[{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8346","Tot_Suplrs":"11338","Tot_Suplr_Benes":"18408","Tot_Suplr_Clms":"82003","Tot_Suplr_Srvcs":"8247311","Avg_Suplr_Sbmtd_Chrg":"14.234129949","Avg_Suplr_Mdcr_Alowd_Amt":"2.8026940442","Avg_Suplr_Mdcr_Pymt_Amt":"2.1557959606","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1557959194"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"145","Tot_Suplrs":"280","Tot_Suplr_Benes":"450","Tot_Suplr_Clms":"2053","Tot_Suplr_Srvcs":"217440","Avg_Suplr_Sbmtd_Chrg":"13.787354673","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1269101361","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1269100442"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"13","Tot_Suplrs":"14","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"6130","Avg_Suplr_Sbmtd_Chrg":"15.295885808","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.132730832","Avg_Suplr_Mdcr_Stdzd_Amt":"2.132730832"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"215","Tot_Suplrs":"317","Tot_Suplr_Benes":"448","Tot_Suplr_Clms":"1784","Tot_Suplr_Srvcs":"176770","Avg_Suplr_Sbmtd_Chrg":"14.737666403","Avg_Suplr_Mdcr_Alowd_Amt":"2.8421673361","Avg_Suplr_Mdcr_Pymt_Amt":"2.2002013916","Avg_Suplr_Mdcr_Stdzd_Amt":"2.2002011088"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"102","Tot_Suplrs":"149","Tot_Suplr_Benes":"261","Tot_Suplr_Clms":"1266","Tot_Suplr_Srvcs":"115590","Avg_Suplr_Sbmtd_Chrg":"13.990356086","Avg_Suplr_Mdcr_Alowd_Amt":"2.8036501427","Avg_Suplr_Mdcr_Pymt_Amt":"2.1455645817","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1455645817"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"451","Tot_Suplrs":"591","Tot_Suplr_Benes":"739","Tot_Suplr_Clms":"3299","Tot_Suplr_Srvcs":"284860","Avg_Suplr_Sbmtd_Chrg":"14.639707751","Avg_Suplr_Mdcr_Alowd_Amt":"2.8102623043","Avg_Suplr_Mdcr_Pymt_Amt":"2.1726157762","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1726156709"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"146","Tot_Suplrs":"221","Tot_Suplr_Benes":"263","Tot_Suplr_Clms":"1078","Tot_Suplr_Srvcs":"100410","Avg_Suplr_Sbmtd_Chrg":"14.720108655","Avg_Suplr_Mdcr_Alowd_Amt":"2.8042019719","Avg_Suplr_Mdcr_Pymt_Amt":"2.1365596056","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1365596056"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"85","Tot_Suplrs":"125","Tot_Suplr_Benes":"133","Tot_Suplr_Clms":"477","Tot_Suplr_Srvcs":"55750","Avg_Suplr_Sbmtd_Chrg":"14.712405381","Avg_Suplr_Mdcr_Alowd_Amt":"2.8176588341","Avg_Suplr_Mdcr_Pymt_Amt":"2.1767454709","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1767452915"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"51","Tot_Suplr_Benes":"78","Tot_Suplr_Clms":"297","Tot_Suplr_Srvcs":"32130","Avg_Suplr_Sbmtd_Chrg":"15.63377342","Avg_Suplr_Mdcr_Alowd_Amt":"2.8131316527","Avg_Suplr_Mdcr_Pymt_Amt":"2.1881820728","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1881820728"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"17","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"41","Tot_Suplr_Srvcs":"5040","Avg_Suplr_Sbmtd_Chrg":"14.814720238","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1951964286","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1951964286"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"523","Tot_Suplrs":"1092","Tot_Suplr_Benes":"1743","Tot_Suplr_Clms":"6873","Tot_Suplr_Srvcs":"763552","Avg_Suplr_Sbmtd_Chrg":"14.269871705","Avg_Suplr_Mdcr_Alowd_Amt":"2.7999720386","Avg_Suplr_Mdcr_Pymt_Amt":"2.1661351683","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1661351683"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"251","Tot_Suplrs":"423","Tot_Suplr_Benes":"640","Tot_Suplr_Clms":"3064","Tot_Suplr_Srvcs":"312567","Avg_Suplr_Sbmtd_Chrg":"14.111704499","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1606958508","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1606958508"},{"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":"J1817","HCPCS_Desc":"Insulin 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":"41","Tot_Suplr_Srvcs":"3160","Avg_Suplr_Sbmtd_Chrg":"14.599231013","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1539873418","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1539873418"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"62","Tot_Suplrs":"88","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"435","Tot_Suplr_Srvcs":"43456","Avg_Suplr_Sbmtd_Chrg":"14.572603323","Avg_Suplr_Mdcr_Alowd_Amt":"2.8161818851","Avg_Suplr_Mdcr_Pymt_Amt":"2.1833601804","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1833601804"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"408","Tot_Suplrs":"584","Tot_Suplr_Benes":"866","Tot_Suplr_Clms":"3809","Tot_Suplr_Srvcs":"405300","Avg_Suplr_Sbmtd_Chrg":"13.728353861","Avg_Suplr_Mdcr_Alowd_Amt":"2.8010410067","Avg_Suplr_Mdcr_Pymt_Amt":"2.1713270664","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1713270664"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"195","Tot_Suplrs":"412","Tot_Suplr_Benes":"646","Tot_Suplr_Clms":"2902","Tot_Suplr_Srvcs":"287970","Avg_Suplr_Sbmtd_Chrg":"14.190050839","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1568266486","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1568266486"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"161","Tot_Suplrs":"214","Tot_Suplr_Benes":"333","Tot_Suplr_Clms":"1795","Tot_Suplr_Srvcs":"146726","Avg_Suplr_Sbmtd_Chrg":"14.660724071","Avg_Suplr_Mdcr_Alowd_Amt":"2.8239630331","Avg_Suplr_Mdcr_Pymt_Amt":"2.1804235786","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1804235786"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"120","Tot_Suplrs":"183","Tot_Suplr_Benes":"284","Tot_Suplr_Clms":"1219","Tot_Suplr_Srvcs":"113690","Avg_Suplr_Sbmtd_Chrg":"13.963511567","Avg_Suplr_Mdcr_Alowd_Amt":"2.8148445774","Avg_Suplr_Mdcr_Pymt_Amt":"2.163485267","Avg_Suplr_Mdcr_Stdzd_Amt":"2.163485179"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"157","Tot_Suplrs":"246","Tot_Suplr_Benes":"343","Tot_Suplr_Clms":"1657","Tot_Suplr_Srvcs":"185457","Avg_Suplr_Sbmtd_Chrg":"13.1005439","Avg_Suplr_Mdcr_Alowd_Amt":"2.6141445187","Avg_Suplr_Mdcr_Pymt_Amt":"1.9959916854","Avg_Suplr_Mdcr_Stdzd_Amt":"1.9959916854"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"90","Tot_Suplrs":"133","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"839","Tot_Suplr_Srvcs":"84720","Avg_Suplr_Sbmtd_Chrg":"13.737555949","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1470345845","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1470345845"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"90","Tot_Suplrs":"119","Tot_Suplr_Benes":"177","Tot_Suplr_Clms":"752","Tot_Suplr_Srvcs":"70890","Avg_Suplr_Sbmtd_Chrg":"14.932237551","Avg_Suplr_Mdcr_Alowd_Amt":"2.805137537","Avg_Suplr_Mdcr_Pymt_Amt":"2.138611934","Avg_Suplr_Mdcr_Stdzd_Amt":"2.138611934"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"136","Tot_Suplrs":"224","Tot_Suplr_Benes":"292","Tot_Suplr_Clms":"1012","Tot_Suplr_Srvcs":"118870","Avg_Suplr_Sbmtd_Chrg":"14.477396904","Avg_Suplr_Mdcr_Alowd_Amt":"2.8082819887","Avg_Suplr_Mdcr_Pymt_Amt":"2.1742592748","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1742591907"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"179","Tot_Suplrs":"261","Tot_Suplr_Benes":"316","Tot_Suplr_Clms":"1281","Tot_Suplr_Srvcs":"128030","Avg_Suplr_Sbmtd_Chrg":"14.62489479","Avg_Suplr_Mdcr_Alowd_Amt":"2.867008045","Avg_Suplr_Mdcr_Pymt_Amt":"2.1901207529","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1901207529"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"257","Tot_Suplrs":"385","Tot_Suplr_Benes":"539","Tot_Suplr_Clms":"2108","Tot_Suplr_Srvcs":"248400","Avg_Suplr_Sbmtd_Chrg":"14.456259823","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1285316828","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1285316023"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"317","Tot_Suplrs":"326","Tot_Suplr_Benes":"485","Tot_Suplr_Clms":"2208","Tot_Suplr_Srvcs":"185990","Avg_Suplr_Sbmtd_Chrg":"14.394499704","Avg_Suplr_Mdcr_Alowd_Amt":"2.8037808484","Avg_Suplr_Mdcr_Pymt_Amt":"2.1342624335","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1342623797"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