mdcr_Pymt_Amt":"0.0421574068","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0421573115"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"30","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"82","Tot_Suplr_Srvcs":"13457","Avg_Suplr_Sbmtd_Chrg":"3.1617054321","Avg_Suplr_Mdcr_Alowd_Amt":"0.0589819425","Avg_Suplr_Mdcr_Pymt_Amt":"0.0451044066","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0451044066"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"223","Tot_Suplrs":"210","Tot_Suplr_Benes":"299","Tot_Suplr_Clms":"675","Tot_Suplr_Srvcs":"137099","Avg_Suplr_Sbmtd_Chrg":"3.113769247","Avg_Suplr_Mdcr_Alowd_Amt":"0.0560788919","Avg_Suplr_Mdcr_Pymt_Amt":"0.0414559552","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0414557364"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"103","Tot_Suplrs":"83","Tot_Suplr_Benes":"144","Tot_Suplr_Clms":"469","Tot_Suplr_Srvcs":"64634","Avg_Suplr_Sbmtd_Chrg":"2.4271530464","Avg_Suplr_Mdcr_Alowd_Amt":"0.0560845685","Avg_Suplr_Mdcr_Pymt_Amt":"0.0419106043","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0419104496"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"290","Tot_Suplrs":"301","Tot_Suplr_Benes":"410","Tot_Suplr_Clms":"1042","Tot_Suplr_Srvcs":"196196","Avg_Suplr_Sbmtd_Chrg":"3.50512671","Avg_Suplr_Mdcr_Alowd_Amt":"0.0571991274","Avg_Suplr_Mdcr_Pymt_Amt":"0.0426788518","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0426788518"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1063","Tot_Suplrs":"1015","Tot_Suplr_Benes":"1489","Tot_Suplr_Clms":"3654","Tot_Suplr_Srvcs":"731405","Avg_Suplr_Sbmtd_Chrg":"2.8286942665","Avg_Suplr_Mdcr_Alowd_Amt":"0.0574789207","Avg_Suplr_Mdcr_Pymt_Amt":"0.0425585961","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0425585688"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"39","Tot_Suplr_Benes":"41","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"14442","Avg_Suplr_Sbmtd_Chrg":"2.6996752527","Avg_Suplr_Mdcr_Alowd_Amt":"0.058212159","Avg_Suplr_Mdcr_Pymt_Amt":"0.0441116189","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0441116189"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"30","Tot_Suplrs":"25","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"102","Tot_Suplr_Srvcs":"13916","Avg_Suplr_Sbmtd_Chrg":"3.4083702213","Avg_Suplr_Mdcr_Alowd_Amt":"0.0556999138","Avg_Suplr_Mdcr_Pymt_Amt":"0.0413567117","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0413567117"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"295","Tot_Suplrs":"303","Tot_Suplr_Benes":"402","Tot_Suplr_Clms":"1058","Tot_Suplr_Srvcs":"183590","Avg_Suplr_Sbmtd_Chrg":"3.4648360477","Avg_Suplr_Mdcr_Alowd_Amt":"0.0563746936","Avg_Suplr_Mdcr_Pymt_Amt":"0.0411585598","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0411585054"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"137","Tot_Suplrs":"142","Tot_Suplr_Benes":"158","Tot_Suplr_Clms":"437","Tot_Suplr_Srvcs":"67815","Avg_Suplr_Sbmtd_Chrg":"2.9317559537","Avg_Suplr_Mdcr_Alowd_Amt":"0.0572342402","Avg_Suplr_Mdcr_Pymt_Amt":"0.0430780801","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0430780801"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"137","Tot_Suplrs":"127","Tot_Suplr_Benes":"173","Tot_Suplr_Clms":"401","Tot_Suplr_Srvcs":"72292","Avg_Suplr_Sbmtd_Chrg":"3.6054188569","Avg_Suplr_Mdcr_Alowd_Amt":"0.0578398716","Avg_Suplr_Mdcr_Pymt_Amt":"0.0431062912","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0431062912"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"208","Tot_Suplrs":"197","Tot_Suplr_Benes":"228","Tot_Suplr_Clms":"696","Tot_Suplr_Srvcs":"133259","Avg_Suplr_Sbmtd_Chrg":"2.8387796697","Avg_Suplr_Mdcr_Alowd_Amt":"0.0556099776","Avg_Suplr_Mdcr_Pymt_Amt":"0.0416632272","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0416630021"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"10","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"3079","Avg_Suplr_Sbmtd_Chrg":"2.8210457941","Avg_Suplr_Mdcr_Alowd_Amt":"0.0481747321","Avg_Suplr_Mdcr_Pymt_Amt":"0.0314095486","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0314095486"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7614","HCPCS_Desc":"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"17","Tot_Suplr_Benes":"120","Tot_Suplr_Clms":"306","Tot_Suplr_Srvcs":"41282","Avg_Suplr_Sbmtd_Chrg":"0.5085417373","Avg_Suplr_Mdcr_Alowd_Amt":"0.0556935226","Avg_Suplr_Mdcr_Pymt_Amt":"0.04223245","Avg_Suplr_Mdcr_Stdzd_Amt":"0.04223245"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"77071","Tot_Suplrs":"30258","Tot_Suplr_Benes":"160582","Tot_Suplr_Clms":"508112","Tot_Suplr_Srvcs":"56362304","Avg_Suplr_Sbmtd_Chrg":"1.6357453705","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854955606","Avg_Suplr_Mdcr_Pymt_Amt":"0.1342303515","Avg_Suplr_Mdcr_Stdzd_Amt":"0.134230298"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1134","Tot_Suplrs":"656","Tot_Suplr_Benes":"2583","Tot_Suplr_Clms":"8656","Tot_Suplr_Srvcs":"1036449","Avg_Suplr_Sbmtd_Chrg":"1.4852766127","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852774039","Avg_Suplr_Mdcr_Pymt_Amt":"0.1336310132","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1336309843"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"185","Tot_Suplrs":"70","Tot_Suplr_Benes":"275","Tot_Suplr_Clms":"723","Tot_Suplr_Srvcs":"83494","Avg_Suplr_Sbmtd_Chrg":"1.6107728699","Avg_Suplr_Mdcr_Alowd_Amt":"0.1851359379","Avg_Suplr_Mdcr_Pymt_Amt":"0.1342228184","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1342228184"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1185","Tot_Suplrs":"798","Tot_Suplr_Benes":"2589","Tot_Suplr_Clms":"6839","Tot_Suplr_Srvcs":"818840","Avg_Suplr_Sbmtd_Chrg":"1.6606836134","Avg_Suplr_Mdcr_Alowd_Amt":"0.1847654975","Avg_Suplr_Mdcr_Pymt_Amt":"0.1367347101","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1367346857"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"978","Tot_Suplrs":"333","Tot_Suplr_Benes":"2213","Tot_Suplr_Clms":"8247","Tot_Suplr_Srvcs":"1012104","Avg_Suplr_Sbmtd_Chrg":"1.2090972469","Avg_Suplr_Mdcr_Alowd_Amt":"0.1859303787","Avg_Suplr_Mdcr_Pymt_Amt":"0.1341249911","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1341249516"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6251","Tot_Suplrs":"2809","Tot_Suplr_Benes":"14642","Tot_Suplr_Clms":"45239","Tot_Suplr_Srvcs":"4860883","Avg_Suplr_Sbmtd_Chrg":"1.7544289031","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856708668","Avg_Suplr_Mdcr_Pymt_Amt":"0.1344893736","Avg_Suplr_Mdcr_Stdzd_Amt":"0.134489349"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1052","Tot_Suplrs":"578","Tot_Suplr_Benes":"1681","Tot_Suplr_Clms":"5279","Tot_Suplr_Srvcs":"560435","Avg_Suplr_Sbmtd_Chrg":"1.4524650495","Avg_Suplr_Mdcr_Alowd_Amt":"0.1859457921","Avg_Suplr_Mdcr_Pymt_Amt":"0.1353917939","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1353917582"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"831","Tot_Suplrs":"532","Tot_Suplr_Benes":"1676","Tot_Suplr_Clms":"4798","Tot_Suplr_Srvcs":"509349","Avg_Suplr_Sbmtd_Chrg":"1.4536075068","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856375491","Avg_Suplr_Mdcr_Pymt_Amt":"0.135723502","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1357234234"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"203","Tot_Suplrs":"151","Tot_Suplr_Benes":"358","Tot_Suplr_Clms":"989","Tot_Suplr_Srvcs":"121160","Avg_Suplr_Sbmtd_Chrg":"1.499186035","Avg_Suplr_Mdcr_Alowd_Amt":"0.1841548366","Avg_Suplr_Mdcr_Pymt_Amt":"0.1342683229","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1342682403"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"87","Tot_Suplrs":"103","Tot_Suplr_Benes":"132","Tot_Suplr_Clms":"345","Tot_Suplr_Srvcs":"36478","Avg_Suplr_Sbmtd_Chrg":"1.5164192116","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855112671","Avg_Suplr_Mdcr_Pymt_Amt":"0.1348955535","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1348952793"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4450","Tot_Suplrs":"2554","Tot_Suplr_Benes":"10571","Tot_Suplr_Clms":"29480","Tot_Suplr_Srvcs":"3328561","Avg_Suplr_Sbmtd_Chrg":"1.4726413696","Avg_Suplr_Mdcr_Alowd_Amt":"0.1861066539","Avg_Suplr_Mdcr_Pymt_Amt":"0.1365026538","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1365026388"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1237","Tot_Suplrs":"1020","Tot_Suplr_Benes":"2588","Tot_Suplr_Clms":"8058","Tot_Suplr_Srvcs":"884631","Avg_Suplr_Sbmtd_Chrg":"1.4606003181","Avg_Suplr_Mdcr_Alowd_Amt":"0.1858504732","Avg_Suplr_Mdcr_Pymt_Amt":"0.1353201278","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1353200148"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"83","Tot_Suplrs":"66","Tot_Suplr_Benes":"112","Tot_Suplr_Clms":"335","Tot_Suplr_Srvcs":"27333","Avg_Suplr_Sbmtd_Chrg":"1.6427673508","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853228698","Avg_Suplr_Mdcr_Pymt_Amt":"0.1254450664","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1254450664"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"519","Tot_Suplrs":"214","Tot_Suplr_Benes":"981","Tot_Suplr_Clms":"3416","Tot_Suplr_Srvcs":"384373","Avg_Suplr_Sbmtd_Chrg":"1.3749164483","Avg_Suplr_Mdcr_Alowd_Amt":"0.1857107809","Avg_Suplr_Mdcr_Pymt_Amt":"0.1348123307","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1348123047"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3232","Tot_Suplrs":"1662","Tot_Suplr_Benes":"7750","Tot_Suplr_Clms":"24345","Tot_Suplr_Srvcs":"2840818","Avg_Suplr_Sbmtd_Chrg":"1.7069379841","Avg_Suplr_Mdcr_Alowd_Amt":"0.1846009952","Avg_Suplr_Mdcr_Pymt_Amt":"0.13360537","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1336053559"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2304","Tot_Suplrs":"1066","Tot_Suplr_Benes":"5400","Tot_Suplr_Clms":"16835","Tot_Suplr_Srvcs":"1966173","Avg_Suplr_Sbmtd_Chrg":"1.5381244072","Avg_Suplr_Mdcr_Alowd_Amt":"0.184831406","Avg_Suplr_Mdcr_Pymt_Amt":"0.1330780964","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1330780811"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1596","Tot_Suplrs":"678","Tot_Suplr_Benes":"3531","Tot_Suplr_Clms":"12631","Tot_Suplr_Srvcs":"1156160","Avg_Suplr_Sbmtd_Chrg":"2.8714732563","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852022903","Avg_Suplr_Mdcr_Pymt_Amt":"0.1321808314","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1321807968"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1201","Tot_Suplrs":"491","Tot_Suplr_Benes":"2903","Tot_Suplr_Clms":"11053","Tot_Suplr_Srvcs":"1173639","Avg_Suplr_Sbmtd_Chrg":"1.5761597391","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856365543","Avg_Suplr_Mdcr_Pymt_Amt":"0.1341501177","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1341500836"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1853","Tot_Suplrs":"840","Tot_Suplr_Benes":"3871","Tot_Suplr_Clms":"11937","Tot_Suplr_Srvcs":"1338971","Avg_Suplr_Sbmtd_Chrg":"1.7694341252","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853414824","Avg_Suplr_Mdcr_Pymt_Amt":"0.1338366253","Avg_Suplr_Mdcr_Stdzd_Amt":"0.133836573"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"944","Tot_Suplrs":"492","Tot_Suplr_Benes":"2177","Tot_Suplr_Clms":"7111","Tot_Suplr_Srvcs":"835065","Avg_Suplr_Sbmtd_Chrg":"1.5000932981","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860291834","Avg_Suplr_Mdcr_Pymt_Amt":"0.1352361553","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1352360834"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"573","Tot_Suplrs":"270","Tot_Suplr_Benes":"915","Tot_Suplr_Clms":"2537","Tot_Suplr_Srvcs":"288601","Avg_Suplr_Sbmtd_Chrg":"1.6739792655","Avg_Suplr_Mdcr_Alowd_Amt":"0.1846645022","Avg_Suplr_Mdcr_Pymt_Amt":"0.1301145873","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1301144833"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1423","Tot_Suplrs":"704","Tot_Suplr_Benes":"3191","Tot_Suplr_Clms":"8710","Tot_Suplr_Srvcs":"1013087","Avg_Suplr_Sbmtd_Chrg":"1.6384289503","Avg_Suplr_Mdcr_Alowd_Amt":"0.1851307341","Avg_Suplr_Mdcr_Pymt_Amt":"0.1328643641","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1328643443"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2333","Tot_Suplrs":"987","Tot_Suplr_Benes":"4548","Tot_Suplr_Clms":"13272","Tot_Suplr_Srvcs":"1384651","Avg_Suplr_Sbmtd_Chrg":"1.5414165952","Avg_Suplr_Mdcr_Alowd_Amt":"0.1851340157","Avg_Suplr_Mdcr_Pymt_Amt":"0.1343218327","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1343218183"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2590","Tot_Suplrs":"1151","Tot_Suplr_Benes":"4626","Tot_Suplr_Clms":"14613","Tot_Suplr_Srvcs":"1810632","Avg_Suplr_Sbmtd_Chrg":"1.5853783927","Avg_Suplr_Mdcr_Alowd_Amt":"0.1851802299","Avg_Suplr_Mdcr_Pymt_Amt":"0.1326859351","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1326858909"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2487","Tot_Suplrs":"933","Tot_Suplr_Benes":"4209","Tot_Suplr_Clms":"14144","Tot_Suplr_Srvcs":"1286786","Avg_Suplr_Sbmtd_Chrg":"2.029064965","Avg_Suplr_Mdcr_Alowd_Amt":"0.184907335","Avg_Suplr_Mdcr_Pymt_Amt":"0.1342399746","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1342399513"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"874","Tot_Suplrs":"333","Tot_Suplr_Benes":"2258","Tot_Suplr_Clms":"8066","Tot_Suplr_Srvcs":"945853","Avg_Suplr_Sbmtd_Chrg":"1.4176208777","Avg_Suplr_Mdcr_Alowd_Amt":"0.185722866","Avg_Suplr_Mdcr_Pymt_Amt":"0.1339729747","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1339729535"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1911","Tot_Suplrs":"908","Tot_Suplr_Benes":"4713","Tot_Suplr_Clms":"16015","Tot_Suplr_Srvcs":"1875725","Avg_Suplr_Sbmtd_Chrg":"1.7492793826","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854620373","Avg_Suplr_Mdcr_Pymt_Amt":"0.1344766957","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1344760453"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"497","Tot_Suplrs":"186","Tot_Suplr_Benes":"958","Tot_Suplr_Clms":"3593","Tot_Suplr_Srvcs":"365410","Avg_Suplr_Sbmtd_Chrg":"1.5825723434","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854512465","Avg_Suplr_Mdcr_Pymt_Amt":"0.1329638488","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1329638488"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