"94","Tot_Suplrs":"144","Tot_Suplr_Benes":"298","Tot_Suplr_Clms":"1466","Tot_Suplr_Srvcs":"139674","Avg_Suplr_Sbmtd_Chrg":"13.776145811","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1493562868","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1493562868"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"205","Tot_Suplrs":"398","Tot_Suplr_Benes":"672","Tot_Suplr_Clms":"3070","Tot_Suplr_Srvcs":"307110","Avg_Suplr_Sbmtd_Chrg":"14.327591319","Avg_Suplr_Mdcr_Alowd_Amt":"2.8293085865","Avg_Suplr_Mdcr_Pymt_Amt":"2.1707032008","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1707030706"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"50","Tot_Suplrs":"60","Tot_Suplr_Benes":"93","Tot_Suplr_Clms":"471","Tot_Suplr_Srvcs":"39780","Avg_Suplr_Sbmtd_Chrg":"14.048038713","Avg_Suplr_Mdcr_Alowd_Amt":"2.8424253394","Avg_Suplr_Mdcr_Pymt_Amt":"2.194543992","Avg_Suplr_Mdcr_Stdzd_Amt":"2.194543992"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"109","Tot_Suplrs":"130","Tot_Suplr_Benes":"223","Tot_Suplr_Clms":"1167","Tot_Suplr_Srvcs":"96531","Avg_Suplr_Sbmtd_Chrg":"14.041912546","Avg_Suplr_Mdcr_Alowd_Amt":"2.8276818846","Avg_Suplr_Mdcr_Pymt_Amt":"2.1779591012","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1779591012"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"39","Tot_Suplrs":"67","Tot_Suplr_Benes":"81","Tot_Suplr_Clms":"284","Tot_Suplr_Srvcs":"30270","Avg_Suplr_Sbmtd_Chrg":"14.645895937","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1700931615","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1700931615"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"59","Tot_Suplrs":"95","Tot_Suplr_Benes":"124","Tot_Suplr_Clms":"579","Tot_Suplr_Srvcs":"46114","Avg_Suplr_Sbmtd_Chrg":"14.203847855","Avg_Suplr_Mdcr_Alowd_Amt":"2.8274484972","Avg_Suplr_Mdcr_Pymt_Amt":"2.1434358329","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1434358329"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"173","Tot_Suplrs":"267","Tot_Suplr_Benes":"336","Tot_Suplr_Clms":"1168","Tot_Suplr_Srvcs":"138060","Avg_Suplr_Sbmtd_Chrg":"14.862238592","Avg_Suplr_Mdcr_Alowd_Amt":"2.8040747501","Avg_Suplr_Mdcr_Pymt_Amt":"2.1757420687","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1757419962"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"31","Tot_Suplrs":"51","Tot_Suplr_Benes":"72","Tot_Suplr_Clms":"333","Tot_Suplr_Srvcs":"29710","Avg_Suplr_Sbmtd_Chrg":"14.966922248","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1455388758","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1455388758"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"375","Tot_Suplrs":"496","Tot_Suplr_Benes":"629","Tot_Suplr_Clms":"2505","Tot_Suplr_Srvcs":"272861","Avg_Suplr_Sbmtd_Chrg":"14.767210008","Avg_Suplr_Mdcr_Alowd_Amt":"2.8298947816","Avg_Suplr_Mdcr_Pymt_Amt":"2.1891607815","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1891607448"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"295","Tot_Suplrs":"532","Tot_Suplr_Benes":"803","Tot_Suplr_Clms":"3859","Tot_Suplr_Srvcs":"374550","Avg_Suplr_Sbmtd_Chrg":"13.925841143","Avg_Suplr_Mdcr_Alowd_Amt":"2.7995407556","Avg_Suplr_Mdcr_Pymt_Amt":"2.1505980243","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1505979976"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"50","Tot_Suplrs":"49","Tot_Suplr_Benes":"97","Tot_Suplr_Clms":"405","Tot_Suplr_Srvcs":"32840","Avg_Suplr_Sbmtd_Chrg":"15.057841048","Avg_Suplr_Mdcr_Alowd_Amt":"2.8214129111","Avg_Suplr_Mdcr_Pymt_Amt":"2.1521738733","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1521738733"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"298","Tot_Suplrs":"471","Tot_Suplr_Benes":"672","Tot_Suplr_Clms":"2980","Tot_Suplr_Srvcs":"288723","Avg_Suplr_Sbmtd_Chrg":"14.296508349","Avg_Suplr_Mdcr_Alowd_Amt":"2.8024355524","Avg_Suplr_Mdcr_Pymt_Amt":"2.1610934356","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1610934356"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"123","Tot_Suplrs":"149","Tot_Suplr_Benes":"216","Tot_Suplr_Clms":"893","Tot_Suplr_Srvcs":"90730","Avg_Suplr_Sbmtd_Chrg":"14.026164885","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1633418935","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1633415629"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"99","Tot_Suplrs":"157","Tot_Suplr_Benes":"203","Tot_Suplr_Clms":"909","Tot_Suplr_Srvcs":"76650","Avg_Suplr_Sbmtd_Chrg":"14.588182257","Avg_Suplr_Mdcr_Alowd_Amt":"2.8348618395","Avg_Suplr_Mdcr_Pymt_Amt":"2.184948728","Avg_Suplr_Mdcr_Stdzd_Amt":"2.184948728"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"431","Tot_Suplrs":"669","Tot_Suplr_Benes":"994","Tot_Suplr_Clms":"4182","Tot_Suplr_Srvcs":"428484","Avg_Suplr_Sbmtd_Chrg":"14.508895618","Avg_Suplr_Mdcr_Alowd_Amt":"2.8107114151","Avg_Suplr_Mdcr_Pymt_Amt":"2.1669553356","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1669553122"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"26","Tot_Suplrs":"50","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"250","Tot_Suplr_Srvcs":"24130","Avg_Suplr_Sbmtd_Chrg":"13.694675093","Avg_Suplr_Mdcr_Alowd_Amt":"2.8233137174","Avg_Suplr_Mdcr_Pymt_Amt":"2.1998557812","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1998553668"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"148","Tot_Suplrs":"237","Tot_Suplr_Benes":"378","Tot_Suplr_Clms":"1605","Tot_Suplr_Srvcs":"164446","Avg_Suplr_Sbmtd_Chrg":"14.344546964","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1329860258","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1329860258"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"52","Tot_Suplrs":"92","Tot_Suplr_Benes":"137","Tot_Suplr_Clms":"736","Tot_Suplr_Srvcs":"52540","Avg_Suplr_Sbmtd_Chrg":"14.200915493","Avg_Suplr_Mdcr_Alowd_Amt":"2.8317215455","Avg_Suplr_Mdcr_Pymt_Amt":"2.1705504378","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1705502474"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"304","Tot_Suplrs":"503","Tot_Suplr_Benes":"821","Tot_Suplr_Clms":"3530","Tot_Suplr_Srvcs":"422570","Avg_Suplr_Sbmtd_Chrg":"13.833522328","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1393394231","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1393393994"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"477","Tot_Suplrs":"752","Tot_Suplr_Benes":"944","Tot_Suplr_Clms":"4053","Tot_Suplr_Srvcs":"418280","Avg_Suplr_Sbmtd_Chrg":"13.969632662","Avg_Suplr_Mdcr_Alowd_Amt":"2.7807364445","Avg_Suplr_Mdcr_Pymt_Amt":"2.138008511","Avg_Suplr_Mdcr_Stdzd_Amt":"2.138008511"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"77","Tot_Suplrs":"75","Tot_Suplr_Benes":"100","Tot_Suplr_Clms":"389","Tot_Suplr_Srvcs":"43060","Avg_Suplr_Sbmtd_Chrg":"14.452241523","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1264839758","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1264835114"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"32","Tot_Suplr_Benes":"48","Tot_Suplr_Clms":"170","Tot_Suplr_Srvcs":"18570","Avg_Suplr_Sbmtd_Chrg":"14.061192246","Avg_Suplr_Mdcr_Alowd_Amt":"2.8681615509","Avg_Suplr_Mdcr_Pymt_Amt":"2.2265288099","Avg_Suplr_Mdcr_Stdzd_Amt":"2.2265288099"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"180","Tot_Suplrs":"299","Tot_Suplr_Benes":"420","Tot_Suplr_Clms":"1788","Tot_Suplr_Srvcs":"177970","Avg_Suplr_Sbmtd_Chrg":"14.415356633","Avg_Suplr_Mdcr_Alowd_Amt":"2.7901691296","Avg_Suplr_Mdcr_Pymt_Amt":"2.1396787661","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1396787661"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"176","Tot_Suplrs":"272","Tot_Suplr_Benes":"457","Tot_Suplr_Clms":"1934","Tot_Suplr_Srvcs":"174240","Avg_Suplr_Sbmtd_Chrg":"14.533356118","Avg_Suplr_Mdcr_Alowd_Amt":"2.8230695018","Avg_Suplr_Mdcr_Pymt_Amt":"2.1776048554","Avg_Suplr_Mdcr_Stdzd_Amt":"2.177604798"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"56","Tot_Suplrs":"96","Tot_Suplr_Benes":"110","Tot_Suplr_Clms":"471","Tot_Suplr_Srvcs":"49540","Avg_Suplr_Sbmtd_Chrg":"13.692449536","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.1635016149","Avg_Suplr_Mdcr_Stdzd_Amt":"2.163501413"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"225","Tot_Suplrs":"300","Tot_Suplr_Benes":"460","Tot_Suplr_Clms":"2271","Tot_Suplr_Srvcs":"196140","Avg_Suplr_Sbmtd_Chrg":"14.151044917","Avg_Suplr_Mdcr_Alowd_Amt":"2.7833141124","Avg_Suplr_Mdcr_Pymt_Amt":"2.1399923014","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1399923014"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"21","Tot_Suplrs":"32","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"151","Tot_Suplr_Srvcs":"17880","Avg_Suplr_Sbmtd_Chrg":"13.698955257","Avg_Suplr_Mdcr_Alowd_Amt":"2.8471946309","Avg_Suplr_Mdcr_Pymt_Amt":"2.209057047","Avg_Suplr_Mdcr_Stdzd_Amt":"2.209057047"},{"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":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"2000","Avg_Suplr_Sbmtd_Chrg":"9.160435","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.065065","Avg_Suplr_Mdcr_Stdzd_Amt":"2.065065"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9B","Rfrg_Prvdr_Geo_Desc":"Armed Forces Europe","RBCS_Lvl":"Drugs Administered Through DME","RBCS_Id":"DG000N","RBCS_Desc":"DME-Drugs Administered Through DME","HCPCS_Cd":"J1817","HCPCS_Desc":"Insulin for administration through dme (i.e., insulin pump) per 50 units","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"960","Avg_Suplr_Sbmtd_Chrg":"14.407072917","Avg_Suplr_Mdcr_Alowd_Amt":"2.8","Avg_Suplr_Mdcr_Pymt_Amt":"2.0596770833","Avg_Suplr_Mdcr_Stdzd_Amt":"2.0596770833"},{"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":"55","Tot_Suplrs":"42","Tot_Suplr_Benes":"95","Tot_Suplr_Clms":"606","Tot_Suplr_Srvcs":"607","Avg_Suplr_Sbmtd_Chrg":"330.11044481","Avg_Suplr_Mdcr_Alowd_Amt":"111.17757825","Avg_Suplr_Mdcr_Pymt_Amt":"84.652224053","Avg_Suplr_Mdcr_Stdzd_Amt":"84.652224053"},{"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":"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":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"14","Avg_Suplr_Sbmtd_Chrg":"154.75714286","Avg_Suplr_Mdcr_Alowd_Amt":"108.83357143","Avg_Suplr_Mdcr_Pymt_Amt":"82.334285714","Avg_Suplr_Mdcr_Stdzd_Amt":"82.334285714"},{"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":"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"13","Avg_Suplr_Sbmtd_Chrg":"186.99","Avg_Suplr_Mdcr_Alowd_Amt":"111.38230769","Avg_Suplr_Mdcr_Pymt_Amt":"80.465384615","Avg_Suplr_Mdcr_Stdzd_Amt":"80.465384615"},{"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":"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":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"19","Avg_Suplr_Sbmtd_Chrg":"139.39631579","Avg_Suplr_Mdcr_Alowd_Amt":"111.27","Avg_Suplr_Mdcr_Pymt_Amt":"81.938947368","Avg_Suplr_Mdcr_Stdzd_Amt":"81.938947368"},{"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"14","Avg_Suplr_Sbmtd_Chrg":"224.03142857","Avg_Suplr_Mdcr_Alowd_Amt":"111.45928571","Avg_Suplr_Mdcr_Pymt_Amt":"87.385","Avg_Suplr_Mdcr_Stdzd_Amt":"87.385"},{"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"16","Avg_Suplr_Sbmtd_Chrg":"193.323125","Avg_Suplr_Mdcr_Alowd_Amt":"111.105625","Avg_Suplr_Mdcr_Pymt_Amt":"83.628125","Avg_Suplr_Mdcr_Stdzd_Amt":"83.628125"},{"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":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"15","Avg_Suplr_Sbmtd_Chrg":"309.13733333","Avg_Suplr_Mdcr_Alowd_Amt":"111.462","Avg_Suplr_Mdcr_Pymt_Amt":"85.342666667","Avg_Suplr_Mdcr_Stdzd_Amt":"85.342666667"},{"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":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"94","Tot_Suplr_Srvcs":"94","Avg_Suplr_Sbmtd_Chrg":"183.54925532","Avg_Suplr_Mdcr_Alowd_Amt":"110.9306383","Avg_Suplr_Mdcr_Pymt_Amt":"85.665425532","Avg_Suplr_Mdcr_Stdzd_Amt":"85.665425532"},{"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":"6","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"30","Avg_Suplr_Sbmtd_Chrg":"336.262","Avg_Suplr_Mdcr_Alowd_Amt":"111.026","Avg_Suplr_Mdcr_Pymt_Amt":"87.045","Avg_Suplr_Mdcr_Stdzd_Amt":"87.045"},{"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":"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":"6","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"37","Tot_Suplr_Srvcs":"37","Avg_Suplr_Sbmtd_Chrg":"179.51756757","Avg_Suplr_Mdcr_Alowd_Amt":"111.53081081","Avg_Suplr_Mdcr_Pymt_Amt":"82.620810811","Avg_Suplr_Mdcr_Stdzd_Amt":"82.620810811"},{"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"319","Tot_Suplr_Srvcs":"320","Avg_Suplr_Sbmtd_Chrg":"436.64903125","Avg_Suplr_Mdcr_Alowd_Amt":"111.4010625","Avg_Suplr_Mdcr_Pymt_Amt":"84.78790625","Avg_Suplr_Mdcr_Stdzd_Amt":"84.78790625"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"207","Tot_Suplrs":"11","Tot_Suplr_Benes":"400","Tot_Suplr_Clms":"3164","Tot_Suplr_Srvcs":"2007063","Avg_Suplr_Sbmtd_Chrg":"13.661789002","Avg_Suplr_Mdcr_Alowd_Amt":"11.262784885","Avg_Suplr_Mdcr_Pymt_Amt":"8.8182231599","Avg_Suplr_Mdcr_Stdzd_Amt":"8.8182231599"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"76436","Avg_Suplr_Sbmtd_Chrg":"11.984871657","Avg_Suplr_Mdcr_Alowd_Amt":"10.454947669","Avg_Suplr_Mdcr_Pymt_Amt":"8.1966844157","Avg_Suplr_Mdcr_Stdzd_Amt":"8.1966844157"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"4216","Avg_Suplr_Sbmtd_Chrg":"48.602798861","Avg_Suplr_Mdcr_Alowd_Amt":"40.987758539","Avg_Suplr_Mdcr_Pymt_Amt":"32.134407021","Avg_Suplr_Mdcr_Stdzd_Amt":"32.134407021"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"535","Avg_Suplr_Sbmtd_Chrg":"230.09994393","Avg_Suplr_Mdcr_Alowd_Amt":"230.09893458","Avg_Suplr_Mdcr_Pymt_Amt":"180.39758879","Avg_Suplr_Mdcr_Stdzd_Amt":"180.39758879"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"22","Tot_Suplrs":"4","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"361","Tot_Suplr_Srvcs":"254291","Avg_Suplr_Sbmtd_Chrg":"12.10901424","Avg_Suplr_Mdcr_Alowd_Amt":"9.974954088","Avg_Suplr_Mdcr_Pymt_Amt":"7.8203693013","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8203693013"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"83449","Avg_Suplr_Sbmtd_Chrg":"11.518197462","Avg_Suplr_Mdcr_Alowd_Amt":"8.280458244","Avg_Suplr_Mdcr_Pymt_Amt":"6.4903231914","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4903231914"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"46742","Avg_Suplr_Sbmtd_Chrg":"10.68139917","Avg_Suplr_Mdcr_Alowd_Amt":"8.3539116854","Avg_Suplr_Mdcr_Pymt_Amt":"6.5494672885","Avg_Suplr_Mdcr_Stdzd_Amt":"6.5494672885"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"35259","Avg_Suplr_Sbmtd_Chrg":"16.148899005","Avg_Suplr_Mdcr_Alowd_Amt":"13.019290961","Avg_Suplr_Mdcr_Pymt_Amt":"10.207128109","Avg_Suplr_Mdcr_Stdzd_Amt":"10.207128109"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"17","Tot_Suplrs":"4","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"282","Tot_Suplr_Srvcs":"243120","Avg_Suplr_Sbmtd_Chrg":"10.864462159","Avg_Suplr_Mdcr_Alowd_Amt":"9.0394773774","Avg_Suplr_Mdcr_Pymt_Amt":"7.0388956894","Avg_Suplr_Mdcr_Stdzd_Amt":"7.0388956894"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"14252","Avg_Suplr_Sbmtd_Chrg":"6.3724950884","Avg_Suplr_Mdcr_Alowd_Amt":"6.3288612125","Avg_Suplr_Mdcr_Pymt_Amt":"4.9618327252","Avg_Suplr_Mdcr_Stdzd_Amt":"4.9618327252"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"2","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"138","Tot_Suplr_Srvcs":"113237","Avg_Suplr_Sbmtd_Chrg":"11.55315109","Avg_Suplr_Mdcr_Alowd_Amt":"10.421632859","Avg_Suplr_Mdcr_Pymt_Amt":"8.131092929","Avg_Suplr_Mdcr_Stdzd_Amt":"8.131092929"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"6","Tot_Suplrs":"2","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"135","Tot_Suplr_Srvcs":"56325","Avg_Suplr_Sbmtd_Chrg":"20.255579583","Avg_Suplr_Mdcr_Alowd_Amt":"14.93854079","Avg_Suplr_Mdcr_Pymt_Amt":"11.711828318","Avg_Suplr_Mdcr_Stdzd_Amt":"11.711828318"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"181","Tot_Suplr_Srvcs":"125711","Avg_Suplr_Sbmtd_Chrg":"11.436429429","Avg_Suplr_Mdcr_Alowd_Amt":"10.255633875","Avg_Suplr_Mdcr_Pymt_Amt":"8.0403796804","Avg_Suplr_Mdcr_Stdzd_Amt":"8.0403796804"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"35209","Avg_Suplr_Sbmtd_Chrg":"9.0210537079","Avg_Suplr_Mdcr_Alowd_Amt":"8.1821199125","Avg_Suplr_Mdcr_Pymt_Amt":"6.4144514187","Avg_Suplr_Mdcr_Stdzd_Amt":"6.4144514187"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"15480","Avg_Suplr_Sbmtd_Chrg":"29.501686047","Avg_Suplr_Mdcr_Alowd_Amt":"24.080138889