"870","Tot_Suplrs":"373","Tot_Suplr_Benes":"1882","Tot_Suplr_Clms":"6464","Tot_Suplr_Srvcs":"617240","Avg_Suplr_Sbmtd_Chrg":"1.7032377519","Avg_Suplr_Mdcr_Alowd_Amt":"0.185668978","Avg_Suplr_Mdcr_Pymt_Amt":"0.1329394563","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1329394077"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"490","Tot_Suplrs":"320","Tot_Suplr_Benes":"992","Tot_Suplr_Clms":"2764","Tot_Suplr_Srvcs":"339392","Avg_Suplr_Sbmtd_Chrg":"1.3050423699","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852618211","Avg_Suplr_Mdcr_Pymt_Amt":"0.1343370792","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1343370792"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"647","Tot_Suplrs":"289","Tot_Suplr_Benes":"1300","Tot_Suplr_Clms":"4160","Tot_Suplr_Srvcs":"434990","Avg_Suplr_Sbmtd_Chrg":"1.4208017885","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853957332","Avg_Suplr_Mdcr_Pymt_Amt":"0.1323468126","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1323468126"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2084","Tot_Suplrs":"1250","Tot_Suplr_Benes":"4929","Tot_Suplr_Clms":"13853","Tot_Suplr_Srvcs":"1408867","Avg_Suplr_Sbmtd_Chrg":"2.0696550207","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852710085","Avg_Suplr_Mdcr_Pymt_Amt":"0.1360074372","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1360073733"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"374","Tot_Suplrs":"193","Tot_Suplr_Benes":"597","Tot_Suplr_Clms":"1627","Tot_Suplr_Srvcs":"183128","Avg_Suplr_Sbmtd_Chrg":"1.3660221812","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860174304","Avg_Suplr_Mdcr_Pymt_Amt":"0.1319955987","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1319955441"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3983","Tot_Suplrs":"2311","Tot_Suplr_Benes":"7952","Tot_Suplr_Clms":"21691","Tot_Suplr_Srvcs":"2264751","Avg_Suplr_Sbmtd_Chrg":"2.0765042912","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853500009","Avg_Suplr_Mdcr_Pymt_Amt":"0.1343628372","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1343628152"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2436","Tot_Suplrs":"1261","Tot_Suplr_Benes":"4666","Tot_Suplr_Clms":"14061","Tot_Suplr_Srvcs":"1588494","Avg_Suplr_Sbmtd_Chrg":"1.5883507083","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860530855","Avg_Suplr_Mdcr_Pymt_Amt":"0.1353368159","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1353368033"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"461","Tot_Suplrs":"197","Tot_Suplr_Benes":"1072","Tot_Suplr_Clms":"4042","Tot_Suplr_Srvcs":"358430","Avg_Suplr_Sbmtd_Chrg":"2.3145093603","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860989594","Avg_Suplr_Mdcr_Pymt_Amt":"0.1336250314","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1336250314"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3088","Tot_Suplrs":"1550","Tot_Suplr_Benes":"6486","Tot_Suplr_Clms":"19981","Tot_Suplr_Srvcs":"2355604","Avg_Suplr_Sbmtd_Chrg":"1.4797537362","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853548771","Avg_Suplr_Mdcr_Pymt_Amt":"0.1335305595","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1335305382"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1276","Tot_Suplrs":"517","Tot_Suplr_Benes":"3090","Tot_Suplr_Clms":"9771","Tot_Suplr_Srvcs":"1166427","Avg_Suplr_Sbmtd_Chrg":"1.5321316808","Avg_Suplr_Mdcr_Alowd_Amt":"0.1861341258","Avg_Suplr_Mdcr_Pymt_Amt":"0.1335504751","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1335503894"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1076","Tot_Suplrs":"409","Tot_Suplr_Benes":"2003","Tot_Suplr_Clms":"6853","Tot_Suplr_Srvcs":"791068","Avg_Suplr_Sbmtd_Chrg":"1.3027754378","Avg_Suplr_Mdcr_Alowd_Amt":"0.1857302659","Avg_Suplr_Mdcr_Pymt_Amt":"0.1319165103","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1319164977"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3024","Tot_Suplrs":"1789","Tot_Suplr_Benes":"5450","Tot_Suplr_Clms":"17044","Tot_Suplr_Srvcs":"1803114","Avg_Suplr_Sbmtd_Chrg":"1.7806708284","Avg_Suplr_Mdcr_Alowd_Amt":"0.1858219946","Avg_Suplr_Mdcr_Pymt_Amt":"0.1342740836","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1342740614"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"206","Tot_Suplrs":"194","Tot_Suplr_Benes":"369","Tot_Suplr_Clms":"958","Tot_Suplr_Srvcs":"100982","Avg_Suplr_Sbmtd_Chrg":"1.5474888594","Avg_Suplr_Mdcr_Alowd_Amt":"0.1846697431","Avg_Suplr_Mdcr_Pymt_Amt":"0.1334049633","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1334049633"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1131","Tot_Suplrs":"640","Tot_Suplr_Benes":"2542","Tot_Suplr_Clms":"7876","Tot_Suplr_Srvcs":"868500","Avg_Suplr_Sbmtd_Chrg":"1.3077701094","Avg_Suplr_Mdcr_Alowd_Amt":"0.1858354634","Avg_Suplr_Mdcr_Pymt_Amt":"0.135869787","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1358696373"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"547","Tot_Suplrs":"249","Tot_Suplr_Benes":"1354","Tot_Suplr_Clms":"5183","Tot_Suplr_Srvcs":"477827","Avg_Suplr_Sbmtd_Chrg":"2.0005996312","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854593399","Avg_Suplr_Mdcr_Pymt_Amt":"0.1345377302","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1345376674"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1961","Tot_Suplrs":"1031","Tot_Suplr_Benes":"4169","Tot_Suplr_Clms":"12652","Tot_Suplr_Srvcs":"1560865","Avg_Suplr_Sbmtd_Chrg":"1.3849986194","Avg_Suplr_Mdcr_Alowd_Amt":"0.1861964167","Avg_Suplr_Mdcr_Pymt_Amt":"0.1354016267","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1354016138"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3941","Tot_Suplrs":"2299","Tot_Suplr_Benes":"8574","Tot_Suplr_Clms":"25334","Tot_Suplr_Srvcs":"2891430","Avg_Suplr_Sbmtd_Chrg":"1.3364023234","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860444106","Avg_Suplr_Mdcr_Pymt_Amt":"0.1356371207","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1356370758"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"325","Tot_Suplrs":"185","Tot_Suplr_Benes":"506","Tot_Suplr_Clms":"1516","Tot_Suplr_Srvcs":"157233","Avg_Suplr_Sbmtd_Chrg":"1.5907667602","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854699713","Avg_Suplr_Mdcr_Pymt_Amt":"0.1317142076","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1317140804"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"390","Tot_Suplrs":"146","Tot_Suplr_Benes":"752","Tot_Suplr_Clms":"2523","Tot_Suplr_Srvcs":"232769","Avg_Suplr_Sbmtd_Chrg":"1.5745865644","Avg_Suplr_Mdcr_Alowd_Amt":"0.1850861154","Avg_Suplr_Mdcr_Pymt_Amt":"0.1278135834","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1278135405"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1762","Tot_Suplrs":"932","Tot_Suplr_Benes":"3531","Tot_Suplr_Clms":"10869","Tot_Suplr_Srvcs":"1171472","Avg_Suplr_Sbmtd_Chrg":"1.450661706","Avg_Suplr_Mdcr_Alowd_Amt":"0.185866491","Avg_Suplr_Mdcr_Pymt_Amt":"0.1343467364","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1343467108"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1615","Tot_Suplrs":"754","Tot_Suplr_Benes":"3142","Tot_Suplr_Clms":"10109","Tot_Suplr_Srvcs":"1153619","Avg_Suplr_Sbmtd_Chrg":"1.4526310593","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855230366","Avg_Suplr_Mdcr_Pymt_Amt":"0.1329630667","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1329630493"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"667","Tot_Suplrs":"387","Tot_Suplr_Benes":"1243","Tot_Suplr_Clms":"4029","Tot_Suplr_Srvcs":"487968","Avg_Suplr_Sbmtd_Chrg":"1.4656277051","Avg_Suplr_Mdcr_Alowd_Amt":"0.1860334284","Avg_Suplr_Mdcr_Pymt_Amt":"0.1335666683","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1335666478"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2365","Tot_Suplrs":"981","Tot_Suplr_Benes":"4917","Tot_Suplr_Clms":"15293","Tot_Suplr_Srvcs":"1744813","Avg_Suplr_Sbmtd_Chrg":"1.7436129832","Avg_Suplr_Mdcr_Alowd_Amt":"0.1843738269","Avg_Suplr_Mdcr_Pymt_Amt":"0.1330334941","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1330334597"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"304","Tot_Suplrs":"96","Tot_Suplr_Benes":"621","Tot_Suplr_Clms":"2054","Tot_Suplr_Srvcs":"242260","Avg_Suplr_Sbmtd_Chrg":"1.4147871295","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853045901","Avg_Suplr_Mdcr_Pymt_Amt":"0.1312132007","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1312131594"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"18","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"104","Tot_Suplr_Srvcs":"11740","Avg_Suplr_Sbmtd_Chrg":"0.6918781942","Avg_Suplr_Mdcr_Alowd_Amt":"0.1715613288","Avg_Suplr_Mdcr_Pymt_Amt":"0.1301354344","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1301354344"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9C","Rfrg_Prvdr_Geo_Desc":"Armed Forces Pacific","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7620","HCPCS_Desc":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"1290","Avg_Suplr_Sbmtd_Chrg":"1.0374728682","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854651163","Avg_Suplr_Mdcr_Pymt_Amt":"0.1264728682","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1264728682"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"273","Tot_Suplrs":"308","Tot_Suplr_Benes":"289","Tot_Suplr_Clms":"1019","Tot_Suplr_Srvcs":"201352","Avg_Suplr_Sbmtd_Chrg":"5.1062380806","Avg_Suplr_Mdcr_Alowd_Amt":"0.7409687512","Avg_Suplr_Mdcr_Pymt_Amt":"0.5506660972","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5506660972"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"20","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"15000","Avg_Suplr_Sbmtd_Chrg":"4.0502726667","Avg_Suplr_Mdcr_Alowd_Amt":"0.779432","Avg_Suplr_Mdcr_Pymt_Amt":"0.57135","Avg_Suplr_Mdcr_Stdzd_Amt":"0.57135"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"37","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"16680","Avg_Suplr_Sbmtd_Chrg":"3.6142248201","Avg_Suplr_Mdcr_Alowd_Amt":"0.6938129496","Avg_Suplr_Mdcr_Pymt_Amt":"0.5271013189","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5271013189"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"9168","Avg_Suplr_Sbmtd_Chrg":"4.4467975567","Avg_Suplr_Mdcr_Alowd_Amt":"0.7469742583","Avg_Suplr_Mdcr_Pymt_Amt":"0.526258726","Avg_Suplr_Mdcr_Stdzd_Amt":"0.526258726"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"14","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"7440","Avg_Suplr_Sbmtd_Chrg":"7.0862137097","Avg_Suplr_Mdcr_Alowd_Amt":"0.7788064516","Avg_Suplr_Mdcr_Pymt_Amt":"0.5968817204","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5968817204"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"11","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"4560","Avg_Suplr_Sbmtd_Chrg":"5.7806425439","Avg_Suplr_Mdcr_Alowd_Amt":"0.7624210526","Avg_Suplr_Mdcr_Pymt_Amt":"0.5621403509","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5621403509"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"3720","Avg_Suplr_Sbmtd_Chrg":"5.5399193548","Avg_Suplr_Mdcr_Alowd_Amt":"0.795516129","Avg_Suplr_Mdcr_Pymt_Amt":"0.620844086","Avg_Suplr_Mdcr_Stdzd_Amt":"0.620844086"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"3360","Avg_Suplr_Sbmtd_Chrg":"5.3438630952","Avg_Suplr_Mdcr_Alowd_Amt":"0.7875714286","Avg_Suplr_Mdcr_Pymt_Amt":"0.6174494048","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6174494048"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"41","Tot_Suplr_Srvcs":"9360","Avg_Suplr_Sbmtd_Chrg":"4.433883547","Avg_Suplr_Mdcr_Alowd_Amt":"0.772","Avg_Suplr_Mdcr_Pymt_Amt":"0.5850715812","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5850715812"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"6120","Avg_Suplr_Sbmtd_Chrg":"4.1484689542","Avg_Suplr_Mdcr_Alowd_Amt":"0.7381143791","Avg_Suplr_Mdcr_Pymt_Amt":"0.5078986928","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5078986928"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"5340","Avg_Suplr_Sbmtd_Chrg":"4.8800131086","Avg_Suplr_Mdcr_Alowd_Amt":"0.7297191011","Avg_Suplr_Mdcr_Pymt_Amt":"0.5016217228","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5016217228"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"3360","Avg_Suplr_Sbmtd_Chrg":"4.3662708333","Avg_Suplr_Mdcr_Alowd_Amt":"0.6467857143","Avg_Suplr_Mdcr_Pymt_Amt":"0.4976666667","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4976666667"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"6180","Avg_Suplr_Sbmtd_Chrg":"4.6644093851","Avg_Suplr_Mdcr_Alowd_Amt":"0.7231359223","Avg_Suplr_Mdcr_Pymt_Amt":"0.520789644","Avg_Suplr_Mdcr_Stdzd_Amt":"0.520789644"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"3240","Avg_Suplr_Sbmtd_Chrg":"4.8078580247","Avg_Suplr_Mdcr_Alowd_Amt":"0.6845555556","Avg_Suplr_Mdcr_Pymt_Amt":"0.4800617284","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4800617284"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"34","Tot_Suplr_Benes":"49","Tot_Suplr_Clms":"192","Tot_Suplr_Srvcs":"34140","Avg_Suplr_Sbmtd_Chrg":"6.1641007616","Avg_Suplr_Mdcr_Alowd_Amt":"0.6686274165","Avg_Suplr_Mdcr_Pymt_Amt":"0.4984865261","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4984865261"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"3240","Avg_Suplr_Sbmtd_Chrg":"5.8936790123","Avg_Suplr_Mdcr_Alowd_Amt":"0.7312222222","Avg_Suplr_Mdcr_Pymt_Amt":"0.5732685185","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5732685185"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"15","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"8400","Avg_Suplr_Sbmtd_Chrg":"4.0736964286","Avg_Suplr_Mdcr_Alowd_Amt":"0.8183428571","Avg_Suplr_Mdcr_Pymt_Amt":"0.632077381","Avg_Suplr_Mdcr_Stdzd_Amt":"0.632077381"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"2760","Avg_Suplr_Sbmtd_Chrg":"6.2636557971","Avg_Suplr_Mdcr_Alowd_Amt":"0.7542173913","Avg_Suplr_Mdcr_Pymt_Amt":"0.5268876812","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5268876812"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"16","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"43","Tot_Suplr_Srvcs":"6480","Avg_Suplr_Sbmtd_Chrg":"7.07125","Avg_Suplr_Mdcr_Alowd_Amt":"0.7266666667","Avg_Suplr_Mdcr_Pymt_Amt":"0.5547299383","Avg_Suplr_Mdcr_Stdzd_Amt":"0.5547299383"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"11","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"4680","Avg_Suplr_Sbmtd_Chrg":"4.8710534188","Avg_Suplr_Mdcr_Alowd_Amt":"0.6406923077","Avg_Suplr_Mdcr_Pymt_Amt":"0.477758547","Avg_Suplr_Mdcr_Stdzd_Amt":"0.477758547"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"11","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"4320","Avg_Suplr_Sbmtd_Chrg":"4.7614861111","Avg_Suplr_Mdcr_Alowd_Amt":"0.6926666667","Avg_Suplr_Mdcr_Pymt_Amt":"0.4995509259","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4995509259"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7631","HCPCS_Desc":"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"27","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"106","Tot_Suplr_Srvcs":"19980","Avg_Suplr_Sbmtd_Chrg":"5.3849159159","Avg_Suplr_Mdcr_Alowd_Amt":"0.8278228228","Avg_Suplr_Mdcr_Pymt_Amt":"0.6262607608","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6262607608"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16044","Tot_Suplrs":"10940","Tot_Suplr_Benes":"21438","Tot_Suplr_Clms":"77497","Tot_Suplr_Srvcs":"3815491","Avg_Suplr_Sbmtd_Chrg":"2.7239860322","Avg_Suplr_Mdcr_Alowd_Amt":"0.3463045097","Avg_Suplr_Mdcr_Pymt_Amt":"0.2519563852","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2519471806"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"277","Tot_Suplrs":"189","Tot_Suplr_Benes":"354","Tot_Suplr_Clms":"1308","Tot_Suplr_Srvcs":"72077","Avg_Suplr_Sbmtd_Chrg":"1.9968157665","Avg_Suplr_Mdcr_Alowd_Amt":"0.3419458357","Avg_Suplr_Mdcr_Pymt_Amt":"0.2470077833","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2470009851"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"25","Tot_Suplrs":"17","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"2752","Avg_Suplr_Sbmtd_Chrg":"3.1580850291","Avg_Suplr_Mdcr_Alowd_Amt":"0.3445675872","Avg_Suplr_Mdcr_Pymt_Amt":"0.2510501453","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2510501453"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"280","Tot_Suplrs":"222","Tot_Suplr_Benes":"374","Tot_Suplr_Clms":"1182","Tot_Suplr_Srvcs":"59609","Avg_Suplr_Sbmtd_Chrg":"2.6656622322","Avg_Suplr_Mdcr_Alowd_Amt":"0.3462611351","Avg_Suplr_Mdcr_Pymt_Amt":"0.2535940881","Avg_Suplr_Mdcr_Stdzd_Amt":"0.253583687"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"223","Tot_Suplrs":"103","Tot_Suplr_Benes":"305","Tot_Suplr_Clms":"1367","Tot_Suplr_Srvcs":"71784","Avg_Suplr_Sbmtd_Chrg":"1.4243753483","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464369497","Avg_Suplr_Mdcr_Pymt_Amt":"0.2526361028","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2526235651"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1579","Tot_Suplrs":"1075","Tot_Suplr_Benes":"2150","Tot_Suplr_Clms":"6840","Tot_Suplr_Srvcs":"316960","Avg_Suplr_Sbmtd_Chrg":"5.0789915131","Avg_Suplr_Mdcr_Alowd_Amt":"0.3470626262","Avg_Suplr_Mdcr_Pymt_Amt":"0.2520448953","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2520364084"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"137","Tot_Suplrs":"95","Tot_Suplr_Benes":"146","Tot_Suplr_Clms":"496","Tot_Suplr_Srvcs":"23851","Avg_Suplr_Sbmtd_Chrg":"1.9932526938","Avg_Suplr_Mdcr_Alowd_Amt":"0.3436057188","Avg_Suplr_Mdcr_Pymt_Amt":"0.2492218356","Avg_Suplr_Mdcr_Stdzd_Amt":"0.249205484"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"139","Tot_Suplrs":"121","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"547","Tot_Suplr_Srvcs":"22989","Avg_Suplr_Sbmtd_Chrg":"2.6920092218","Avg_Suplr_Mdcr_Alowd_Amt":"0.3469150463","Avg_Suplr_Mdcr_Pymt_Amt":"0.2473987559","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2473900561"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"41","Tot_Suplrs":"34","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"122","Tot_Suplr_Srvcs":"7566","Avg_Suplr_Sbmtd_Chrg":"3.1142611684","Avg_Suplr_Mdcr_Alowd_Amt":"0.3459172614","Avg_Suplr_Mdcr_Pymt_Amt":"0.2558220989","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2558207772"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"20","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"73","Tot_Suplr_Srvcs":"3867","Avg_Suplr_Sbmtd_Chrg":"2.3786863201","Avg_Suplr_Mdcr_Alowd_Amt":"0.3471114559","Avg_Suplr_Mdcr_Pymt_Amt":"0.2561442979","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2561391259"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1250","Tot_Suplrs":"964","Tot_Suplr_Benes":"2139","Tot_Suplr_Clms":"6401","Tot_Suplr_Srvcs":"312530","Avg_Suplr_Sbmtd_Chrg":"2.6995881675","Avg_Suplr_Mdcr_Alowd_Amt":"0.3474219755","Avg_Suplr_Mdcr_Pymt_Amt":"0.2533235529","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2533137299"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"384","Tot_Suplrs":"315","Tot_Suplr_Benes":"490","Tot_Suplr_Clms":"1749","Tot_Suplr_Srvcs":"86186","Avg_Suplr_Sbmtd_Chrg":"2.3711315063","Avg_Suplr_Mdcr_Alowd_Amt":"0.346777899","Avg_Suplr_Mdcr_Pymt_Amt":"0.2533894136","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2533802474"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"16","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"2112","Avg_Suplr_Sbmtd_Chrg":"2.8522395833","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464772727","Avg_Suplr_Mdcr_Pymt_Amt":"0.2335416667","Avg_Suplr_Mdcr_Stdzd_Amt":"0.233532197"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"67","Tot_Suplrs":"44","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"519","Tot_Suplr_Srvcs":"20313","Avg_Suplr_Sbmtd_Chrg":"1.4164869788","Avg_Suplr_Mdcr_Alowd_Amt":"0.3435799734","Avg_Suplr_Mdcr_Pymt_Amt":"0.2590710383","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2590415005"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"634","Tot_Suplrs":"479","Tot_Suplr_Benes":"895","Tot_Suplr_Clms":"3596","Tot_Suplr_Srvcs":"182962","Avg_Suplr_Sbmtd_Chrg":"2.1364550016","Avg_Suplr_Mdcr_Alowd_Amt":"0.3452789104","Avg_Suplr_Mdcr_Pymt_Amt":"0.250252894","Avg_Suplr_Mdcr_Stdzd_Amt":"0.250244313"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"468","Tot_Suplrs":"412","Tot_Suplr_Benes":"723","Tot_Suplr_Clms":"2659","Tot_Suplr_Srvcs":"137794","Avg_Suplr_Sbmtd_Chrg":"2.7020603945","Avg_Suplr_Mdcr_Alowd_Amt":"0.3445041148","Avg_Suplr_Mdcr_Pymt_Amt":"0.2468744648","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2468673527"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"193","Tot_Suplrs":"161","Tot_Suplr_Benes":"248","Tot_Suplr_Clms":"965","Tot_Suplr_Srvcs":"41981","Avg_Suplr_Sbmtd_Chrg":"2.3934344108","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464676878","Avg_Suplr_Mdcr_Pymt_Amt":"0.2468750149","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2468647722"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"304","Tot_Suplrs":"180","Tot_Suplr_Benes":"516","Tot_Suplr_Clms":"2693","Tot_Suplr_Srvcs":"128281","Avg_Suplr_Sbmtd_Chrg":"2.4560896781","Avg_Suplr_Mdcr_Alowd_Amt":"0.3471101722","Avg_Suplr_Mdcr_Pymt_Amt":"0.2551299101","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2551177493"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"339","Tot_Suplrs":"239","Tot_Suplr_Benes":"409","Tot_Suplr_Clms":"1688","Tot_Suplr_Srvcs":"81633","Avg_Suplr_Sbmtd_Chrg":"2.4232445212","Avg_Suplr_Mdcr_Alowd_Amt":"0.3453406098","Avg_Suplr_Mdcr_Pymt_Amt":"0.2519265493","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2519168719"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"230","Tot_Suplrs":"169","Tot_Suplr_Benes":"318","Tot_Suplr_Clms":"1258","Tot_Suplr_Srvcs":"60945","Avg_Suplr_Sbmtd_Chrg":"1.8143424399","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464251374","Avg_Suplr_Mdcr_Pymt_Amt":"0.2522485848","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2522377554"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"55","Tot_Suplrs":"42","Tot_Suplr_Benes":"56","Tot_Suplr_Clms":"213","Tot_Suplr_Srvcs":"10171","Avg_Suplr_Sbmtd_Chrg":"1.5916812506","Avg_Suplr_Mdcr_Alowd_Amt":"0.343959296","Avg_Suplr_Mdcr_Pymt_Amt":"0.2345580572","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2345551077"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"257","Tot_Suplrs":"185","Tot_Suplr_Benes":"304","Tot_Suplr_Clms":"983","Tot_Suplr_Srvcs":"52171","Avg_Suplr_Sbmtd_Chrg":"2.5364382511","Avg_Suplr_Mdcr_Alowd_Amt":"0.3472979241","Avg_Suplr_Mdcr_Pymt_Amt":"0.2501790267","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2501719346"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"375","Tot_Suplrs":"295","Tot_Suplr_Benes":"485","Tot_Suplr_Clms":"1623","Tot_Suplr_Srvcs":"76670","Avg_Suplr_Sbmtd_Chrg":"2.2300965175","Avg_Suplr_Mdcr_Alowd_Amt":"0.3451994261","Avg_Suplr_Mdcr_Pymt_Amt":"0.2482862919","Avg_Suplr_Mdcr_Stdzd_Amt":"0.248277814"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"502","Tot_Suplrs":"335","Tot_Suplr_Benes":"564","Tot_Suplr_Clms":"2131","Tot_Suplr_Srvcs":"115078","Avg_Suplr_Sbmtd_Chrg":"2.4502493961","Avg_Suplr_Mdcr_Alowd_Amt":"0.3461285389","Avg_Suplr_Mdcr_Pymt_Amt":"0.2461892803","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2461829368"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"201","Tot_Suplrs":"157","Tot_Suplr_Benes":"204","Tot_Suplr_Clms":"790","Tot_Suplr_Srvcs":"32436","Avg_Suplr_Sbmtd_Chrg":"2.5476541497","Avg_Suplr_Mdcr_Alowd_Amt":"0.3453582439","Avg_Suplr_Mdcr_Pymt_Amt":"0.2502540387","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2502447897"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"202","Tot_Suplrs":"125","Tot_Suplr_Benes":"400","Tot_Suplr_Clms":"1867","Tot_Suplr_Srvcs":"103077","Avg_Suplr_Sbmtd_Chrg":"3.3424176101","Avg_Suplr_Mdcr_Alowd_Amt":"0.3442124819","Avg_Suplr_Mdcr_Pymt_Amt":"0.256975853","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2569677038"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"374","Tot_Suplrs":"220","Tot_Suplr_Benes":"466","Tot_Suplr_Clms":"1991","Tot_Suplr_Srvcs":"103941","Avg_Suplr_Sbmtd_Chrg":"1.8854295225","Avg_Suplr_Mdcr_Alowd_Amt":"0.3472193841","Avg_Suplr_Mdcr_Pymt_Amt":"0.2544215468","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2544121184"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"52","Tot_Suplrs":"39","Tot_Suplr_Benes":"54","Tot_Suplr_Clms":"210","Tot_Suplr_Srvcs":"8492","Avg_Suplr_Sbmtd_Chrg":"2.3643900141","Avg_Suplr_Mdcr_Alowd_Amt":"0.3474116816","Avg_Suplr_Mdcr_Pymt_Amt":"0.2541556759","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2541403674"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"126","Tot_Suplrs":"86","Tot_Suplr_Benes":"179","Tot_Suplr_Clms":"876","Tot_Suplr_Srvcs":"41621","Avg_Suplr_Sbmtd_Chrg":"2.2698716994","Avg_Suplr_Mdcr_Alowd_Amt":"0.3472698878","Avg_Suplr_Mdcr_Pymt_Amt":"0.2554455683","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2554376397"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"106","Tot_Suplrs":"85","Tot_Suplr_Benes":"137","Tot_Suplr_Clms":"373","Tot_Suplr_Srvcs":"20028","Avg_Suplr_Sbmtd_Chrg":"3.5924131216","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464175155","Avg_Suplr_Mdcr_Pymt_Amt":"0.2508173557","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2508043739"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"98","Tot_Suplrs":"80","Tot_Suplr_Benes":"127","Tot_Suplr_Clms":"493","Tot_Suplr_Srvcs":"23539","Avg_Suplr_Sbmtd_Chrg":"1.7188334254","Avg_Suplr_Mdcr_Alowd_Amt":"0.3463320447","Avg_Suplr_Mdcr_Pymt_Amt":"0.248836824","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2488266281"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"399","Tot_Suplrs":"356","Tot_Suplr_Benes":"542","Tot_Suplr_Clms":"1768","Tot_Suplr_Srvcs":"79557","Avg_Suplr_Sbmtd_Chrg":"3.088538155","Avg_Suplr_Mdcr_Alowd_Amt":"0.3473361238","Avg_Suplr_Mdcr_Pymt_Amt":"0.2568676546","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2568584788"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"72","Tot_Suplrs":"52","Tot_Suplr_Benes":"91","Tot_Suplr_Clms":"335","Tot_Suplr_Srvcs":"17374","Avg_Suplr_Sbmtd_Chrg":"2.2167716128","Avg_Suplr_Mdcr_Alowd_Amt":"0.3459997698","Avg_Suplr_Mdcr_Pymt_Amt":"0.2533348682","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2533239323"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1165","Tot_Suplrs":"911","Tot_Suplr_Benes":"1569","Tot_Suplr_Clms":"4836","Tot_Suplr_Srvcs":"219849","Avg_Suplr_Sbmtd_Chrg":"3.498100287","Avg_Suplr_Mdcr_Alowd_Amt":"0.3471843856","Avg_Suplr_Mdcr_Pymt_Amt":"0.2539344732","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2539278778"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"474","Tot_Suplrs":"330","Tot_Suplr_Benes":"569","Tot_Suplr_Clms":"1972","Tot_Suplr_Srvcs":"94935","Avg_Suplr_Sbmtd_Chrg":"2.3442916733","Avg_Suplr_Mdcr_Alowd_Amt":"0.3470437668","Avg_Suplr_Mdcr_Pymt_Amt":"0.2529088324","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2529004055"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"84","Tot_Suplrs":"64","Tot_Suplr_Benes":"104","Tot_Suplr_Clms":"564","Tot_Suplr_Srvcs":"25951","Avg_Suplr_Sbmtd_Chrg":"3.0690790336","Avg_Suplr_Mdcr_Alowd_Amt":"0.3475584756","Avg_Suplr_Mdcr_Pymt_Amt":"0.2530958345","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2530819622"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"642","Tot_Suplrs":"487","Tot_Suplr_Benes":"779","Tot_Suplr_Clms":"2801","Tot_Suplr_Srvcs":"151716","Avg_Suplr_Sbmtd_Chrg":"2.2935140658","Avg_Suplr_Mdcr_Alowd_Amt":"0.346372235","Avg_Suplr_Mdcr_Pymt_Amt":"0.2481599172","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2481528646"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"289","Tot_Suplrs":"189","Tot_Suplr_Benes":"370","Tot_Suplr_Clms":"1450","Tot_Suplr_Srvcs":"71010","Avg_Suplr_Sbmtd_Chrg":"2.1435047176","Avg_Suplr_Mdcr_Alowd_Amt":"0.3474336009","Avg_Suplr_Mdcr_Pymt_Amt":"0.2510183073","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2510069004"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"157","Tot_Suplrs":"69","Tot_Suplr_Benes":"155","Tot_Suplr_Clms":"663","Tot_Suplr_Srvcs":"33827","Avg_Suplr_Sbmtd_Chrg":"1.8152425577","Avg_Suplr_Mdcr_Alowd_Amt":"0.3487167056","Avg_Suplr_Mdcr_Pymt_Amt":"0.2569633725","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2569515476"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"560","Tot_Suplrs":"465","Tot_Suplr_Benes":"726","Tot_Suplr_Clms":"2682","Tot