","Avg_Suplr_Mdcr_Pymt_Amt":"18.878833979","Avg_Suplr_Mdcr_Stdzd_Amt":"18.878833979"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"359","Avg_Suplr_Sbmtd_Chrg":"289.55066852","Avg_Suplr_Mdcr_Alowd_Amt":"226.46844011","Avg_Suplr_Mdcr_Pymt_Amt":"158.43275766","Avg_Suplr_Mdcr_Stdzd_Amt":"158.43275766"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"28798","Avg_Suplr_Sbmtd_Chrg":"8.7428842281","Avg_Suplr_Mdcr_Alowd_Amt":"8.6133401625","Avg_Suplr_Mdcr_Pymt_Amt":"6.7528654768","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7528654768"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"31","Tot_Suplr_Srvcs":"6341","Avg_Suplr_Sbmtd_Chrg":"35.685888661","Avg_Suplr_Mdcr_Alowd_Amt":"28.891334174","Avg_Suplr_Mdcr_Pymt_Amt":"22.650815329","Avg_Suplr_Mdcr_Stdzd_Amt":"22.650815329"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"3","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"105","Tot_Suplr_Srvcs":"66980","Avg_Suplr_Sbmtd_Chrg":"13.153918782","Avg_Suplr_Mdcr_Alowd_Amt":"10.950727979","Avg_Suplr_Mdcr_Pymt_Amt":"8.585376381","Avg_Suplr_Mdcr_Stdzd_Amt":"8.585376381"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"11452","Avg_Suplr_Sbmtd_Chrg":"7.3679706601","Avg_Suplr_Mdcr_Alowd_Amt":"7.3136683549","Avg_Suplr_Mdcr_Pymt_Amt":"5.7339233322","Avg_Suplr_Mdcr_Stdzd_Amt":"5.7339233322"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"756","Avg_Suplr_Sbmtd_Chrg":"304.92936508","Avg_Suplr_Mdcr_Alowd_Amt":"230.09892857","Avg_Suplr_Mdcr_Pymt_Amt":"180.39775132","Avg_Suplr_Mdcr_Stdzd_Amt":"180.39775132"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"29981","Avg_Suplr_Sbmtd_Chrg":"11.665614222","Avg_Suplr_Mdcr_Alowd_Amt":"9.8873389814","Avg_Suplr_Mdcr_Pymt_Amt":"7.751679397","Avg_Suplr_Mdcr_Stdzd_Amt":"7.751679397"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"11788","Avg_Suplr_Sbmtd_Chrg":"13.716627078","Avg_Suplr_Mdcr_Alowd_Amt":"13.663842891","Avg_Suplr_Mdcr_Pymt_Amt":"10.712459281","Avg_Suplr_Mdcr_Stdzd_Amt":"10.712459281"},{"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":"J7340","HCPCS_Desc":"Carbidopa 5 mg\/levodopa 20 mg enteral suspension","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"1007","Avg_Suplr_Sbmtd_Chrg":"113.28722939","Avg_Suplr_Mdcr_Alowd_Amt":"71.299811321","Avg_Suplr_Mdcr_Pymt_Amt":"55.899086395","Avg_Suplr_Mdcr_Stdzd_Amt":"55.899086395"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"3","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"84948","Avg_Suplr_Sbmtd_Chrg":"15.735563403","Avg_Suplr_Mdcr_Alowd_Amt":"12.134765857","Avg_Suplr_Mdcr_Pymt_Amt":"9.5136594152","Avg_Suplr_Mdcr_Stdzd_Amt":"9.5136594152"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"83","Tot_Suplr_Srvcs":"50215","Avg_Suplr_Sbmtd_Chrg":"16.157927313","Avg_Suplr_Mdcr_Alowd_Amt":"14.16726058","Avg_Suplr_Mdcr_Pymt_Amt":"11.107133327","Avg_Suplr_Mdcr_Stdzd_Amt":"11.107133327"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"413","Avg_Suplr_Sbmtd_Chrg":"214.5","Avg_Suplr_Mdcr_Alowd_Amt":"214.49912833","Avg_Suplr_Mdcr_Pymt_Amt":"168.16738499","Avg_Suplr_Mdcr_Stdzd_Amt":"168.16738499"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"2","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"41144","Avg_Suplr_Sbmtd_Chrg":"15.052160218","Avg_Suplr_Mdcr_Alowd_Amt":"13.059565429","Avg_Suplr_Mdcr_Pymt_Amt":"10.235541027","Avg_Suplr_Mdcr_Stdzd_Amt":"10.235541027"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"270","Tot_Suplr_Srvcs":"233315","Avg_Suplr_Sbmtd_Chrg":"11.87370602","Avg_Suplr_Mdcr_Alowd_Amt":"9.3447119988","Avg_Suplr_Mdcr_Pymt_Amt":"7.3257227354","Avg_Suplr_Mdcr_Stdzd_Amt":"7.3257227354"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"23271","Avg_Suplr_Sbmtd_Chrg":"12.01976967","Avg_Suplr_Mdcr_Alowd_Amt":"10.827148382","Avg_Suplr_Mdcr_Pymt_Amt":"8.4884916849","Avg_Suplr_Mdcr_Stdzd_Amt":"8.4884916849"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"17751","Avg_Suplr_Sbmtd_Chrg":"22.573944003","Avg_Suplr_Mdcr_Alowd_Amt":"14.505186187","Avg_Suplr_Mdcr_Pymt_Amt":"11.372069743","Avg_Suplr_Mdcr_Stdzd_Amt":"11.372069743"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"17787","Avg_Suplr_Sbmtd_Chrg":"19.817117558","Avg_Suplr_Mdcr_Alowd_Amt":"14.960055659","Avg_Suplr_Mdcr_Pymt_Amt":"11.721373475","Avg_Suplr_Mdcr_Stdzd_Amt":"11.721373475"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"392","Avg_Suplr_Sbmtd_Chrg":"230.1","Avg_Suplr_Mdcr_Alowd_Amt":"230.09765306","Avg_Suplr_Mdcr_Pymt_Amt":"180.39660714","Avg_Suplr_Mdcr_Stdzd_Amt":"180.39660714"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"69231","Avg_Suplr_Sbmtd_Chrg":"17.642104404","Avg_Suplr_Mdcr_Alowd_Amt":"13.590375554","Avg_Suplr_Mdcr_Pymt_Amt":"10.654054398","Avg_Suplr_Mdcr_Stdzd_Amt":"10.654054398"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"10","Tot_Suplrs":"5","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"159","Tot_Suplr_Srvcs":"67701","Avg_Suplr_Sbmtd_Chrg":"19.157050561","Avg_Suplr_Mdcr_Alowd_Amt":"15.673122849","Avg_Suplr_Mdcr_Pymt_Amt":"12.286427379","Avg_Suplr_Mdcr_Stdzd_Amt":"12.286427379"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"34524","Avg_Suplr_Sbmtd_Chrg":"8.4878345499","Avg_Suplr_Mdcr_Alowd_Amt":"8.3977841502","Avg_Suplr_Mdcr_Pymt_Amt":"6.5838715097","Avg_Suplr_Mdcr_Stdzd_Amt":"6.5838715097"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"87","Tot_Suplr_Srvcs":"52944","Avg_Suplr_Sbmtd_Chrg":"12.911336884","Avg_Suplr_Mdcr_Alowd_Amt":"10.204913871","Avg_Suplr_Mdcr_Pymt_Amt":"8.0006574872","Avg_Suplr_Mdcr_Stdzd_Amt":"8.0006574872"},{"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","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"5","Tot_Suplrs":"3","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"116","Tot_Suplr_Srvcs":"50940","Avg_Suplr_Sbmtd_Chrg":"16.672240675","Avg_Suplr_Mdcr_Alowd_Amt":"14.106782489","Avg_Suplr_Mdcr_Pymt_Amt":"11.059725363","Avg_Suplr_Mdcr_Stdzd_Amt":"11.059725363"},{"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":"3261","Tot_Suplrs":"3244","Tot_Suplr_Benes":"4110","Tot_Suplr_Clms":"13148","Tot_Suplr_Srvcs":"379086","Avg_Suplr_Sbmtd_Chrg":"7.311524509","Avg_Suplr_Mdcr_Alowd_Amt":"3.7232371019","Avg_Suplr_Mdcr_Pymt_Amt":"2.8549899759","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8549870478"},{"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":"47","Tot_Suplrs":"48","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"165","Tot_Suplr_Srvcs":"5380","Avg_Suplr_Sbmtd_Chrg":"4.2415018587","Avg_Suplr_Mdcr_Alowd_Amt":"3.0478345725","Avg_Suplr_Mdcr_Pymt_Amt":"2.30733829","Avg_Suplr_Mdcr_Stdzd_Amt":"2.3073141264"},{"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":"58","Tot_Suplrs":"66","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"177","Tot_Suplr_Srvcs":"6566","Avg_Suplr_Sbmtd_Chrg":"7.0341029546","Avg_Suplr_Mdcr_Alowd_Amt":"3.6967986598","Avg_Suplr_Mdcr_Pymt_Amt":"2.8596238197","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8596222967"},{"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":"42","Tot_Suplrs":"46","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"169","Tot_Suplr_Srvcs":"5158","Avg_Suplr_Sbmtd_Chrg":"5.6995560295","Avg_Suplr_Mdcr_Alowd_Amt":"3.4443175649","Avg_Suplr_Mdcr_Pymt_Amt":"2.639280729","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6392787902"},{"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":"224","Tot_Suplrs":"229","Tot_Suplr_Benes":"304","Tot_Suplr_Clms":"881","Tot_Suplr_Srvcs":"25174","Avg_Suplr_Sbmtd_Chrg":"8.581958767","Avg_Suplr_Mdcr_Alowd_Amt":"4.102053309","Avg_Suplr_Mdcr_Pymt_Amt":"3.1415984746","Avg_Suplr_Mdcr_Stdzd_Amt":"3.141595694"},{"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":"31","Tot_Suplrs":"32","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"121","Tot_Suplr_Srvcs":"3508","Avg_Suplr_Sbmtd_Chrg":"9.2623973774","Avg_Suplr_Mdcr_Alowd_Amt":"4.2699714937","Avg_Suplr_Mdcr_Pymt_Amt":"3.3298489168","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3298489168"},{"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":"61","Tot_Suplrs":"41","Tot_Suplr_Benes":"74","Tot_Suplr_Clms":"233","Tot_Suplr_Srvcs":"7838","Avg_Suplr_Sbmtd_Chrg":"8.7696453177","Avg_Suplr_Mdcr_Alowd_Amt":"4.5225682572","Avg_Suplr_Mdcr_Pymt_Amt":"3.5287905078","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5287892319"},{"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":"15","Tot_Suplrs":"17","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"1706","Avg_Suplr_Sbmtd_Chrg":"6.6383997655","Avg_Suplr_Mdcr_Alowd_Amt":"4.3566354045","Avg_Suplr_Mdcr_Pymt_Amt":"3.3543962485","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3543962485"},{"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":"185","Tot_Suplrs":"222","Tot_Suplr_Benes":"260","Tot_Suplr_Clms":"755","Tot_Suplr_Srvcs":"24124","Avg_Suplr_Sbmtd_Chrg":"7.407890897","Avg_Suplr_Mdcr_Alowd_Amt":"3.5711975626","Avg_Suplr_Mdcr_Pymt_Amt":"2.7384442878","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7384401426"},{"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":"48","Tot_Suplrs":"50","Tot_Suplr_Benes":"57","Tot_Suplr_Clms":"168","Tot_Suplr_Srvcs":"4101","Avg_Suplr_Sbmtd_Chrg":"7.9636795903","Avg_Suplr_Mdcr_Alowd_Amt":"3.348614972","Avg_Suplr_Mdcr_Pymt_Amt":"2.519358693","Avg_Suplr_Mdcr_Stdzd_Amt":"2.519358693"},{"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":"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":"2","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"345","Avg_Suplr_Sbmtd_Chrg":"18.144753623","Avg_Suplr_Mdcr_Alowd_Amt":"4.8243478261","Avg_Suplr_Mdcr_Pymt_Amt":"3.7822318841","Avg_Suplr_Mdcr_Stdzd_Amt":"3.7822318841"},{"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":"176","Tot_Suplrs":"201","Tot_Suplr_Benes":"262","Tot_Suplr_Clms":"768","Tot_Suplr_Srvcs":"20919","Avg_Suplr_Sbmtd_Chrg":"7.7600234237","Avg_Suplr_Mdcr_Alowd_Amt":"3.6759653903","Avg_Suplr_Mdcr_Pymt_Amt":"2.8144390267","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8144352024"},{"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":"98","Tot_Suplrs":"110","Tot_Suplr_Benes":"142","Tot_Suplr_Clms":"413","Tot_Suplr_Srvcs":"10715","Avg_Suplr_Sbmtd_Chrg":"7.2236920205","Avg_Suplr_Mdcr_Alowd_Amt":"3.7045982268","Avg_Suplr_Mdcr_Pymt_Amt":"2.8311245917","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8311208586"},{"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":"48","Tot_Suplrs":"52","Tot_Suplr_Benes":"62","Tot_Suplr_Clms":"202","Tot_Suplr_Srvcs":"5202","Avg_Suplr_Sbmtd_Chrg":"6.1544502115","Avg_Suplr_Mdcr_Alowd_Amt":"3.2136312957","Avg_Suplr_Mdcr_Pymt_Amt":"2.4588158401","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4588158401"},{"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":"30","Tot_Suplrs":"38","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"170","Tot_Suplr_Srvcs":"4227","Avg_Suplr_Sbmtd_Chrg":"9.0535367873","Avg_Suplr_Mdcr_Alowd_Amt":"3.7341471493","Avg_Suplr_Mdcr_Pymt_Amt":"2.847939437","Avg_Suplr_Mdcr_Stdzd_Amt":"2.847939437"},{"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":"107","Tot_Suplrs":"109","Tot_Suplr_Benes":"128","Tot_Suplr_Clms":"390","Tot_Suplr_Srvcs":"10706","Avg_Suplr_Sbmtd_Chrg":"8.3410330656","Avg_Suplr_Mdcr_Alowd_Amt":"3.4788034747","Avg_Suplr_Mdcr_Pymt_Amt":"2.6682561181","Avg_Suplr_Mdcr_Stdzd_Amt":"2.66825425"},{"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":"47","Tot_Suplrs":"52","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"173","Tot_Suplr_Srvcs":"4273","Avg_Suplr_Sbmtd_Chrg":"6.9870582729","Avg_Suplr_Mdcr_Alowd_Amt":"3.8021366721","Avg_Suplr_Mdcr_Pymt_Amt":"2.9350456354","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9350456354"},{"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":"32","Tot_Suplrs":"31","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"91","Tot_Suplr_Srvcs":"2383","Avg_Suplr_Sbmtd_Chrg":"10.666277801","Avg_Suplr_Mdcr_Alowd_Amt":"4.0707553504","Avg_Suplr_Mdcr_Pymt_Amt":"3.0513428452","Avg_Suplr_Mdcr_Stdzd_Amt":"3.051330256"},{"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":"36","Tot_Suplrs":"34","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"3074","Avg_Suplr_Sbmtd_Chrg":"6.41111581","Avg_Suplr_Mdcr_Alowd_Amt":"3.364424203","Avg_Suplr_Mdcr_Pymt_Amt":"2.6129375407","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6129375407"},{"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":"70","Tot_Suplrs":"80","Tot_Suplr_Benes":"102","Tot_Suplr_Clms":"309","Tot_Suplr_Srvcs":"8078","Avg_Suplr_Sbmtd_Chrg":"12.414971528","Avg_Suplr_Mdcr_Alowd_Amt":"4.4050804655","Avg_Suplr_Mdcr_Pymt_Amt":"3.4099517207","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4099504828"},{"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":"113","Tot_Suplrs":"88","Tot_Suplr_Benes":"138","Tot_Suplr_Clms":"404","Tot_Suplr_Srvcs":"13081","Avg_Suplr_Sbmtd_Chrg":"7.3086163137","Avg_Suplr_Mdcr_Alowd_Amt":"3.8156417705","Avg_Suplr_Mdcr_Pymt_Amt":"2.9213515786","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9213469918"},{"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":"150","Tot_Suplrs":"119","Tot_Suplr_Benes":"167","Tot_Suplr_Clms":"930","Tot_Suplr_Srvcs":"25020","Avg_Suplr_Sbmtd_Chrg":"6.9081694644","Avg_Suplr_Mdcr_Alowd_Amt":"3.7141338929","Avg_Suplr_Mdcr_Pymt_Amt":"2.8587597922","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8587593925"},{"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":"22","Tot_Suplrs":"25","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"69","Tot_Suplr_Srvcs":"1716","Avg_Suplr_Sbmtd_Chrg":"6.5027738928","Avg_Suplr_Mdcr_Alowd_Amt":"3.4161655012","Avg_Suplr_Mdcr_Pymt_Amt":"2.6076456876","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6076398601"},{"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":"43","Tot_Suplrs":"47","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"170","Tot_Suplr_Srvcs":"5854","Avg_Suplr_Sbmtd_Chrg":"6.0221165015","Avg_Suplr_Mdcr_Alowd_Amt":"3.6499436283","Avg_Suplr_Mdcr_Pymt_Amt":"2.7955210113","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7955141783"},{"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":"23","Tot_Suplrs":"23","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"994","Avg_Suplr_Sbmtd_Chrg":"5.6418712274","Avg_Suplr_Mdcr_Alowd_Amt":"3.4153822938","Avg_Suplr_Mdcr_Pymt_Amt":"2.5994466801","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5994466801"},{"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":"37","Tot_Suplrs":"31","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"138","Tot_Suplr_Srvcs":"3623","Avg_Suplr_Sbmtd_Chrg":"4.521134419","Avg_Suplr_Mdcr_Alowd_Amt":"3.3349737786","Avg_Suplr_Mdcr_Pymt_Amt":"2.5629643941","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5629643941"},{"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":"12","Tot_Suplrs":"12","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"731","Avg_Suplr_Sbmtd_Chrg":"4.8224350205","Avg_Suplr_Mdcr_Alowd_Amt":"3.0720793434","Avg_Suplr_Mdcr_Pymt_Amt":"2.4085636115","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4085636115"},{"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":"9","Tot_Suplrs":"13","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"1341","Avg_Suplr_Sbmtd_Chrg":"5.0201715138","Avg_Suplr_Mdcr_Alowd_Amt":"3.4829306488","Avg_Suplr_Mdcr_Pymt_Amt":"2.7163982103","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7163982103"},{"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":"178","Tot_Suplrs":"198","Tot_Suplr_Benes":"227","Tot_Suplr_Clms":"633","Tot_Suplr_Srvcs":"19636","Avg_Suplr_Sbmtd_Chrg":"6.6507679772","Avg_Suplr_Mdcr_Alowd_Amt":"3.6699281931","Avg_Suplr_Mdcr_Pymt_Amt":"2.8315064168","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8315059075"},{"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":"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":"6","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"69","Tot_Suplr_Srvcs":"940","Avg_Suplr_Sbmtd_Chrg":"5.3678191489","Avg_Suplr_Mdcr_Alowd_Amt":"3.8252234043","Avg_Suplr_Mdcr_Pymt_Amt":"2.8642553191","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8642553191"},{"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":"263","Tot_Suplrs":"278","Tot_Suplr_Benes":"329","Tot_Suplr_Clms":"935","Tot_Suplr_Srvcs":"26590","Avg_Suplr_Sbmtd_Chrg":"7.0078085747","Avg_Suplr_Mdcr_Alowd_Amt":"3.7563858593","Avg_Suplr_Mdcr_Pymt_Amt":"2.8656415946","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8656412185"},{"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