_Suplr_Srvcs":"125477","Avg_Suplr_Sbmtd_Chrg":"4.3446425241","Avg_Suplr_Mdcr_Alowd_Amt":"0.3470510133","Avg_Suplr_Mdcr_Pymt_Amt":"0.2556482064","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2556417511"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"26","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"93","Tot_Suplr_Srvcs":"3779","Avg_Suplr_Sbmtd_Chrg":"2.2524106907","Avg_Suplr_Mdcr_Alowd_Amt":"0.3451124636","Avg_Suplr_Mdcr_Pymt_Amt":"0.2557660757","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2557581371"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"179","Tot_Suplrs":"131","Tot_Suplr_Benes":"225","Tot_Suplr_Clms":"770","Tot_Suplr_Srvcs":"36611","Avg_Suplr_Sbmtd_Chrg":"2.1672101281","Avg_Suplr_Mdcr_Alowd_Amt":"0.345043293","Avg_Suplr_Mdcr_Pymt_Amt":"0.2528188249","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2528098113"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"69","Tot_Suplrs":"59","Tot_Suplr_Benes":"74","Tot_Suplr_Clms":"337","Tot_Suplr_Srvcs":"15194","Avg_Suplr_Sbmtd_Chrg":"2.491882322","Avg_Suplr_Mdcr_Alowd_Amt":"0.3454054232","Avg_Suplr_Mdcr_Pymt_Amt":"0.2459056206","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2458917994"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"358","Tot_Suplrs":"268","Tot_Suplr_Benes":"465","Tot_Suplr_Clms":"1720","Tot_Suplr_Srvcs":"93897","Avg_Suplr_Sbmtd_Chrg":"2.0524836789","Avg_Suplr_Mdcr_Alowd_Amt":"0.3475419875","Avg_Suplr_Mdcr_Pymt_Amt":"0.2523672748","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2523566248"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1199","Tot_Suplrs":"1001","Tot_Suplr_Benes":"1919","Tot_Suplr_Clms":"6387","Tot_Suplr_Srvcs":"318953","Avg_Suplr_Sbmtd_Chrg":"2.2436259261","Avg_Suplr_Mdcr_Alowd_Amt":"0.3473616175","Avg_Suplr_Mdcr_Pymt_Amt":"0.2558575088","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2558474133"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"29","Tot_Suplr_Benes":"72","Tot_Suplr_Clms":"316","Tot_Suplr_Srvcs":"14364","Avg_Suplr_Sbmtd_Chrg":"1.3745126706","Avg_Suplr_Mdcr_Alowd_Amt":"0.3448579783","Avg_Suplr_Mdcr_Pymt_Amt":"0.2526315789","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2526141743"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"34","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"198","Tot_Suplr_Srvcs":"7888","Avg_Suplr_Sbmtd_Chrg":"3.6727383367","Avg_Suplr_Mdcr_Alowd_Amt":"0.3456161258","Avg_Suplr_Mdcr_Pymt_Amt":"0.2290403144","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2290339757"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"489","Tot_Suplrs":"353","Tot_Suplr_Benes":"633","Tot_Suplr_Clms":"2082","Tot_Suplr_Srvcs":"98912","Avg_Suplr_Sbmtd_Chrg":"2.5359782433","Avg_Suplr_Mdcr_Alowd_Amt":"0.3464424943","Avg_Suplr_Mdcr_Pymt_Amt":"0.2492127346","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2492037367"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"243","Tot_Suplrs":"156","Tot_Suplr_Benes":"272","Tot_Suplr_Clms":"1068","Tot_Suplr_Srvcs":"57701","Avg_Suplr_Sbmtd_Chrg":"2.0771669468","Avg_Suplr_Mdcr_Alowd_Amt":"0.3455026776","Avg_Suplr_Mdcr_Pymt_Amt":"0.2507493804","Avg_Suplr_Mdcr_Stdzd_Amt":"0.250736729"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"193","Tot_Suplrs":"135","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"828","Tot_Suplr_Srvcs":"42718","Avg_Suplr_Sbmtd_Chrg":"2.6266796198","Avg_Suplr_Mdcr_Alowd_Amt":"0.3473863477","Avg_Suplr_Mdcr_Pymt_Amt":"0.2475855611","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2475787724"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"266","Tot_Suplrs":"210","Tot_Suplr_Benes":"301","Tot_Suplr_Clms":"868","Tot_Suplr_Srvcs":"51306","Avg_Suplr_Sbmtd_Chrg":"2.9483222235","Avg_Suplr_Mdcr_Alowd_Amt":"0.3431565509","Avg_Suplr_Mdcr_Pymt_Amt":"0.2443653764","Avg_Suplr_Mdcr_Stdzd_Amt":"0.24435758"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"50","Tot_Suplrs":"23","Tot_Suplr_Benes":"51","Tot_Suplr_Clms":"226","Tot_Suplr_Srvcs":"11591","Avg_Suplr_Sbmtd_Chrg":"1.4585713053","Avg_Suplr_Mdcr_Alowd_Amt":"0.3454041929","Avg_Suplr_Mdcr_Pymt_Amt":"0.252532137","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2525131568"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7644","HCPCS_Desc":"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"16","Tot_Suplr_Benes":"132","Tot_Suplr_Clms":"397","Tot_Suplr_Srvcs":"19314","Avg_Suplr_Sbmtd_Chrg":"0.4884379207","Avg_Suplr_Mdcr_Alowd_Amt":"0.3213746505","Avg_Suplr_Mdcr_Pymt_Amt":"0.2406378793","Avg_Suplr_Mdcr_Stdzd_Amt":"0.2406259708"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10496","Tot_Suplrs":"4532","Tot_Suplr_Benes":"29205","Tot_Suplr_Clms":"175727","Tot_Suplr_Srvcs":"958949100","Avg_Suplr_Sbmtd_Chrg":"0.4401837455","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854910589","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446804226","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144680418"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"235","Tot_Suplrs":"42","Tot_Suplr_Benes":"571","Tot_Suplr_Clms":"3452","Tot_Suplr_Srvcs":"18738968","Avg_Suplr_Sbmtd_Chrg":"0.4478941588","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855413713","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447202114","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447202076"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"141749","Avg_Suplr_Sbmtd_Chrg":"0.3710509422","Avg_Suplr_Mdcr_Alowd_Amt":"0.1862222661","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446709324","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446709324"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"227","Tot_Suplrs":"109","Tot_Suplr_Benes":"768","Tot_Suplr_Clms":"4433","Tot_Suplr_Srvcs":"24192445","Avg_Suplr_Sbmtd_Chrg":"0.4553350465","Avg_Suplr_Mdcr_Alowd_Amt":"0.1857069345","Avg_Suplr_Mdcr_Pymt_Amt":"0.1449819028","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1449818987"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"232","Tot_Suplrs":"31","Tot_Suplr_Benes":"513","Tot_Suplr_Clms":"3110","Tot_Suplr_Srvcs":"17158959","Avg_Suplr_Sbmtd_Chrg":"0.4404167042","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852623064","Avg_Suplr_Mdcr_Pymt_Amt":"0.144543972","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445439715"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"757","Tot_Suplrs":"324","Tot_Suplr_Benes":"2442","Tot_Suplr_Clms":"12053","Tot_Suplr_Srvcs":"67562427","Avg_Suplr_Sbmtd_Chrg":"0.4595224739","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853651422","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446449425","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446449387"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"108","Tot_Suplrs":"44","Tot_Suplr_Benes":"231","Tot_Suplr_Clms":"1399","Tot_Suplr_Srvcs":"7689515","Avg_Suplr_Sbmtd_Chrg":"0.4160902294","Avg_Suplr_Mdcr_Alowd_Amt":"0.185390773","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444945709","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444945657"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"92","Tot_Suplrs":"71","Tot_Suplr_Benes":"181","Tot_Suplr_Clms":"940","Tot_Suplr_Srvcs":"5334835","Avg_Suplr_Sbmtd_Chrg":"0.4090601996","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852632237","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446576886","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446576867"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"31","Tot_Suplrs":"21","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"391","Tot_Suplr_Srvcs":"2136748","Avg_Suplr_Sbmtd_Chrg":"0.4453212686","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853881974","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446302044","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144630195"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"199497","Avg_Suplr_Sbmtd_Chrg":"0.4599033569","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853157692","Avg_Suplr_Mdcr_Pymt_Amt":"0.1445819737","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445819737"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"540","Tot_Suplrs":"253","Tot_Suplr_Benes":"1688","Tot_Suplr_Clms":"9423","Tot_Suplr_Srvcs":"51155866","Avg_Suplr_Sbmtd_Chrg":"0.4368614135","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855100858","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447592974","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144759288"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"256","Tot_Suplrs":"115","Tot_Suplr_Benes":"710","Tot_Suplr_Clms":"4264","Tot_Suplr_Srvcs":"22925052","Avg_Suplr_Sbmtd_Chrg":"0.4287421184","Avg_Suplr_Mdcr_Alowd_Amt":"0.1857639765","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447940415","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447940367"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"146994","Avg_Suplr_Sbmtd_Chrg":"0.3571611766","Avg_Suplr_Mdcr_Alowd_Amt":"0.1858215301","Avg_Suplr_Mdcr_Pymt_Amt":"0.1456841776","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1456841776"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"79","Tot_Suplrs":"39","Tot_Suplr_Benes":"188","Tot_Suplr_Clms":"1122","Tot_Suplr_Srvcs":"6114415","Avg_Suplr_Sbmtd_Chrg":"0.4575470981","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852947911","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446491381","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446491381"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"477","Tot_Suplrs":"261","Tot_Suplr_Benes":"1313","Tot_Suplr_Clms":"7851","Tot_Suplr_Srvcs":"43216025","Avg_Suplr_Sbmtd_Chrg":"0.4564738592","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853341239","Avg_Suplr_Mdcr_Pymt_Amt":"0.144570739","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445707355"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"299","Tot_Suplrs":"178","Tot_Suplr_Benes":"1034","Tot_Suplr_Clms":"6769","Tot_Suplr_Srvcs":"36853874","Avg_Suplr_Sbmtd_Chrg":"0.4523941478","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855880337","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446341318","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446341294"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"226","Tot_Suplrs":"189","Tot_Suplr_Benes":"693","Tot_Suplr_Clms":"4288","Tot_Suplr_Srvcs":"22912649","Avg_Suplr_Sbmtd_Chrg":"0.3825345241","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852362741","Avg_Suplr_Mdcr_Pymt_Amt":"0.1443048781","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1443048715"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"295","Tot_Suplrs":"156","Tot_Suplr_Benes":"1129","Tot_Suplr_Clms":"7569","Tot_Suplr_Srvcs":"40912928","Avg_Suplr_Sbmtd_Chrg":"0.4059181807","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854237802","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444997127","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444997097"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"274","Tot_Suplrs":"114","Tot_Suplr_Benes":"851","Tot_Suplr_Clms":"5103","Tot_Suplr_Srvcs":"27198801","Avg_Suplr_Sbmtd_Chrg":"0.443954546","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856371713","Avg_Suplr_Mdcr_Pymt_Amt":"0.1449504061","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1449504035"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"109","Tot_Suplrs":"34","Tot_Suplr_Benes":"311","Tot_Suplr_Clms":"1997","Tot_Suplr_Srvcs":"11067138","Avg_Suplr_Sbmtd_Chrg":"0.4826404857","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854340689","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446181208","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446181181"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"28","Tot_Suplr_Benes":"69","Tot_Suplr_Clms":"353","Tot_Suplr_Srvcs":"1973112","Avg_Suplr_Sbmtd_Chrg":"0.4497986227","Avg_Suplr_Mdcr_Alowd_Amt":"0.1851911143","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444197086","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444197035"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"169","Tot_Suplrs":"109","Tot_Suplr_Benes":"653","Tot_Suplr_Clms":"3655","Tot_Suplr_Srvcs":"19608395","Avg_Suplr_Sbmtd_Chrg":"0.4499858285","Avg_Suplr_Mdcr_Alowd_Amt":"0.1858321296","Avg_Suplr_Mdcr_Pymt_Amt":"0.1449370379","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1449370349"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"269","Tot_Suplrs":"166","Tot_Suplr_Benes":"785","Tot_Suplr_Clms":"4637","Tot_Suplr_Srvcs":"25211080","Avg_Suplr_Sbmtd_Chrg":"0.4488718916","Avg_Suplr_Mdcr_Alowd_Amt":"0.185495266","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447912838","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447912807"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"289","Tot_Suplrs":"108","Tot_Suplr_Benes":"643","Tot_Suplr_Clms":"3893","Tot_Suplr_Srvcs":"21481720","Avg_Suplr_Sbmtd_Chrg":"0.4672009555","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855830664","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446660286","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446660277"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"150","Tot_Suplrs":"111","Tot_Suplr_Benes":"204","Tot_Suplr_Clms":"1249","Tot_Suplr_Srvcs":"6692790","Avg_Suplr_Sbmtd_Chrg":"0.4099565353","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853881505","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444711877","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444711862"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"168","Tot_Suplrs":"54","Tot_Suplr_Benes":"512","Tot_Suplr_Clms":"3092","Tot_Suplr_Srvcs":"16995930","Avg_Suplr_Sbmtd_Chrg":"0.4313971227","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853167194","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446474909","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446474891"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"405","Tot_Suplrs":"151","Tot_Suplr_Benes":"1073","Tot_Suplr_Clms":"7337","Tot_Suplr_Srvcs":"40359552","Avg_Suplr_Sbmtd_Chrg":"0.4529109942","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852969807","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446246