":"67","Tot_Suplrs":"74","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"207","Tot_Suplr_Srvcs":"7051","Avg_Suplr_Sbmtd_Chrg":"6.3267635796","Avg_Suplr_Mdcr_Alowd_Amt":"3.1389887959","Avg_Suplr_Mdcr_Pymt_Amt":"2.3940008509","Avg_Suplr_Mdcr_Stdzd_Amt":"2.3940008509"},{"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":"11","Tot_Suplrs":"16","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"116","Tot_Suplr_Srvcs":"2628","Avg_Suplr_Sbmtd_Chrg":"6.5792694064","Avg_Suplr_Mdcr_Alowd_Amt":"3.6903729072","Avg_Suplr_Mdcr_Pymt_Amt":"2.6920053272","Avg_Suplr_Mdcr_Stdzd_Amt":"2.691978691"},{"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":"117","Tot_Suplrs":"132","Tot_Suplr_Benes":"148","Tot_Suplr_Clms":"566","Tot_Suplr_Srvcs":"14578","Avg_Suplr_Sbmtd_Chrg":"7.6097359034","Avg_Suplr_Mdcr_Alowd_Amt":"3.6058327617","Avg_Suplr_Mdcr_Pymt_Amt":"2.7745122788","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7745115928"},{"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":"23","Tot_Suplrs":"23","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"2024","Avg_Suplr_Sbmtd_Chrg":"6.2065118577","Avg_Suplr_Mdcr_Alowd_Amt":"3.9017490119","Avg_Suplr_Mdcr_Pymt_Amt":"3.0420701581","Avg_Suplr_Mdcr_Stdzd_Amt":"3.0420701581"},{"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":"17","Tot_Suplrs":"15","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"75","Tot_Suplr_Srvcs":"1848","Avg_Suplr_Sbmtd_Chrg":"6.2298647186","Avg_Suplr_Mdcr_Alowd_Amt":"4.1881655844","Avg_Suplr_Mdcr_Pymt_Amt":"3.2835010823","Avg_Suplr_Mdcr_Stdzd_Amt":"3.283495671"},{"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":"159","Tot_Suplrs":"136","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"550","Tot_Suplr_Srvcs":"17460","Avg_Suplr_Sbmtd_Chrg":"6.4950630011","Avg_Suplr_Mdcr_Alowd_Amt":"3.7777565865","Avg_Suplr_Mdcr_Pymt_Amt":"2.861825315","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8618172967"},{"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":"6","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"396","Avg_Suplr_Sbmtd_Chrg":"4.6294191919","Avg_Suplr_Mdcr_Alowd_Amt":"3.1033585859","Avg_Suplr_Mdcr_Pymt_Amt":"2.1061616162","Avg_Suplr_Mdcr_Stdzd_Amt":"2.1061616162"},{"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":"46","Tot_Suplrs":"50","Tot_Suplr_Benes":"52","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"3531","Avg_Suplr_Sbmtd_Chrg":"8.4912432739","Avg_Suplr_Mdcr_Alowd_Amt":"4.0949787596","Avg_Suplr_Mdcr_Pymt_Amt":"3.1438714245","Avg_Suplr_Mdcr_Stdzd_Amt":"3.1438629283"},{"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":"22","Tot_Suplrs":"25","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"123","Tot_Suplr_Srvcs":"3261","Avg_Suplr_Sbmtd_Chrg":"7.7440110396","Avg_Suplr_Mdcr_Alowd_Amt":"3.6609628948","Avg_Suplr_Mdcr_Pymt_Amt":"2.7960564244","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7960472248"},{"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":"71","Tot_Suplrs":"74","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"215","Tot_Suplr_Srvcs":"6612","Avg_Suplr_Sbmtd_Chrg":"7.295192075","Avg_Suplr_Mdcr_Alowd_Amt":"3.6640411373","Avg_Suplr_Mdcr_Pymt_Amt":"2.7867392619","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7867392619"},{"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":"220","Tot_Suplrs":"263","Tot_Suplr_Benes":"337","Tot_Suplr_Clms":"955","Tot_Suplr_Srvcs":"29704","Avg_Suplr_Sbmtd_Chrg":"6.8962957851","Avg_Suplr_Mdcr_Alowd_Amt":"3.6575737274","Avg_Suplr_Mdcr_Pymt_Amt":"2.8211917587","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8211880555"},{"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":"7","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"2180","Avg_Suplr_Sbmtd_Chrg":"6.1453394495","Avg_Suplr_Mdcr_Alowd_Amt":"3.8058761468","Avg_Suplr_Mdcr_Pymt_Amt":"2.9241192661","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9241192661"},{"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":"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"432","Avg_Suplr_Sbmtd_Chrg":"5.3492592593","Avg_Suplr_Mdcr_Alowd_Amt":"3.7722916667","Avg_Suplr_Mdcr_Pymt_Amt":"2.7287268519","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7287268519"},{"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":"58","Tot_Suplrs":"60","Tot_Suplr_Benes":"73","Tot_Suplr_Clms":"258","Tot_Suplr_Srvcs":"7280","Avg_Suplr_Sbmtd_Chrg":"8.6498791209","Avg_Suplr_Mdcr_Alowd_Amt":"3.861353022","Avg_Suplr_Mdcr_Pymt_Amt":"2.9978351648","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9978351648"},{"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":"67","Tot_Suplrs":"60","Tot_Suplr_Benes":"65","Tot_Suplr_Clms":"329","Tot_Suplr_Srvcs":"8908","Avg_Suplr_Sbmtd_Chrg":"5.9597159856","Avg_Suplr_Mdcr_Alowd_Amt":"3.6699101931","Avg_Suplr_Mdcr_Pymt_Amt":"2.8126145038","Avg_Suplr_Mdcr_Stdzd_Amt":"2.8126122586"},{"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":"59","Tot_Suplrs":"74","Tot_Suplr_Benes":"102","Tot_Suplr_Clms":"271","Tot_Suplr_Srvcs":"7873","Avg_Suplr_Sbmtd_Chrg":"5.3361602947","Avg_Suplr_Mdcr_Alowd_Amt":"3.4554172488","Avg_Suplr_Mdcr_Pymt_Amt":"2.6256712816","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6256700114"},{"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":"86","Tot_Suplrs":"94","Tot_Suplr_Benes":"102","Tot_Suplr_Clms":"375","Tot_Suplr_Srvcs":"10025","Avg_Suplr_Sbmtd_Chrg":"8.5891541147","Avg_Suplr_Mdcr_Alowd_Amt":"3.8324628429","Avg_Suplr_Mdcr_Pymt_Amt":"2.9259790524","Avg_Suplr_Mdcr_Stdzd_Amt":"2.9259760599"},{"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":"52794","Tot_Suplrs":"25650","Tot_Suplr_Benes":"135708","Tot_Suplr_Clms":"755307","Tot_Suplr_Srvcs":"44037368","Avg_Suplr_Sbmtd_Chrg":"11.51556364","Avg_Suplr_Mdcr_Alowd_Amt":"4.5372274576","Avg_Suplr_Mdcr_Pymt_Amt":"3.5069968527","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5069966525"},{"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":"891","Tot_Suplrs":"431","Tot_Suplr_Benes":"2609","Tot_Suplr_Clms":"14229","Tot_Suplr_Srvcs":"822561","Avg_Suplr_Sbmtd_Chrg":"11.614102553","Avg_Suplr_Mdcr_Alowd_Amt":"4.5286453527","Avg_Suplr_Mdcr_Pymt_Amt":"3.4939988037","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4939987308"},{"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":"36","Tot_Suplrs":"28","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"160","Tot_Suplr_Srvcs":"10482","Avg_Suplr_Sbmtd_Chrg":"10.645613433","Avg_Suplr_Mdcr_Alowd_Amt":"4.5420549513","Avg_Suplr_Mdcr_Pymt_Amt":"3.4936805953","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4936805953"},{"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":"712","Tot_Suplrs":"513","Tot_Suplr_Benes":"2251","Tot_Suplr_Clms":"11754","Tot_Suplr_Srvcs":"709437","Avg_Suplr_Sbmtd_Chrg":"11.818092389","Avg_Suplr_Mdcr_Alowd_Amt":"4.5327669124","Avg_Suplr_Mdcr_Pymt_Amt":"3.5196926436","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5196923335"},{"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":"820","Tot_Suplrs":"219","Tot_Suplr_Benes":"2320","Tot_Suplr_Clms":"14794","Tot_Suplr_Srvcs":"866266","Avg_Suplr_Sbmtd_Chrg":"11.826180907","Avg_Suplr_Mdcr_Alowd_Amt":"4.537386334","Avg_Suplr_Mdcr_Pymt_Amt":"3.5110446907","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5110445983"},{"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":"2716","Tot_Suplrs":"1653","Tot_Suplr_Benes":"5909","Tot_Suplr_Clms":"27610","Tot_Suplr_Srvcs":"1573485","Avg_Suplr_Sbmtd_Chrg":"11.930253647","Avg_Suplr_Mdcr_Alowd_Amt":"4.5266443595","Avg_Suplr_Mdcr_Pymt_Amt":"3.4996675977","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4996671973"},{"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":"707","Tot_Suplrs":"385","Tot_Suplr_Benes":"1300","Tot_Suplr_Clms":"7041","Tot_Suplr_Srvcs":"398857","Avg_Suplr_Sbmtd_Chrg":"12.081184284","Avg_Suplr_Mdcr_Alowd_Amt":"4.5325734286","Avg_Suplr_Mdcr_Pymt_Amt":"3.4917178086","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4917176081"},{"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":"704","Tot_Suplrs":"463","Tot_Suplr_Benes":"2071","Tot_Suplr_Clms":"10397","Tot_Suplr_Srvcs":"609277","Avg_Suplr_Sbmtd_Chrg":"10.483820774","Avg_Suplr_Mdcr_Alowd_Amt":"4.5388243279","Avg_Suplr_Mdcr_Pymt_Amt