081","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446246053"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"20","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"429","Tot_Suplr_Srvcs":"2428114","Avg_Suplr_Sbmtd_Chrg":"0.4772512946","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854940542","Avg_Suplr_Mdcr_Pymt_Amt":"0.1443095917","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1443095876"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"176","Tot_Suplrs":"101","Tot_Suplr_Benes":"445","Tot_Suplr_Clms":"2787","Tot_Suplr_Srvcs":"15273668","Avg_Suplr_Sbmtd_Chrg":"0.465859305","Avg_Suplr_Mdcr_Alowd_Amt":"0.185396413","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444448079","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444448026"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"55","Tot_Suplrs":"28","Tot_Suplr_Benes":"127","Tot_Suplr_Clms":"709","Tot_Suplr_Srvcs":"3963725","Avg_Suplr_Sbmtd_Chrg":"0.4618389041","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854900706","Avg_Suplr_Mdcr_Pymt_Amt":"0.1449131511","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1449131486"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"52","Tot_Suplrs":"38","Tot_Suplr_Benes":"122","Tot_Suplr_Clms":"708","Tot_Suplr_Srvcs":"3886725","Avg_Suplr_Sbmtd_Chrg":"0.4554449492","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854245592","Avg_Suplr_Mdcr_Pymt_Amt":"0.1442797857","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144279778"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"356","Tot_Suplrs":"242","Tot_Suplr_Benes":"1564","Tot_Suplr_Clms":"8567","Tot_Suplr_Srvcs":"45834849","Avg_Suplr_Sbmtd_Chrg":"0.4417006579","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856804154","Avg_Suplr_Mdcr_Pymt_Amt":"0.1448260408","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1448260377"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"60","Tot_Suplrs":"26","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"628","Tot_Suplr_Srvcs":"3764234","Avg_Suplr_Sbmtd_Chrg":"0.4816696677","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854523523","Avg_Suplr_Mdcr_Pymt_Amt":"0.144673769","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144673761"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"374","Tot_Suplrs":"209","Tot_Suplr_Benes":"983","Tot_Suplr_Clms":"4835","Tot_Suplr_Srvcs":"25871484","Avg_Suplr_Sbmtd_Chrg":"0.3928513726","Avg_Suplr_Mdcr_Alowd_Amt":"0.185385085","Avg_Suplr_Mdcr_Pymt_Amt":"0.1445603132","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445603097"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"438","Tot_Suplrs":"148","Tot_Suplr_Benes":"910","Tot_Suplr_Clms":"5824","Tot_Suplr_Srvcs":"31967092","Avg_Suplr_Sbmtd_Chrg":"0.4599462397","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854933405","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447284329","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447284273"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"81","Tot_Suplrs":"69","Tot_Suplr_Benes":"213","Tot_Suplr_Clms":"1259","Tot_Suplr_Srvcs":"6831659","Avg_Suplr_Sbmtd_Chrg":"0.4090390431","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853124607","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444253702","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444253585"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"282","Tot_Suplrs":"159","Tot_Suplr_Benes":"625","Tot_Suplr_Clms":"3641","Tot_Suplr_Srvcs":"20015038","Avg_Suplr_Sbmtd_Chrg":"0.4479666644","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855645955","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447388628","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447388574"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"192","Tot_Suplrs":"119","Tot_Suplr_Benes":"639","Tot_Suplr_Clms":"3824","Tot_Suplr_Srvcs":"20967070","Avg_Suplr_Sbmtd_Chrg":"0.4192170079","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854600171","Avg_Suplr_Mdcr_Pymt_Amt":"0.1445866928","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445866618"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"77","Tot_Suplrs":"36","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"640","Tot_Suplr_Srvcs":"3597960","Avg_Suplr_Sbmtd_Chrg":"0.4534788658","Avg_Suplr_Mdcr_Alowd_Amt":"0.185352622","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446257073","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446257046"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"442","Tot_Suplrs":"336","Tot_Suplr_Benes":"1374","Tot_Suplr_Clms":"7651","Tot_Suplr_Srvcs":"41095467","Avg_Suplr_Sbmtd_Chrg":"0.4067713811","Avg_Suplr_Mdcr_Alowd_Amt":"0.185429283","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446074955","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446074902"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"25","Tot_Suplr_Benes":"84","Tot_Suplr_Clms":"464","Tot_Suplr_Srvcs":"2509481","Avg_Suplr_Sbmtd_Chrg":"0.4600415783","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856443384","Avg_Suplr_Mdcr_Pymt_Amt":"0.144761634","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144761618"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"163","Tot_Suplrs":"72","Tot_Suplr_Benes":"433","Tot_Suplr_Clms":"2714","Tot_Suplr_Srvcs":"14558787","Avg_Suplr_Sbmtd_Chrg":"0.4149867039","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855432249","Avg_Suplr_Mdcr_Pymt_Amt":"0.144800856","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1448008519"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"142","Tot_Suplrs":"135","Tot_Suplr_Benes":"469","Tot_Suplr_Clms":"2628","Tot_Suplr_Srvcs":"14359938","Avg_Suplr_Sbmtd_Chrg":"0.371354432","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853755483","Avg_Suplr_Mdcr_Pymt_Amt":"0.1445939962","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445939878"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"292","Tot_Suplrs":"109","Tot_Suplr_Benes":"720","Tot_Suplr_Clms":"3963","Tot_Suplr_Srvcs":"21694596","Avg_Suplr_Sbmtd_Chrg":"0.4316313984","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855712999","Avg_Suplr_Mdcr_Pymt_Amt":"0.1448373872","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144837383"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"620","Tot_Suplrs":"311","Tot_Suplr_Benes":"2196","Tot_Suplr_Clms":"13621","Tot_Suplr_Srvcs":"74050345","Avg_Suplr_Sbmtd_Chrg":"0.4402143627","Avg_Suplr_Mdcr_Alowd_Amt":"0.1856816844","Avg_Suplr_Mdcr_Pymt_Amt":"0.1448171846","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1448171812"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"96","Tot_Suplrs":"19","Tot_Suplr_Benes":"193","Tot_Suplr_Clms":"1109","Tot_Suplr_Srvcs":"6125735","Avg_Suplr_Sbmtd_Chrg":"0.4793184328","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855460953","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446268652","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446268652"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23","Tot_Suplrs":"12","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"251","Tot_Suplr_Srvcs":"1459229","Avg_Suplr_Sbmtd_Chrg":"0.4586709831","Avg_Suplr_Mdcr_Alowd_Amt":"0.1845948785","Avg_Suplr_Mdcr_Pymt_Amt":"0.1434429689","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1434429689"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"325","Tot_Suplrs":"123","Tot_Suplr_Benes":"1009","Tot_Suplr_Clms":"6195","Tot_Suplr_Srvcs":"33990102","Avg_Suplr_Sbmtd_Chrg":"0.4710469548","Avg_Suplr_Mdcr_Alowd_Amt":"0.1855281876","Avg_Suplr_Mdcr_Pymt_Amt":"0.1447152868","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1447152839"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"160","Tot_Suplrs":"68","Tot_Suplr_Benes":"376","Tot_Suplr_Clms":"2234","Tot_Suplr_Srvcs":"12346167","Avg_Suplr_Sbmtd_Chrg":"0.4738946298","Avg_Suplr_Mdcr_Alowd_Amt":"0.1853334472","Avg_Suplr_Mdcr_Pymt_Amt":"0.1444826577","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1444826536"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"79","Tot_Suplrs":"31","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"831","Tot_Suplr_Srvcs":"4844827","Avg_Suplr_Sbmtd_Chrg":"0.4519102189","Avg_Suplr_Mdcr_Alowd_Amt":"0.1857359406","Avg_Suplr_Mdcr_Pymt_Amt":"0.1449616777","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1449616756"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"97","Tot_Suplrs":"72","Tot_Suplr_Benes":"169","Tot_Suplr_Clms":"968","Tot_Suplr_Srvcs":"5149736","Avg_Suplr_Sbmtd_Chrg":"0.4074943997","Avg_Suplr_Mdcr_Alowd_Amt":"0.1854434344","Avg_Suplr_Mdcr_Pymt_Amt":"0.1445001841","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1445001802"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"73","Tot_Suplrs":"15","Tot_Suplr_Benes":"107","Tot_Suplr_Clms":"687","Tot_Suplr_Srvcs":"3877107","Avg_Suplr_Sbmtd_Chrg":"0.4800417012","Avg_Suplr_Mdcr_Alowd_Amt":"0.1852179989","Avg_Suplr_Mdcr_Pymt_Amt":"0.144656165","Avg_Suplr_Mdcr_Stdzd_Amt":"0.144656165"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG006N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J7677","HCPCS_Desc":"Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"9","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"91","Tot_Suplr_Srvcs":"504501","Avg_Suplr_Sbmtd_Chrg":"0.3649087514","Avg_Suplr_Mdcr_Alowd_Amt":"0.1850738651","Avg_Suplr_Mdcr_Pymt_Amt":"0.1434365442","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1434365244"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3059","Tot_Suplrs":"769","Tot_Suplr_Benes":"3269","Tot_Suplr_Clms":"11285","Tot_Suplr_Srvcs":"759998","Avg_Suplr_Sbmtd_Chrg":"1.3455984621","Avg_Suplr_Mdcr_Alowd_Amt":"0.5622932824","Avg_Suplr_Mdcr_Pymt_Amt":"0.4312334901","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4679691394"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"9","Tot_Suplrs":"9","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"1220","Avg_Suplr_Sbmtd_Chrg":"1.3218196721","Avg_Suplr_Mdcr_Alowd_Amt":"0.5622131148","Avg_Suplr_Mdcr_Pymt_Amt":"0.4369836066","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4744590164"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"4","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1065","Avg_Suplr_Sbmtd_Chrg":"1.6267511737","Avg_Suplr_Mdcr_Alowd_Amt":"0.9185446009","Avg_Suplr_Mdcr_Pymt_Amt":"0.7201408451","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4781971831"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"27","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"162","Tot_Suplr_Srvcs":"10310","Avg_Suplr_Sbmtd_Chrg":"1.363542192","Avg_Suplr_Mdcr_Alowd_Amt":"0.6007681862","Avg_Suplr_Mdcr_Pymt_Amt":"0.4654723569","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4727196896"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"233","Tot_Suplrs":"87","Tot_Suplr_Benes":"276","Tot_Suplr_Clms":"922","Tot_Suplr_Srvcs":"72634","Avg_Suplr_Sbmtd_Chrg":"1.1388850951","Avg_Suplr_Mdcr_Alowd_Amt":"0.6065345431","Avg_Suplr_Mdcr_Pymt_Amt":"0.4669058568","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4696204257"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"73","Tot_Suplrs":"26","Tot_Suplr_Benes":"82","Tot_Suplr_Clms":"353","Tot_Suplr_Srvcs":"41017","Avg_Suplr_Sbmtd_Chrg":"1.2661988931","Avg_Suplr_Mdcr_Alowd_Amt":"0.6053475388","Avg_Suplr_Mdcr_Pymt_Amt":"0.4589009435","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4620513446"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"10","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"72","Tot_Suplr_Srvcs":"4170","Avg_Suplr_Sbmtd_Chrg":"1.6273141487","Avg_Suplr_Mdcr_Alowd_Amt":"0.5946043165","Avg_Suplr_Mdcr_Pymt_Amt":"0.466146283","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782134293"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"6","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"3897","Avg_Suplr_Sbmtd_Chrg":"0.7584808827","Avg_Suplr_Mdcr_Alowd_Amt":"0.572350526","Avg_Suplr_Mdcr_Pymt_Amt":"0.4362124711","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4655581216"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"18","Tot_Suplrs":"10","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"1742","Avg_Suplr_Sbmtd_Chrg":"1.725815155","Avg_Suplr_Mdcr_Alowd_Amt":"0.5763892078","Avg_Suplr_Mdcr_Pymt_Amt":"0.4248564868","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4513949483"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"127","Tot_Suplrs":"60","Tot_Suplr_Benes":"133","Tot_Suplr_Clms":"559","Tot_Suplr_Srvcs":"41909","Avg_Suplr_Sbmtd_Chrg":"2.7996163115","Avg_Suplr_Mdcr_Alowd_Amt":"0.5598029063","Avg_Suplr_Mdcr_Pymt_Amt":"0.4345133504","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4737130449"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"41","Tot_Suplrs":"22","Tot_Suplr_Benes":"41","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"4563","Avg_Suplr_Sbmtd_Chrg":"12.299200088","Avg_Suplr_Mdcr_Alowd_Amt":"0.6072386588","Avg_Suplr_Mdcr_Pymt_Amt":"0.4652399737","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4674074074"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"6","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"2687","Avg_Suplr_Sbmtd_Chrg":"2.6889318943","Avg_Suplr_Mdcr_Alowd_Amt":"0.8545589877","Avg_Suplr_Mdcr_Pymt_Amt":"0.6286043915","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4508075921"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"15","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"3552","Avg_Suplr_Sbmtd_Chrg":"0.9945917793","Avg_Suplr_Mdcr_Alowd_Amt":"0.4335585586","Avg_Suplr_Mdcr_Pymt_Amt":"0.3398902027","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782404279"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"103","Tot_Suplrs":"23","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"401","Tot_Suplr_Srvcs":"29782","Avg_Suplr_Sbmtd_Chrg":"1.150540595","Avg_Suplr_Mdcr_Alowd_Amt":"0.5266063394","Avg_Suplr_Mdcr_Pymt_Amt":"0.4086468337","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4740420388"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"9","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"3778","Avg_Suplr_Sbmtd_Chrg":"1.0044891477","Avg_Suplr_Mdcr_Alowd_Amt":"0.603414505","Avg_Suplr_Mdcr_Pymt_Amt":"0.4710137639","Avg_Suplr_Mdcr_Stdzd_Amt":"0.476175225"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"24","Tot_Suplr_Benes":"79","Tot_Suplr_Clms":"183","Tot_Suplr_Srvcs":"10066","Avg_Suplr_Sbmtd_Chrg":"1.1770623882","Avg_Suplr_Mdcr_Alowd_Amt":"0.6016143453","Avg_Suplr_Mdcr_Pymt_Amt":"0.4632892907","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4698638983"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"43","Tot_Suplrs":"17","Tot_Suplr_Benes":"47","Tot_Suplr_Clms":"122","Tot_Suplr_Srvcs":"5879","Avg_Suplr_Sbmtd_Chrg":"1.5024051709","Avg_Suplr_Mdcr_Alowd_Amt":"0.5255621704","Avg_Suplr_Mdcr_Pymt_Amt":"0.3846895731","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4520955945"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"3232","Avg_Suplr_Sbmtd_Chrg":"3.8156559406","Avg_Suplr_Mdcr_Alowd_Amt":"0.5292821782","Avg_Suplr_Mdcr_Pymt_Amt":"0.4149597772","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782178218"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"2210","Avg_Suplr_Sbmtd_Chrg":"2.436361991","Avg_Suplr_Mdcr_Alowd_Amt":"0.5983710407","Avg_Suplr_Mdcr_Pymt_Amt":"0.4691221719","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782352941"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"562","Avg_Suplr_Sbmtd_Chrg":"4.139911032","Avg_Suplr_Mdcr_Alowd_Amt":"0.61","Avg_Suplr_Mdcr_Pymt_Amt":"0.45","Avg_Suplr_Mdcr_Stdzd_Amt":"0.45"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"111","Tot_Suplrs":"29","Tot_Suplr_Benes":"142","Tot_Suplr_Clms":"462","Tot_Suplr_Srvcs":"29746","Avg_Suplr_Sbmtd_Chrg":"0.7499374706","Avg_Suplr_Mdcr_Alowd_Amt":"0.5706501715","Avg_Suplr_Mdcr_Pymt_Amt":"0.4389578431","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4691370268"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"104","Tot_Suplrs":"38","Tot_Suplr_Benes":"122","Tot_Suplr_Clms":"475","Tot_Suplr_Srvcs":"20443","Avg_Suplr_Sbmtd_Chrg":"3.6411832901","Avg_Suplr_Mdcr_Alowd_Amt":"0.6046612532","Avg_Suplr_Mdcr_Pymt_Amt":"0.4705018833","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4721567285"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"105","Tot_Suplrs":"26","Tot_Suplr_Benes":"99","Tot_Suplr_Clms":"345","Tot_Suplr_Srvcs":"14679","Avg_Suplr_Sbmtd_Chrg":"1.2220239798","Avg_Suplr_Mdcr_Alowd_Amt":"0.5992043055","Avg_Suplr_Mdcr_Pymt_Amt":"0.4500790245","Avg_Suplr_Mdcr_Stdzd_Amt":"0.457786634"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"143","Tot_Suplrs":"23","Tot_Suplr_Benes":"145","Tot_Suplr_Clms":"539","Tot_Suplr_Srvcs":"41554","Avg_Suplr_Sbmtd_Chrg":"0.6961941089","Avg_Suplr_Mdcr_Alowd_Amt":"0.5941189777","Avg_Suplr_Mdcr_Pymt_Amt":"0.4442886365","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4564667661"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"12","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"89","Tot_Suplr_Srvcs":"6275","Avg_Suplr_Sbmtd_Chrg":"0.9126581673","Avg_Suplr_Mdcr_Alowd_Amt":"0.6061752988","Avg_Suplr_Mdcr_Pymt_Amt":"0.4703139442","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4733593625"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"68","Tot_Suplrs":"32","Tot_Suplr_Benes":"79","Tot_Suplr_Clms":"201","Tot_Suplr_Srvcs":"12965","Avg_Suplr_Sbmtd_Chrg":"1.052258388","Avg_Suplr_Mdcr_Alowd_Amt":"0.5206278442","Avg_Suplr_Mdcr_Pymt_Amt":"0.3912418049","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4613844967"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23","Tot_Suplrs":"10","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"2477","Avg_Suplr_Sbmtd_Chrg":"0.8011425111","Avg_Suplr_Mdcr_Alowd_Amt":"0.4726927735","Avg_Suplr_Mdcr_Pymt_Amt":"0.3656923698","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4693621316"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"16","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"128","Tot_Suplr_Srvcs":"7300","Avg_Suplr_Sbmtd_Chrg":"0.7790219178","Avg_Suplr_Mdcr_Alowd_Amt":"0.5633041096","Avg_Suplr_Mdcr_Pymt_Amt":"0.4279684932","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4647191781"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"10","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"73","Tot_Suplr_Srvcs":"3174","Avg_Suplr_Sbmtd_Chrg":"1.3687177064","Avg_Suplr_Mdcr_Alowd_Amt":"0.6094234405","Avg_Suplr_Mdcr_Pymt_Amt":"0.4460144928","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4464618778"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"13","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"3624","Avg_Suplr_Sbmtd_Chrg":"3.2026076159","Avg_Suplr_Mdcr_Alowd_Amt":"0.6091721854","Avg_Suplr_Mdcr_Pymt_Amt":"0.4692660044","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4699172185"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"196","Tot_Suplrs":"32","Tot_Suplr_Benes":"196","Tot_Suplr_Clms":"722","Tot_Suplr_Srvcs":"49368","Avg_Suplr_Sbmtd_Chrg":"0.987231405","Avg_Suplr_Mdcr_Alowd_Amt":"0.5759500081","Avg_Suplr_Mdcr_Pymt_Amt":"0.4487329849","Avg_Suplr_Mdcr_Stdzd_Amt":"0.47462263"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"383","Tot_Suplrs":"96","Tot_Suplr_Benes":"396","Tot_Suplr_Clms":"1460","Tot_Suplr_Srvcs":"105562","Avg_Suplr_Sbmtd_Chrg":"1.0212829427","Avg_Suplr_Mdcr_Alowd_Amt":"0.519911237","Avg_Suplr_Mdcr_Pymt_Amt":"0.4028755613","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4715115288"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"85","Tot_Suplrs":"45","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"249","Tot_Suplr_Srvcs":"13852","Avg_Suplr_Sbmtd_Chrg":"1.0025837424","Avg_Suplr_Mdcr_Alowd_Amt":"0.5322740398","Avg_Suplr_Mdcr_Pymt_Amt":"0.4098382905","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4710424487"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"10","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"1419","Avg_Suplr_Sbmtd_Chrg":"1.4732135307","Avg_Suplr_Mdcr_Alowd_Amt":"0.5756589147","Avg_Suplr_Mdcr_Pymt_Amt":"0.4512966878","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782241015"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"73","Tot_Suplrs":"32","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"259","Tot_Suplr_Srvcs":"17276","Avg_Suplr_Sbmtd_Chrg":"1.7663706877","Avg_Suplr_Mdcr_Alowd_Amt":"0.5190310257","Avg_Suplr_Mdcr_Pymt_Amt":"0.3989777726","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4701985413"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"6","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"2256","Avg_Suplr_Sbmtd_Chrg":"0.7082491135","Avg_Suplr_Mdcr_Alowd_Amt":"0.5179255319","Avg_Suplr_Mdcr_Pymt_Amt":"0.4060638298","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782225177"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"40","Tot_Suplrs":"23","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"11027","Avg_Suplr_Sbmtd_Chrg":"0.8029264533","Avg_Suplr_Mdcr_Alowd_Amt":"0.5139838578","Avg_Suplr_Mdcr_Pymt_Amt":"0.3820803482","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4508778453"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"226","Tot_Suplrs":"61","Tot_Suplr_Benes":"252","Tot_Suplr_Clms":"795","Tot_Suplr_Srvcs":"45061","Avg_Suplr_Sbmtd_Chrg":"0.8668245268","Avg_Suplr_Mdcr_Alowd_Amt":"0.6079862853","Avg_Suplr_Mdcr_Pymt_Amt":"0.4706480105","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4720594305"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"941","Avg_Suplr_Sbmtd_Chrg":"1.3658660999","Avg_Suplr_Mdcr_Alowd_Amt":"0.5210520723","Avg_Suplr_Mdcr_Pymt_Amt":"0.3651965994","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4367587673"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"17","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"78","Tot_Suplr_Srvcs":"4162","Avg_Suplr_Sbmtd_Chrg":"1.6117131187","Avg_Suplr_Mdcr_Alowd_Amt":"0.6039884671","Avg_Suplr_Mdcr_Pymt_Amt":"0.4735127343","Avg_Suplr_Mdcr_Stdzd_Amt":"0.478226814"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"10","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"4161","Avg_Suplr_Sbmtd_Chrg":"0.8245325643","Avg_Suplr_Mdcr_Alowd_Amt":"0.5063926941","Avg_Suplr_Mdcr_Pymt_Amt":"0.3911223264","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4726099495"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"37","Tot_Suplrs":"22","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"14008","Avg_Suplr_Sbmtd_Chrg":"1.0869353227","Avg_Suplr_Mdcr_Alowd_Amt":"0.5300456882","Avg_Suplr_Mdcr_Pymt_Amt":"0.4018203883","Avg_Suplr_Mdcr_Stdzd_Amt":"0.463931325"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"176","Tot_Suplrs":"57","Tot_Suplr_Benes":"188","Tot_Suplr_Clms":"781","Tot_Suplr_Srvcs":"54911","Avg_Suplr_Sbmtd_Chrg":"1.4051049881","Avg_Suplr_Mdcr_Alowd_Amt":"0.5178204731","Avg_Suplr_Mdcr_Pymt_Amt":"0.3912844421","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4617397243"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23","Tot_Suplrs":"16","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"75","Tot_Suplr_Srvcs":"7180","Avg_Suplr_Sbmtd_Chrg":"0.5891629526","Avg_Suplr_Mdcr_Alowd_Amt":"0.3714623955","Avg_Suplr_Mdcr_Pymt_Amt":"0.2812715877","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4676114206"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"3427","Avg_Suplr_Sbmtd_Chrg":"0.9445550044","Avg_Suplr_Mdcr_Alowd_Amt":"0.5641289758","Avg_Suplr_Mdcr_Pymt_Amt":"0.4380857893","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4740531077"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"55","Tot_Suplrs":"35","Tot_Suplr_Benes":"69","Tot_Suplr_Clms":"169","Tot_Suplr_Srvcs":"9331","Avg_Suplr_Sbmtd_Chrg":"0.8266552352","Avg_Suplr_Mdcr_Alowd_Amt":"0.5586850284","Avg_Suplr_Mdcr_Pymt_Amt":"0.4356585575","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4758857572"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"96","Tot_Suplrs":"56","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"365","Tot_Suplr_Srvcs":"18811","Avg_Suplr_Sbmtd_Chrg":"1.309608208","Avg_Suplr_Mdcr_Alowd_Amt":"0.5119329116","Avg_Suplr_Mdcr_Pymt_Amt":"0.3839902185","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4615246398"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"9","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"1100","Avg_Suplr_Sbmtd_Chrg":"1.082","Avg_Suplr_Mdcr_Alowd_Amt":"0.5658545455","Avg_Suplr_Mdcr_Pymt_Amt":"0.4436090909","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4782363636"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"24","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"139","Tot_Suplr_Srvcs":"8078","Avg_Suplr_Sbmtd_Chrg":"1.122890567","Avg_Suplr_Mdcr_Alowd_Amt":"0.5997128002","Avg_Suplr_Mdcr_Pymt_Amt":"0.4456251547","Avg_Suplr_Mdcr_Stdzd_Amt":"0.4539725179"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"1130","Avg_Suplr_Sbmtd_Chrg":"1.1732035398","Avg_Suplr_Mdcr_Alowd_Amt":"0.61","Avg_Suplr_Mdcr_Pymt_Amt":"0.427460177","Avg_Suplr_Mdcr_Stdzd_Amt":"0.427460177"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3256","Tot_Suplrs":"714","Tot_Suplr_Benes":"3293","Tot_Suplr_Clms":"12223","Tot_Suplr_Srvcs":"359919","Avg_Suplr_Sbmtd_Chrg":"6.7247307866","Avg_Suplr_Mdcr_Alowd_Amt":"3.2488812205","Avg_Suplr_Mdcr_Pymt_Amt":"2.4942578747","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7256421584"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"1119","Avg_Suplr_Sbmtd_Chrg":"6.3799374441","Avg_Suplr_Mdcr_Alowd_Amt":"3.6949061662","Avg_Suplr_Mdcr_Pymt_Amt":"2.8969347632","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3556747096"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"4","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"63","Tot_Suplr_Srvcs":"2974","Avg_Suplr_Sbmtd_Chrg":"5.3931540013","Avg_Suplr_Mdcr_Alowd_Amt":"2.1194552791","Avg_Suplr_Mdcr_Pymt_Amt":"1.5184028245","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1083759247"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"35","Tot_Suplrs":"14","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"166","Tot_Suplr_Srvcs":"4421","Avg_Suplr_Sbmtd_Chrg":"8.0505021488","Avg_Suplr_Mdcr_Alowd_Amt":"4.2093666591","Avg_Suplr_Mdcr_Pymt_Amt":"3.2711829903","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3265731735"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"371","Tot_Suplrs":"69","Tot_Suplr_Benes":"411","Tot_Suplr_Clms":"1376","Tot_Suplr_Srvcs":"74059","Avg_Suplr_Sbmtd_Chrg":"1.7319758571","Avg_Suplr_Mdcr_Alowd_Amt":"0.8170979894","Avg_Suplr_Mdcr_Pymt_Amt":"0.6290098435","Avg_Suplr_Mdcr_Stdzd_Amt":"0.741754412"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"26","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"3863","Avg_Suplr_Sbmtd_Chrg":"12.459870567","Avg_Suplr_Mdcr_Alowd_Amt":"4.1532694797","Avg_Suplr_Mdcr_Pymt_Amt":"3.1962878592","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2963499871"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"15","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"1667","Avg_Suplr_Sbmtd_Chrg":"7.6987522496","Avg_Suplr_Mdcr_Alowd_Amt":"4.1684583083","Avg_Suplr_Mdcr_Pymt_Amt":"3.1138932214","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1788482304"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"7","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"109","Tot_Suplr_Srvcs":"2243","Avg_Suplr_Sbmtd_Chrg":"6.6576816763","Avg_Suplr_Mdcr_Alowd_Amt":"4.2765760143","Avg_Suplr_Mdcr_Pymt_Amt":"3.3498484173","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3525367811"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"25","Tot_Suplrs":"10","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"79","Tot_Suplr_Srvcs":"1216","Avg_Suplr_Sbmtd_Chrg":"6.4612171053","Avg_Suplr_Mdcr_Alowd_Amt":"3.9998355263","Avg_Suplr_Mdcr_Pymt_Amt":"3.0676233553","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2874917763"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"76","Tot_Suplrs":"42","Tot_Suplr_Benes":"72","Tot_Suplr_Clms":"265","Tot_Suplr_Srvcs":"6948","Avg_Suplr_Sbmtd_Chrg":"7.2620854922","Avg_Suplr_Mdcr_Alowd_Amt":"3.8675446172","Avg_Suplr_Mdcr_Pymt_Amt":"3.0175906736","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1170941278"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"41","Tot_Suplrs":"22","Tot_Suplr_Benes":"121","Tot_Suplr_Clms":"206","Tot_Suplr_Srvcs":"1129","Avg_Suplr_Sbmtd_Chrg":"13.841381754","Avg_Suplr_Mdcr_Alowd_Amt":"3.9193445527","