":"3.5093520189","Avg_Suplr_Mdcr_Stdzd_Amt":"3.509351904"},{"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":"166","Tot_Suplrs":"148","Tot_Suplr_Benes":"420","Tot_Suplr_Clms":"2019","Tot_Suplr_Srvcs":"123387","Avg_Suplr_Sbmtd_Chrg":"10.275762601","Avg_Suplr_Mdcr_Alowd_Amt":"4.5267276131","Avg_Suplr_Mdcr_Pymt_Amt":"3.5046790991","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5046784507"},{"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":"59","Tot_Suplrs":"62","Tot_Suplr_Benes":"122","Tot_Suplr_Clms":"552","Tot_Suplr_Srvcs":"31160","Avg_Suplr_Sbmtd_Chrg":"10.268419448","Avg_Suplr_Mdcr_Alowd_Amt":"4.5730558408","Avg_Suplr_Mdcr_Pymt_Amt":"3.529767009","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5297657253"},{"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":"2793","Tot_Suplrs":"1854","Tot_Suplr_Benes":"8609","Tot_Suplr_Clms":"43081","Tot_Suplr_Srvcs":"2504000","Avg_Suplr_Sbmtd_Chrg":"11.395274665","Avg_Suplr_Mdcr_Alowd_Amt":"4.5422919768","Avg_Suplr_Mdcr_Pymt_Amt":"3.5199950319","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5199948642"},{"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":"1081","Tot_Suplrs":"775","Tot_Suplr_Benes":"3062","Tot_Suplr_Clms":"17221","Tot_Suplr_Srvcs":"981878","Avg_Suplr_Sbmtd_Chrg":"11.484413186","Avg_Suplr_Mdcr_Alowd_Amt":"4.5381810673","Avg_Suplr_Mdcr_Pymt_Amt":"3.516481569","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5164815384"},{"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":"44","Tot_Suplrs":"48","Tot_Suplr_Benes":"68","Tot_Suplr_Clms":"282","Tot_Suplr_Srvcs":"16506","Avg_Suplr_Sbmtd_Chrg":"11.394492306","Avg_Suplr_Mdcr_Alowd_Amt":"4.4340712468","Avg_Suplr_Mdcr_Pymt_Amt":"3.3815109657","Avg_Suplr_Mdcr_Stdzd_Amt":"3.3815103599"},{"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":"383","Tot_Suplrs":"134","Tot_Suplr_Benes":"1053","Tot_Suplr_Clms":"6662","Tot_Suplr_Srvcs":"384328","Avg_Suplr_Sbmtd_Chrg":"12.457901688","Avg_Suplr_Mdcr_Alowd_Amt":"4.5346247997","Avg_Suplr_Mdcr_Pymt_Amt":"3.5143826627","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5143825847"},{"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":"2075","Tot_Suplrs":"1298","Tot_Suplr_Benes":"6181","Tot_Suplr_Clms":"34586","Tot_Suplr_Srvcs":"2068526","Avg_Suplr_Sbmtd_Chrg":"11.566698949","Avg_Suplr_Mdcr_Alowd_Amt":"4.5522292541","Avg_Suplr_Mdcr_Pymt_Amt":"3.5255142164","Avg_Suplr_Mdcr_Stdzd_Amt":"3.525513994"},{"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":"1630","Tot_Suplrs":"910","Tot_Suplr_Benes":"4649","Tot_Suplr_Clms":"26308","Tot_Suplr_Srvcs":"1576460","Avg_Suplr_Sbmtd_Chrg":"11.28495304","Avg_Suplr_Mdcr_Alowd_Amt":"4.5505904495","Avg_Suplr_Mdcr_Pymt_Amt":"3.5054082057","Avg_Suplr_Mdcr_Stdzd_Amt":"3.505407952"},{"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":"929","Tot_Suplrs":"554","Tot_Suplr_Benes":"2551","Tot_Suplr_Clms":"14813","Tot_Suplr_Srvcs":"852027","Avg_Suplr_Sbmtd_Chrg":"11.440608291","Avg_Suplr_Mdcr_Alowd_Amt":"4.5327535864","Avg_Suplr_Mdcr_Pymt_Amt":"3.4956472506","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4956470159"},{"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":"1108","Tot_Suplrs":"389","Tot_Suplr_Benes":"4249","Tot_Suplr_Clms":"26267","Tot_Suplr_Srvcs":"1535897","Avg_Suplr_Sbmtd_Chrg":"12.040474049","Avg_Suplr_Mdcr_Alowd_Amt":"4.5330513179","Avg_Suplr_Mdcr_Pymt_Amt":"3.5034541509","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5034540207"},{"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":"1345","Tot_Suplrs":"692","Tot_Suplr_Benes":"3638","Tot_Suplr_Clms":"19934","Tot_Suplr_Srvcs":"1177936","Avg_Suplr_Sbmtd_Chrg":"11.913541992","Avg_Suplr_Mdcr_Alowd_Amt":"4.5324478834","Avg_Suplr_Mdcr_Pymt_Amt":"3.5074035856","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5074034837"},{"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":"643","Tot_Suplrs":"335","Tot_Suplr_Benes":"1807","Tot_Suplr_Clms":"10550","Tot_Suplr_Srvcs":"598154","Avg_Suplr_Sbmtd_Chrg":"12.402215951","Avg_Suplr_Mdcr_Alowd_Amt":"4.5405730798","Avg_Suplr_Mdcr_Pymt_Amt":"3.513704113","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5137039792"},{"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":"408","Tot_Suplrs":"185","Tot_Suplr_Benes":"659","Tot_Suplr_Clms":"3654","Tot_Suplr_Srvcs":"208000","Avg_Suplr_Sbmtd_Chrg":"11.45618625","Avg_Suplr_Mdcr_Alowd_Amt":"4.5326587019","Avg_Suplr_Mdcr_Pymt_Amt":"3.4971687019","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4971685096"},{"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":"729","Tot_Suplrs":"529","Tot_Suplr_Benes":"1868","Tot_Suplr_Clms":"9700","Tot_Suplr_Srvcs":"585211","Avg_Suplr_Sbmtd_Chrg":"11.025205199","Avg_Suplr_Mdcr_Alowd_Amt":"4.5389800944","Avg_Suplr_Mdcr_Pymt_Amt":"3.510606072","Avg_Suplr_Mdcr_Stdzd_Amt":"3.510605679"},{"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":"1181","Tot_Suplrs":"752","Tot_Suplr_Benes":"2987","Tot_Suplr_Clms":"14858","Tot_Suplr_Srvcs":"863060","Avg_Suplr_Sbmtd_Chrg":"11.153373798","Avg_Suplr_Mdcr_Alowd_Amt":"4.5247504461","Avg_Suplr_Mdcr_Pymt_Amt":"3.4938718166","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4938716891"},{"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":"2376","Tot_Suplrs":"954","Tot_Suplr_Benes":"5893","Tot_Suplr_Clms":"33101","Tot_Suplr_Srvcs":"1991850","Avg_Suplr_Sbmtd_Chrg":"11.381312604","Avg_Suplr_Mdcr_Alowd_Amt":"4.5454293295","Avg_Suplr_Mdcr_Pymt_Amt":"3.5086596079","Avg_Suplr_Mdcr_Stdzd_Amt":"3.508659387"},{"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":"1336","Tot_Suplrs":"710","Tot_Suplr_Benes":"2175","Tot_Suplr_Clms":"11513","Tot_Suplr_Srvcs":"677697","Avg_Suplr_Sbmtd_Chrg":"11.838480088","Avg_Suplr_Mdcr_Alowd_Amt":"4.5564126151","Avg_Suplr_Mdcr_Pymt_Amt":"3.5021756183","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5021750428"},{"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":"841","Tot_Suplrs":"272","Tot_Suplr_Benes":"2917","Tot_Suplr_Clms":"17587","Tot_Suplr_Srvcs":"1012223","Avg_Suplr_Sbmtd_Chrg":"11.632981922","Avg_Suplr_Mdcr_Alowd_Amt":"4.5352296184","Avg_Suplr_Mdcr_Pymt_Amt":"3.5105844463","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5105842981"},{"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":"1615","Tot_Suplrs":"759","Tot_Suplr_Benes":"5145","Tot_Suplr_Clms":"30617","Tot_Suplr_Srvcs":"1781701","Avg_Suplr_Sbmtd_Chrg":"11.684636154","Avg_Suplr_Mdcr_Alowd_Amt":"4.532530419","Avg_Suplr_Mdcr_Pymt_Amt":"3.5076239448","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5076238213"},{"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":"305","Tot_Suplrs":"116","Tot_Suplr_Benes":"580","Tot_Suplr_Clms":"3603","Tot_Suplr_Srvcs":"206445","Avg_Suplr_Sbmtd_Chrg":"12.375023759","Avg_Suplr_Mdcr_Alowd_Amt":"4.549422219","Avg_Suplr_Mdcr_Pymt_Amt":"3.5050763157","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5050761704"},{"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":"553","Tot_Suplrs":"298","Tot_Suplr_Benes":"1409","Tot_Suplr_Clms":"8541","Tot_Suplr_Srvcs":"494710","Avg_Suplr_Sbmtd_Chrg":"11.981217582","Avg_Suplr_Mdcr_Alowd_Amt":"4.5210177276","Avg_Suplr_Mdcr_Pymt_Amt":"3.5035854541","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5035852924"},{"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":"302","Tot_Suplrs":"189","Tot_Suplr_Benes":"801","Tot_Suplr_Clms":"4128","Tot_Suplr_Srvcs":"239952","Avg_Suplr_Sbmtd_Chrg":"12.20363256","Avg_Suplr_Mdcr_Alowd_Amt":"4.5434820297","Avg_Suplr_Mdcr_Pymt_Amt":"3.5320274472","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5320274055"},{"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":"396","Tot_Suplrs":"244","Tot_Suplr_Benes":"1011","Tot_Suplr_Clms":"5538","Tot_Suplr_Srvcs":"318103","Avg_Suplr_Sbmtd_Chrg":"11.47712634","Avg_Suplr_Mdcr_Alowd_Amt":"4.527197983","Avg_Suplr_Mdcr_Pymt_Amt":"3.4943831401","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4943828571"},{"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":"1623","Tot_Suplrs":"1237","Tot_Suplr_Benes":"5185","Tot_Suplr_Clms":"24012","Tot_Suplr_Srvcs":"1434833","Avg_Suplr_Sbmtd_Chrg":"11.254481887","Avg_Suplr_Mdcr_Alowd_Amt":"4.5261976342","Avg_Suplr_Mdcr_Pymt_Amt":"3.4989241187","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