Avg_Suplr_Mdcr_Pymt_Amt":"3.00425155","Avg_Suplr_Mdcr_Stdzd_Amt":"3.0114703277"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"121","Avg_Suplr_Sbmtd_Chrg":"5.3872727273","Avg_Suplr_Mdcr_Alowd_Amt":"4.0409917355","Avg_Suplr_Mdcr_Pymt_Amt":"3.1679338843","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3554545455"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"37","Tot_Suplrs":"16","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"125","Tot_Suplr_Srvcs":"4581","Avg_Suplr_Sbmtd_Chrg":"5.5117114167","Avg_Suplr_Mdcr_Alowd_Amt":"3.5069941061","Avg_Suplr_Mdcr_Pymt_Amt":"2.6998843047","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3011613185"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"51","Tot_Suplrs":"23","Tot_Suplr_Benes":"48","Tot_Suplr_Clms":"172","Tot_Suplr_Srvcs":"2520","Avg_Suplr_Sbmtd_Chrg":"11.022039683","Avg_Suplr_Mdcr_Alowd_Amt":"3.9349603175","Avg_Suplr_Mdcr_Pymt_Amt":"2.8910753968","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9554285714"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"15","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"90","Tot_Suplr_Srvcs":"2013","Avg_Suplr_Sbmtd_Chrg":"8.0086140089","Avg_Suplr_Mdcr_Alowd_Amt":"3.8785593641","Avg_Suplr_Mdcr_Pymt_Amt":"3.0375409836","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1084153005"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"18","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"104","Tot_Suplr_Srvcs":"1947","Avg_Suplr_Sbmtd_Chrg":"6.6938109913","Avg_Suplr_Mdcr_Alowd_Amt":"4.2782845403","Avg_Suplr_Mdcr_Pymt_Amt":"2.898459168","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8999691834"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"44","Tot_Suplrs":"16","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"161","Tot_Suplr_Srvcs":"4929","Avg_Suplr_Sbmtd_Chrg":"12.047827145","Avg_Suplr_Mdcr_Alowd_Amt":"3.6406005275","Avg_Suplr_Mdcr_Pymt_Amt":"2.8255548793","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3250537634"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"11","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"1011","Avg_Suplr_Sbmtd_Chrg":"4.8154995054","Avg_Suplr_Mdcr_Alowd_Amt":"2.7213946588","Avg_Suplr_Mdcr_Pymt_Amt":"2.130652819","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4295450049"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"6","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"115","Tot_Suplr_Srvcs":"5884","Avg_Suplr_Sbmtd_Chrg":"5.7054282801","Avg_Suplr_Mdcr_Alowd_Amt":"4.1965091774","Avg_Suplr_Mdcr_Pymt_Amt":"3.2676359619","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3331084296"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"385","Avg_Suplr_Sbmtd_Chrg":"5.9926233766","Avg_Suplr_Mdcr_Alowd_Amt":"4.0738701299","Avg_Suplr_Mdcr_Pymt_Amt":"3.1642337662","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3272467532"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"75","Tot_Suplrs":"31","Tot_Suplr_Benes":"92","Tot_Suplr_Clms":"252","Tot_Suplr_Srvcs":"3408","Avg_Suplr_Sbmtd_Chrg":"7.6191842723","Avg_Suplr_Mdcr_Alowd_Amt":"4.219774061","Avg_Suplr_Mdcr_Pymt_Amt":"3.2494336854","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2966578638"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"210","Tot_Suplrs":"36","Tot_Suplr_Benes":"216","Tot_Suplr_Clms":"828","Tot_Suplr_Srvcs":"12389","Avg_Suplr_Sbmtd_Chrg":"11.197338768","Avg_Suplr_Mdcr_Alowd_Amt":"3.612200339","Avg_Suplr_Mdcr_Pymt_Amt":"2.7595592865","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2805545242"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"24","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"87","Tot_Suplr_Srvcs":"4072","Avg_Suplr_Sbmtd_Chrg":"8.6164882122","Avg_Suplr_Mdcr_Alowd_Amt":"3.6448403733","Avg_Suplr_Mdcr_Pymt_Amt":"2.7516208251","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8522814342"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"236","Tot_Suplrs":"34","Tot_Suplr_Benes":"221","Tot_Suplr_Clms":"1026","Tot_Suplr_Srvcs":"33509","Avg_Suplr_Sbmtd_Chrg":"7.2407759109","Avg_Suplr_Mdcr_Alowd_Amt":"4.2747787162","Avg_Suplr_Mdcr_Pymt_Amt":"3.2876919634","Avg_Suplr_Mdcr_Stdzd_Amt":"3.290796204"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"7","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"1025","Avg_Suplr_Sbmtd_Chrg":"9.0123317073","Avg_Suplr_Mdcr_Alowd_Amt":"3.8565853659","Avg_Suplr_Mdcr_Pymt_Amt":"2.9996780488","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3286731707"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"75","Tot_Suplrs":"36","Tot_Suplr_Benes":"62","Tot_Suplr_Clms":"246","Tot_Suplr_Srvcs":"6873","Avg_Suplr_Sbmtd_Chrg":"11.16743489","Avg_Suplr_Mdcr_Alowd_Amt":"3.4865822785","Avg_Suplr_Mdcr_Pymt_Amt":"2.7304277608","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3523876037"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1107","Avg_Suplr_Sbmtd_Chrg":"8.0216440831","Avg_Suplr_Mdcr_Alowd_Amt":"3.64","Avg_Suplr_Mdcr_Pymt_Amt":"2.7249232159","Avg_Suplr_Mdcr_Stdzd_Amt":"3.232366757"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"19","Tot_Suplrs":"12","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"4811","Avg_Suplr_Sbmtd_Chrg":"4.9527083766","Avg_Suplr_Mdcr_Alowd_Amt":"3.764799418","Avg_Suplr_Mdcr_Pymt_Amt":"2.6984057369","Avg_Suplr_Mdcr_Stdzd_Amt":"3.0667927666"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"10","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"81","Tot_Suplr_Srvcs":"3399","Avg_Suplr_Sbmtd_Chrg":"6.9498058252","Avg_Suplr_Mdcr_Alowd_Amt":"2.9229155634","Avg_Suplr_Mdcr_Pymt_Amt":"2.1681877023","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5403295087"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"34","Tot_Suplrs":"19","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"126","Tot_Suplr_Srvcs":"1948","Avg_Suplr_Sbmtd_Chrg":"7.3552104723","Avg_Suplr_Mdcr_Alowd_Amt":"3.8302977413","Avg_Suplr_Mdcr_Pymt_Amt":"2.9397638604","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2916016427"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"129","Tot_Suplrs":"35","Tot_Suplr_Benes":"134","Tot_Suplr_Clms":"525","Tot_Suplr_Srvcs":"19431","Avg_Suplr_Sbmtd_Chrg":"7.1634856672","Avg_Suplr_Mdcr_Alowd_Amt":"3.9826637847","Avg_Suplr_Mdcr_Pymt_Amt":"3.1004734702","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3337234316"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"12","Tot_Suplrs":"8","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"681","Avg_Suplr_Sbmtd_Chrg":"10.421938326","Avg_Suplr_Mdcr_Alowd_Amt":"4.2616446402","Avg_Suplr_Mdcr_Pymt_Amt":"3.2985462555","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3070337739"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"478","Tot_Suplrs":"88","Tot_Suplr_Benes":"498","Tot_Suplr_Clms":"1717","Tot_Suplr_Srvcs":"42657","Avg_Suplr_Sbmtd_Chrg":"6.4604104836","Avg_Suplr_Mdcr_Alowd_Amt":"3.639504419","Avg_Suplr_Mdcr_Pymt_Amt":"2.8240858476","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3151660923"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"116","Tot_Suplrs":"60","Tot_Suplr_Benes":"114","Tot_Suplr_Clms":"465","Tot_Suplr_Srvcs":"11731","Avg_Suplr_Sbmtd_Chrg":"9.9083121644","Avg_Suplr_Mdcr_Alowd_Amt":"3.4862245333","Avg_Suplr_Mdcr_Pymt_Amt":"2.6883240985","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2021464496"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"7","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"90","Tot_Suplr_Srvcs":"2201","Avg_Suplr_Sbmtd_Chrg":"4.0562017265","Avg_Suplr_Mdcr_Alowd_Amt":"3.5220717856","Avg_Suplr_Mdcr_Pymt_Amt":"2.7613084961","Avg_Suplr_Mdcr_Stdzd_Amt":"3.0529077692"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"80","Tot_Suplrs":"34","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"395","Tot_Suplr_Srvcs":"11420","Avg_Suplr_Sbmtd_Chrg":"8.7069492119","Avg_Suplr_Mdcr_Alowd_Amt":"4.150969352","Avg_Suplr_Mdcr_Pymt_Amt":"3.1070718039","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1624964974"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"41","Rfrg_Prvdr_Geo_Desc":"Oregon","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"70","Tot_Suplrs":"33","Tot_Suplr_Benes":"73","Tot_Suplr_Clms":"253","Tot_Suplr_Srvcs":"9272","Avg_Suplr_Sbmtd_Chrg":"6.372497843","Avg_Suplr_Mdcr_Alowd_Amt":"4.0822961605","Avg_Suplr_Mdcr_Pymt_Amt":"3.1514301122","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3029486626"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"42","Rfrg_Prvdr_Geo_Desc":"Pennsylvania","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"156","Tot_Suplrs":"50","Tot_Suplr_Benes":"159","Tot_Suplr_Clms":"449","Tot_Suplr_Srvcs":"6388","Avg_Suplr_Sbmtd_Chrg":"7.8695366312","Avg_Suplr_Mdcr_Alowd_Amt":"4.1827739512","Avg_Suplr_Mdcr_Pymt_Amt":"3.1931809643","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2159956168"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"44","Rfrg_Prvdr_Geo_Desc":"Rhode Island","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"286","Avg_Suplr_Sbmtd_Chrg":"7.6797902098","Avg_Suplr_Mdcr_Alowd_Amt":"3.6937062937","Avg_Suplr_Mdcr_Pymt_Amt":"1.8596503497","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1372377622"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"45","Rfrg_Prvdr_Geo_Desc":"South Carolina","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"47","Tot_Suplrs":"21","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"122","Tot_Suplr_Srvcs":"1398","Avg_Suplr_Sbmtd_Chrg":"13.091716738","Avg_Suplr_Mdcr_Alowd_Amt":"3.692639485","Avg_Suplr_Mdcr_Pymt_Amt":"2.8930042918","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3535407725"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"8","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"59","Tot_Suplr_Srvcs":"2946","Avg_Suplr_Sbmtd_Chrg":"5.059114053","Avg_Suplr_Mdcr_Alowd_Amt":"4.1428377461","Avg_Suplr_Mdcr_Pymt_Amt":"3.2120162933","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3195587237"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"47","Rfrg_Prvdr_Geo_Desc":"Tennessee","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"22","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"142","Tot_Suplr_Srvcs":"3206","Avg_Suplr_Sbmtd_Chrg":"10.475704928","Avg_Suplr_Mdcr_Alowd_Amt":"3.6319182782","Avg_Suplr_Mdcr_Pymt_Amt":"2.7664129757","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2788802246"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"48","Rfrg_Prvdr_Geo_Desc":"Texas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"106","Tot_Suplrs":"54","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"338","Tot_Suplr_Srvcs":"5697","Avg_Suplr_Sbmtd_Chrg":"6.493909075","Avg_Suplr_Mdcr_Alowd_Amt":"3.5375706512","Avg_Suplr_Mdcr_Pymt_Amt":"2.7061435843","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7317272249"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"49","Rfrg_Prvdr_Geo_Desc":"Utah","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"16","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"85","Tot_Suplr_Srvcs":"3231","Avg_Suplr_Sbmtd_Chrg":"5.3197214485","Avg_Suplr_Mdcr_Alowd_Amt":"3.7216125039","Avg_Suplr_Mdcr_Pymt_Amt":"2.8970721139","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3341566079"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"50","Rfrg_Prvdr_Geo_Desc":"Vermont","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"7","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"1757","Avg_Suplr_Sbmtd_Chrg":"6.0577461582","Avg_Suplr_Mdcr_Alowd_Amt":"4.0640978941","Avg_Suplr_Mdcr_Pymt_Amt":"3.1862151394","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3554695504"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"51","Rfrg_Prvdr_Geo_Desc":"Virginia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"88","Tot_Suplrs":"36","Tot_Suplr_Benes":"86","Tot_Suplr_Clms":"326","Tot_Suplr_Srvcs":"8474","Avg_Suplr_Sbmtd_Chrg":"13.608114232","Avg_Suplr_Mdcr_Alowd_Amt":"3.8044937456","Avg_Suplr_Mdcr_Pymt_Amt":"2.885749351","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2530540477"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"53","Rfrg_Prvdr_Geo_Desc":"Washington","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"111","Tot_Suplrs":"49","Tot_Suplr_Benes":"124","Tot_Suplr_Clms":"466","Tot_Suplr_Srvcs":"18878","Avg_Suplr_Sbmtd_Chrg":"7.7123789596","Avg_Suplr_Mdcr_Alowd_Amt":"4.1080686513","Avg_Suplr_Mdcr_Pymt_Amt":"3.1597822863","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2939077233"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"54","Rfrg_Prvdr_Geo_Desc":"West Virginia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"358","Avg_Suplr_Sbmtd_Chrg":"21.774050279","Avg_Suplr_Mdcr_Alowd_Amt":"4.28","Avg_Suplr_Mdcr_Pymt_Amt":"3.0179608939","Avg_Suplr_Mdcr_Stdzd_Amt":"3.0179608939"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"55","Rfrg_Prvdr_Geo_Desc":"Wisconsin","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"84","Tot_Suplrs":"38","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"375","Tot_Suplr_Srvcs":"13386","Avg_Suplr_Sbmtd_Chrg":"10.169026595","Avg_Suplr_Mdcr_Alowd_Amt":"4.2073957866","Avg_Suplr_Mdcr_Pymt_Amt":"3.2074114747","Avg_Suplr_Mdcr_Stdzd_Amt":"3.2644053489"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"391","Avg_Suplr_Sbmtd_Chrg":"5.834629156","Avg_Suplr_Mdcr_Alowd_Amt":"3.8505882353","Avg_Suplr_Mdcr_Pymt_Amt":"3.0188746803","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3554731458"},{"Rfrg_Prvdr_Geo_Lvl":"National","Rfrg_Prvdr_Geo_Cd":"","Rfrg_Prvdr_Geo_Desc":"National","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4638","Tot_Suplrs":"504","Tot_Suplr_Benes":"7605","Tot_Suplr_Clms":"88546","Tot_Suplr_Srvcs":"571275","Avg_Suplr_Sbmtd_Chrg":"143.24426744","Avg_Suplr_Mdcr_Alowd_Amt":"45.116342462","Avg_Suplr_Mdcr_Pymt_Amt":"35.194521413","Avg_Suplr_Mdcr_Stdzd_Amt":"35.486309133"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"01","Rfrg_Prvdr_Geo_Desc":"Alabama","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"35","Tot_Suplr_Benes":"113","Tot_Suplr_Clms":"1348","Tot_Suplr_Srvcs":"7606","Avg_Suplr_Sbmtd_Chrg":"136.80103865","Avg_Suplr_Mdcr_Alowd_Amt":"47.371728898","Avg_Suplr_Mdcr_Pymt_Amt":"36.859015251","Avg_Suplr_Mdcr_Stdzd_Amt":"36.056380489"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"02","Rfrg_Prvdr_Geo_Desc":"Alaska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"5","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"198","Tot_Suplr_Srvcs":"1245","Avg_Suplr_Sbmtd_Chrg":"110.95021687","Avg_Suplr_Mdcr_Alowd_Amt":"48.779437751","Avg_Suplr_Mdcr_Pymt_Amt":"38.171718876","Avg_Suplr_Mdcr_Stdzd_Amt":"36.461309237"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"04","Rfrg_Prvdr_Geo_Desc":"Arizona","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"75","Tot_Suplrs":"35","Tot_Suplr_Benes":"127","Tot_Suplr_Clms":"1389","Tot_Suplr_Srvcs":"15680","Avg_Suplr_Sbmtd_Chrg":"124.76632526","Avg_Suplr_Mdcr_Alowd_Amt":"41.871441964","Avg_Suplr_Mdcr_Pymt_Amt":"32.745183036","Avg_Suplr_Mdcr_Stdzd_Amt":"34.814526148"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"05","Rfrg_Prvdr_Geo_Desc":"Arkansas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"33","Tot_Suplrs":"19","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"528","Tot_Suplr_Srvcs":"4714","Avg_Suplr_Sbmtd_Chrg":"141.65843869","Avg_Suplr_Mdcr_Alowd_Amt":"47.770750955","Avg_Suplr_Mdcr_Pymt_Amt":"37.283440815","Avg_Suplr_Mdcr_Stdzd_Amt":"35.719323292"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"06","Rfrg_Prvdr_Geo_Desc":"California","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"379","Tot_Suplrs":"71","Tot_Suplr_Benes":"554","Tot_Suplr_Clms":"5950","Tot_Suplr_Srvcs":"50728","Avg_Suplr_Sbmtd_Chrg":"132.49955252","Avg_Suplr_Mdcr_Alowd_Amt":"43.394061859","Avg_Suplr_Mdcr_Pymt_Amt":"33.863334845","Avg_Suplr_Mdcr_Stdzd_Amt":"35.296443581"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"08","Rfrg_Prvdr_Geo_Desc":"Colorado","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"65","Tot_Suplrs":"39","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"852","Tot_Suplr_Srvcs":"9245","Avg_Suplr_Sbmtd_Chrg":"148.10713142","Avg_Suplr_Mdcr_Alowd_Amt":"46.625185506","Avg_Suplr_Mdcr_Pymt_Amt":"36.470374256","Avg_Suplr_Mdcr_Stdzd_Amt":"36.239092482"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"09","Rfrg_Prvdr_Geo_Desc":"Connecticut","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"61","Tot_Suplrs":"21","Tot_Suplr_Benes":"97","Tot_Suplr_Clms":"1434","Tot_Suplr_Srvcs":"11557","Avg_Suplr_Sbmtd_Chrg":"152.19614087","Avg_Suplr_Mdcr_Alowd_Amt":"45.709125206","Avg_Suplr_Mdcr_Pymt_Amt":"35.710922385","Avg_Suplr_Mdcr_Stdzd_Amt":"36.257695769"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"10","Rfrg_Prvdr_Geo_Desc":"Delaware","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"24","Tot_Suplrs":"11","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"483","Tot_Suplr_Srvcs":"2443","Avg_Suplr_Sbmtd_Chrg":"163.45550553","Avg_Suplr_Mdcr_Alowd_Amt":"46.199819894","Avg_Suplr_Mdcr_Pymt_Amt":"36.113397462","Avg_Suplr_Mdcr_Stdzd_Amt":"36.345955792"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"11","Rfrg_Prvdr_Geo_Desc":"District of Columbia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"15","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"602","Tot_Suplr_Srvcs":"3875","Avg_Suplr_Sbmtd_Chrg":"139.84720258","Avg_Suplr_Mdcr_Alowd_Amt":"45.877220645","Avg_Suplr_Mdcr_Pymt_Amt":"35.732634839","Avg_Suplr_Mdcr_Stdzd_Amt":"35.788098065"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"12","Rfrg_Prvdr_Geo_Desc":"Florida","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"336","Tot_Suplrs":"83","Tot_Suplr_Benes":"428","Tot_Suplr_Clms":"4815","Tot_Suplr_Srvcs":"36346","Avg_Suplr_Sbmtd_Chrg":"178.88819265","Avg_Suplr_Mdcr_Alowd_Amt":"44.200109778","Avg_Suplr_Mdcr_Pymt_Amt":"34.523737413","Avg_Suplr_Mdcr_Stdzd_Amt":"35.905684257"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"13","Rfrg_Prvdr_Geo_Desc":"Georgia","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"131","Tot_Suplrs":"44","Tot_Suplr_Benes":"257","Tot_Suplr_Clms":"3011","Tot_Suplr_Srvcs":"15491","Avg_Suplr_Sbmtd_Chrg":"174.89091021","Avg_Suplr_Mdcr_Alowd_Amt":"47.342316184","Avg_Suplr_Mdcr_Pymt_Amt":"36.996703247","Avg_Suplr_Mdcr_Stdzd_Amt":"36.264146924"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"15","Rfrg_Prvdr_Geo_Desc":"Hawaii","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"137","Tot_Suplr_Srvcs":"1425","Avg_Suplr_Sbmtd_Chrg":"138.41055439","Avg_Suplr_Mdcr_Alowd_Amt":"55.319873684","Avg_Suplr_Mdcr_Pymt_Amt":"43.333480702","Avg_Suplr_Mdcr_Stdzd_Amt":"36.433536842"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"9","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"131","Avg_Suplr_Sbmtd_Chrg":"238.53954198","Avg_Suplr_Mdcr_Alowd_Amt":"44.608015267","Avg_Suplr_Mdcr_Pymt_Amt":"34.016335878","Avg_Suplr_Mdcr_Stdzd_Amt":"35.57480916"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"17","Rfrg_Prvdr_Geo_Desc":"Illinois","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"191","Tot_Suplrs":"50","Tot_Suplr_Benes":"307","Tot_Suplr_Clms":"3478","Tot_Suplr_Srvcs":"22423","Avg_Suplr_Sbmtd_Chrg":"107.30133033","Avg_Suplr_Mdcr_Alowd_Amt":"42.369522811","Avg_Suplr_Mdcr_Pymt_Amt":"33.092198189","Avg_Suplr_Mdcr_Stdzd_Amt":"34.136745752"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"18","Rfrg_Prvdr_Geo_Desc":"Indiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"67","Tot_Suplrs":"33","Tot_Suplr_Benes":"127","Tot_Suplr_Clms":"1237","Tot_Suplr_Srvcs":"11857","Avg_Suplr_Sbmtd_Chrg":"165.3775972","Avg_Suplr_Mdcr_Alowd_Amt":"44.145247533","Avg_Suplr_Mdcr_Pymt_Amt":"34.49894324","Avg_Suplr_Mdcr_Stdzd_Amt":"35.579630598"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"19","Rfrg_Prvdr_Geo_Desc":"Iowa","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"51","Tot_Suplrs":"17","Tot_Suplr_Benes":"147","Tot_Suplr_Clms":"1320","Tot_Suplr_Srvcs":"6510","Avg_Suplr_Sbmtd_Chrg":"73.818668203","Avg_Suplr_Mdcr_Alowd_Amt":"45.440482335","Avg_Suplr_Mdcr_Pymt_Amt":"35.351563748","Avg_Suplr_Mdcr_Stdzd_Amt":"35.837142857"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"20","Rfrg_Prvdr_Geo_Desc":"Kansas","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"54","Tot_Suplrs":"25","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"1489","Tot_Suplr_Srvcs":"9489","Avg_Suplr_Sbmtd_Chrg":"109.45214986","Avg_Suplr_Mdcr_Alowd_Amt":"44.430233955","Avg_Suplr_Mdcr_Pymt_Amt":"34.672234166","Avg_Suplr_Mdcr_Stdzd_Amt":"36.084277585"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"21","Rfrg_Prvdr_Geo_Desc":"Kentucky","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"71","Tot_Suplrs":"29","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"1589","Tot_Suplr_Srvcs":"10074","Avg_Suplr_Sbmtd_Chrg":"138.63452055","Avg_Suplr_Mdcr_Alowd_Amt":"43.576153464","Avg_Suplr_Mdcr_Pymt_Amt":"33.899653564","Avg_Suplr_Mdcr_Stdzd_Amt":"33.93093508"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"22","Rfrg_Prvdr_Geo_Desc":"Louisiana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"64","Tot_Suplrs":"23","Tot_Suplr_Benes":"138","Tot_Suplr_Clms":"1341","Tot_Suplr_Srvcs":"4804","Avg_Suplr_Sbmtd_Chrg":"138.59564321","Avg_Suplr_Mdcr_Alowd_Amt":"47.331563281","Avg_Suplr_Mdcr_Pymt_Amt":"36.842231474","Avg_Suplr_Mdcr_Stdzd_Amt":"36.198382598"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"23","Rfrg_Prvdr_Geo_Desc":"Maine","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"10","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"540","Tot_Suplr_Srvcs":"3102","Avg_Suplr_Sbmtd_Chrg":"96.372059961","Avg_Suplr_Mdcr_Alowd_Amt":"46.468562218","Avg_Suplr_Mdcr_Pymt_Amt":"36.290767247","Avg_Suplr_Mdcr_Stdzd_Amt":"36.307421019"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"24","Rfrg_Prvdr_Geo_Desc":"Maryland","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"116","Tot_Suplrs":"30","Tot_Suplr_Benes":"143","Tot_Suplr_Clms":"1448","Tot_Suplr_Srvcs":"7020","Avg_Suplr_Sbmtd_Chrg":"133.45533903","Avg_Suplr_Mdcr_Alowd_Amt":"45.372078348","Avg_Suplr_Mdcr_Pymt_Amt":"35.505337607","Avg_Suplr_Mdcr_Stdzd_Amt":"36.339615385"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"25","Rfrg_Prvdr_Geo_Desc":"Massachusetts","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"154","Tot_Suplrs":"39","Tot_Suplr_Benes":"171","Tot_Suplr_Clms":"1875","Tot_Suplr_Srvcs":"15802","Avg_Suplr_Sbmtd_Chrg":"155.09375269","Avg_Suplr_Mdcr_Alowd_Amt":"45.529805088","Avg_Suplr_Mdcr_Pymt_Amt":"35.447150994","Avg_Suplr_Mdcr_Stdzd_Amt":"36.22814264"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"26","Rfrg_Prvdr_Geo_Desc":"Michigan","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"74","Tot_Suplrs":"32","Tot_Suplr_Benes":"115","Tot_Suplr_Clms":"1523","Tot_Suplr_Srvcs":"14118","Avg_Suplr_Sbmtd_Chrg":"153.79740473","Avg_Suplr_Mdcr_Alowd_Amt":"46.63467205","Avg_Suplr_Mdcr_Pymt_Amt":"36.206307551","Avg_Suplr_Mdcr_Stdzd_Amt":"35.998131463"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"27","Rfrg_Prvdr_Geo_Desc":"Minnesota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"136","Tot_Suplrs":"37","Tot_Suplr_Benes":"221","Tot_Suplr_Clms":"1998","Tot_Suplr_Srvcs":"15112","Avg_Suplr_Sbmtd_Chrg":"148.02635257","Avg_Suplr_Mdcr_Alowd_Amt":"46.580125728","Avg_Suplr_Mdcr_Pymt_Amt":"36.338897565","Avg_Suplr_Mdcr_Stdzd_Amt":"36.086408152"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"28","Rfrg_Prvdr_Geo_Desc":"Mississippi","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"28","Tot_Suplrs":"18","Tot_Suplr_Benes":"43","Tot_Suplr_Clms":"736","Tot_Suplr_Srvcs":"3362","Avg_Suplr_Sbmtd_Chrg":"166.47071684","Avg_Suplr_Mdcr_Alowd_Amt":"50.505472933","Avg_Suplr_Mdcr_Pymt_Amt":"39.206097561","Avg_Suplr_Mdcr_Stdzd_Amt":"36.005107079"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"29","Rfrg_Prvdr_Geo_Desc":"Missouri","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"61","Tot_Suplrs":"34","Tot_Suplr_Benes":"103","Tot_Suplr_Clms":"1074","Tot_Suplr_Srvcs":"9932","Avg_Suplr_Sbmtd_Chrg":"150.1935733","Avg_Suplr_Mdcr_Alowd_Amt":"43.775302054","Avg_Suplr_Mdcr_Pymt_Amt":"34.195978655","Avg_Suplr_Mdcr_Stdzd_Amt":"35.040933347"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"15","Tot_Suplrs":"7","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"329","Tot_Suplr_Srvcs":"781","Avg_Suplr_Sbmtd_Chrg":"72.986632522","Avg_Suplr_Mdcr_Alowd_Amt":"44.660396927","Avg_Suplr_Mdcr_Pymt_Amt":"34.682394366","Avg_Suplr_Mdcr_Stdzd_Amt":"36.059795134"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"31","Rfrg_Prvdr_Geo_Desc":"Nebraska","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"18","Tot_Suplr_Benes":"68","Tot_Suplr_Clms":"645","Tot_Suplr_Srvcs":"7053","Avg_Suplr_Sbmtd_Chrg":"126.46260457","Avg_Suplr_Mdcr_Alowd_Amt":"42.912571955","Avg_Suplr_Mdcr_Pymt_Amt":"33.546519212","Avg_Suplr_Mdcr_Stdzd_Amt":"32.279991493"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"32","Rfrg_Prvdr_Geo_Desc":"Nevada","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"16","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"369","Tot_Suplr_Srvcs":"5028","Avg_Suplr_Sbmtd_Chrg":"189.73885044","Avg_Suplr_Mdcr_Alowd_Amt":"44.053295545","Avg_Suplr_Mdcr_Pymt_Amt":"34.376612967","Avg_Suplr_Mdcr_Stdzd_Amt":"34.608044948"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"11","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"279","Tot_Suplr_Srvcs":"3235","Avg_Suplr_Sbmtd_Chrg":"93.451616692","Avg_Suplr_Mdcr_Alowd_Amt":"40.121208655","Avg_Suplr_Mdcr_Pymt_Amt":"31.325638331","Avg_Suplr_Mdcr_Stdzd_Amt":"29.013103555"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"34","Rfrg_Prvdr_Geo_Desc":"New Jersey","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"224","Tot_Suplrs":"40","Tot_Suplr_Benes":"672","Tot_Suplr_Clms":"8840","Tot_Suplr_Srvcs":"18323","Avg_Suplr_Sbmtd_Chrg":"122.26060962","Avg_Suplr_Mdcr_Alowd_Amt":"45.876446543","Avg_Suplr_Mdcr_Pymt_Amt":"35.817684877","Avg_Suplr_Mdcr_Stdzd_Amt":"36.225339191"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"35","Rfrg_Prvdr_Geo_Desc":"New Mexico","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"10","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"156","Tot_Suplr_Srvcs":"1065","Avg_Suplr_Sbmtd_Chrg":"208.11571831","Avg_Suplr_Mdcr_Alowd_Amt":"50.382197183","Avg_Suplr_Mdcr_Pymt_Amt":"37.11143662","Avg_Suplr_Mdcr_Stdzd_Amt":"33.623070423"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"36","Rfrg_Prvdr_Geo_Desc":"New York","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"319","Tot_Suplrs":"66","Tot_Suplr_Benes":"374","Tot_Suplr_Clms":"4595","Tot_Suplr_Srvcs":"22379","Avg_Suplr_Sbmtd_Chrg":"140.98795523","Avg_Suplr_Mdcr_Alowd_Amt":"45.993078779","Avg_Suplr_Mdcr_Pymt_Amt":"35.961531346","Avg_Suplr_Mdcr_Stdzd_Amt":"36.351171634"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"37","Rfrg_Prvdr_Geo_Desc":"North Carolina","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"113","Tot_Suplrs":"50","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"1898","Tot_Suplr_Srvcs":"18122","Avg_Suplr_Sbmtd_Chrg":"166.61650646","Avg_Suplr_Mdcr_Alowd_Amt":"47.254634698","Avg_Suplr_Mdcr_Pymt_Amt":"36.879156274","Avg_Suplr_Mdcr_Stdzd_Amt":"35.635267631"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"38","Rfrg_Prvdr_Geo_Desc":"North Dakota","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"16","Tot_Suplrs":"5","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"271","Tot_Suplr_Srvcs":"1659","Avg_Suplr_Sbmtd_Chrg":"131.86701025","Avg_Suplr_Mdcr_Alowd_Amt":"52.571265823","Avg_Suplr_Mdcr_Pymt_Amt":"41.102754671","Avg_Suplr_Mdcr_Stdzd_Amt":"36.408420735"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"39","Rfrg_Prvdr_Geo_Desc":"Ohio","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"151","Tot_Suplrs":"51","Tot_Suplr_Benes":"212","Tot_Suplr_Clms":"2065","Tot_Suplr_Srvcs":"18508","Avg_Suplr_Sbmtd_Chrg":"129.20691593","Avg_Suplr_Mdcr_Alowd_Amt":"44.459943808","Avg_Suplr_Mdcr_Pymt_Amt":"34.694247893","Avg_Suplr_Mdcr_Stdzd_Amt":"35.284940566"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"40","Rfrg_Prvdr_Geo_Desc":"Oklahoma","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4222","HCPCS_Desc":"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"27","Tot_Suplrs":"19","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"645","Tot_Suplr_Srvcs":"7036","Avg_Suplr_Sbmtd_Chrg":"233.9746191","Avg_Suplr_Mdcr_Alowd_Amt":"47.981364412","Avg_Suplr_Mdcr_Pymt_Amt":"37.462032405","Avg_Suplr_Mdcr_Stdzd_Amt":"35.337137578"}]