4989237842"},{"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":"265","Tot_Suplrs":"122","Tot_Suplr_Benes":"498","Tot_Suplr_Clms":"2735","Tot_Suplr_Srvcs":"158010","Avg_Suplr_Sbmtd_Chrg":"12.03718271","Avg_Suplr_Mdcr_Alowd_Amt":"4.5309932283","Avg_Suplr_Mdcr_Pymt_Amt":"3.4938948801","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4938948168"},{"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":"3211","Tot_Suplrs":"2290","Tot_Suplr_Benes":"7694","Tot_Suplr_Clms":"37159","Tot_Suplr_Srvcs":"2162626","Avg_Suplr_Sbmtd_Chrg":"11.180828789","Avg_Suplr_Mdcr_Alowd_Amt":"4.5378331667","Avg_Suplr_Mdcr_Pymt_Amt":"3.4914479064","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4914476983"},{"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":"2103","Tot_Suplrs":"1078","Tot_Suplr_Benes":"5470","Tot_Suplr_Clms":"31141","Tot_Suplr_Srvcs":"1789052","Avg_Suplr_Sbmtd_Chrg":"11.533354106","Avg_Suplr_Mdcr_Alowd_Amt":"4.5377909362","Avg_Suplr_Mdcr_Pymt_Amt":"3.5125995387","Avg_Suplr_Mdcr_Stdzd_Amt":"3.512599427"},{"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":"348","Tot_Suplrs":"163","Tot_Suplr_Benes":"981","Tot_Suplr_Clms":"6067","Tot_Suplr_Srvcs":"348452","Avg_Suplr_Sbmtd_Chrg":"12.085789205","Avg_Suplr_Mdcr_Alowd_Amt":"4.5254841126","Avg_Suplr_Mdcr_Pymt_Amt":"3.4860695878","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4860695304"},{"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":"1919","Tot_Suplrs":"1177","Tot_Suplr_Benes":"4294","Tot_Suplr_Clms":"23508","Tot_Suplr_Srvcs":"1400466","Avg_Suplr_Sbmtd_Chrg":"11.098113771","Avg_Suplr_Mdcr_Alowd_Amt":"4.5491862709","Avg_Suplr_Mdcr_Pymt_Amt":"3.5138776093","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5138773023"},{"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":"889","Tot_Suplrs":"384","Tot_Suplr_Benes":"2826","Tot_Suplr_Clms":"16527","Tot_Suplr_Srvcs":"962161","Avg_Suplr_Sbmtd_Chrg":"11.880660918","Avg_Suplr_Mdcr_Alowd_Amt":"4.5307424641","Avg_Suplr_Mdcr_Pymt_Amt":"3.5112196919","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5112195984"},{"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":"636","Tot_Suplrs":"237","Tot_Suplr_Benes":"1499","Tot_Suplr_Clms":"8870","Tot_Suplr_Srvcs":"511525","Avg_Suplr_Sbmtd_Chrg":"12.662339807","Avg_Suplr_Mdcr_Alowd_Amt":"4.5284641024","Avg_Suplr_Mdcr_Pymt_Amt":"3.5000104003","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5000102634"},{"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":"2231","Tot_Suplrs":"1550","Tot_Suplr_Benes":"4763","Tot_Suplr_Clms":"24223","Tot_Suplr_Srvcs":"1407736","Avg_Suplr_Sbmtd_Chrg":"10.702737644","Avg_Suplr_Mdcr_Alowd_Amt":"4.5280926182","Avg_Suplr_Mdcr_Pymt_Amt":"3.4935854308","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4935851537"},{"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":"125","Tot_Suplrs":"95","Tot_Suplr_Benes":"236","Tot_Suplr_Clms":"1370","Tot_Suplr_Srvcs":"81346","Avg_Suplr_Sbmtd_Chrg":"10.840839869","Avg_Suplr_Mdcr_Alowd_Amt":"4.5580083839","Avg_Suplr_Mdcr_Pymt_Amt":"3.509926241","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5099261181"},{"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":"791","Tot_Suplrs":"452","Tot_Suplr_Benes":"2326","Tot_Suplr_Clms":"13379","Tot_Suplr_Srvcs":"776049","Avg_Suplr_Sbmtd_Chrg":"10.858973377","Avg_Suplr_Mdcr_Alowd_Amt":"4.5535970925","Avg_Suplr_Mdcr_Pymt_Amt":"3.5159169975","Avg_Suplr_Mdcr_Stdzd_Amt":"3.51591683"},{"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":"412","Tot_Suplrs":"263","Tot_Suplr_Benes":"1431","Tot_Suplr_Clms":"8155","Tot_Suplr_Srvcs":"475287","Avg_Suplr_Sbmtd_Chrg":"10.833733618","Avg_Suplr_Mdcr_Alowd_Amt":"4.5276103281","Avg_Suplr_Mdcr_Pymt_Amt":"3.4986400007","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4986397692"},{"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":"1282","Tot_Suplrs":"815","Tot_Suplr_Benes":"3138","Tot_Suplr_Clms":"17379","Tot_Suplr_Srvcs":"1013087","Avg_Suplr_Sbmtd_Chrg":"11.644548316","Avg_Suplr_Mdcr_Alowd_Amt":"4.5366052076","Avg_Suplr_Mdcr_Pymt_Amt":"3.5094968843","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5094967461"},{"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":"3101","Tot_Suplrs":"1900","Tot_Suplr_Benes":"9275","Tot_Suplr_Clms":"48813","Tot_Suplr_Srvcs":"2826343","Avg_Suplr_Sbmtd_Chrg":"11.295966385","Avg_Suplr_Mdcr_Alowd_Amt":"4.5351998395","Avg_Suplr_Mdcr_Pymt_Amt":"3.5086296108","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5086294233"},{"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":"345","Tot_Suplrs":"117","Tot_Suplr_Benes":"835","Tot_Suplr_Clms":"4926","Tot_Suplr_Srvcs":"281226","Avg_Suplr_Sbmtd_Chrg":"12.578561264","Avg_Suplr_Mdcr_Alowd_Amt":"4.5392907839","Avg_Suplr_Mdcr_Pymt_Amt":"3.5251403853","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5251402786"},{"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":"208","Tot_Suplrs":"107","Tot_Suplr_Benes":"396","Tot_Suplr_Clms":"1987","Tot_Suplr_Srvcs":"107879","Avg_Suplr_Sbmtd_Chrg":"11.544602286","Avg_Suplr_Mdcr_Alowd_Amt":"4.5209464307","Avg_Suplr_Mdcr_Pymt_Amt":"3.4562830579","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4562829652"},{"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":"1275","Tot_Suplrs":"778","Tot_Suplr_Benes":"3172","Tot_Suplr_Clms":"17154","Tot_Suplr_Srvcs":"978425","Avg_Suplr_Sbmtd_Chrg":"11.455901658","Avg_Suplr_Mdcr_Alowd_Amt":"4.5295538953","Avg_Suplr_Mdcr_Pymt_Amt":"3.5047219664","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5047217927"},{"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":"1111","Tot_Suplrs":"570","Tot_Suplr_Benes":"2485","Tot_Suplr_Clms":"13821","Tot_Suplr_Srvcs":"779357","Avg_Suplr_Sbmtd_Chrg":"12.030775396","Avg_Suplr_Mdcr_Alowd_Amt":"4.5148334717","Avg_Suplr_Mdcr_Pymt_Amt":"3.4960572369","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4960570445"},{"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":"504","Tot_Suplrs":"314","Tot_Suplr_Benes":"1094","Tot_Suplr_Clms":"6074","Tot_Suplr_Srvcs":"348180","Avg_Suplr_Sbmtd_Chrg":"11.707360676","Avg_Suplr_Mdcr_Alowd_Amt":"4.5318961744","Avg_Suplr_Mdcr_Pymt_Amt":"3.4942393877","Avg_Suplr_Mdcr_Stdzd_Amt":"3.4942392728"},{"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":"1221","Tot_Suplrs":"728","Tot_Suplr_Benes":"2312","Tot_Suplr_Clms":"12885","Tot_Suplr_Srvcs":"740437","Avg_Suplr_Sbmtd_Chrg":"11.258323341","Avg_Suplr_Mdcr_Alowd_Amt":"4.5766755308","Avg_Suplr_Mdcr_Pymt_Amt":"3.5232254601","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5232250279"},{"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":"212","Tot_Suplrs":"71","Tot_Suplr_Benes":"528","Tot_Suplr_Clms":"3218","Tot_Suplr_Srvcs":"187654","Avg_Suplr_Sbmtd_Chrg":"12.433911614","Avg_Suplr_Mdcr_Alowd_Amt":"4.5321527386","Avg_Suplr_Mdcr_Pymt_Amt":"3.5006061155","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5006059024"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"66","Rfrg_Prvdr_Geo_Desc":"Guam","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":"2","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"960","Avg_Suplr_Sbmtd_Chrg":"9.5031979167","Avg_Suplr_Mdcr_Alowd_Amt":"4.68375","Avg_Suplr_Mdcr_Pymt_Amt":"3.6603333333","Avg_Suplr_Mdcr_Stdzd_Amt":"3.6603333333"},{"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":"91","Tot_Suplrs":"48","Tot_Suplr_Benes":"239","Tot_Suplr_Clms":"741","Tot_Suplr_Srvcs":"43371","Avg_Suplr_Sbmtd_Chrg":"7.3223997602","Avg_Suplr_Mdcr_Alowd_Amt":"4.5110898988","Avg_Suplr_Mdcr_Pymt_Amt":"3.5137594245","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5137594245"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9E","Rfrg_Prvdr_Geo_Desc":"Foreign Country","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":"3","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"47","Tot_Suplr_Srvcs":"2730","Avg_Suplr_Sbmtd_Chrg":"11.798838828","Avg_Suplr_Mdcr_Alowd_Amt":"4.5785934066","Avg_Suplr_Mdcr_Pymt_Amt":"3.5058241758","Avg_Suplr_Mdcr_Stdzd_Amt":"3.5058241758"},{"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":"563","Tot_Suplrs":"418","Tot_Suplr_Benes":"1316","Tot_Suplr_Clms":"8307","Tot_Suplr_Srvcs":"655929","Avg_Suplr_Sbmtd_Chrg":"59.099107129","Avg_Suplr_Mdcr_Alowd_Amt":"40.618331496","Avg_Suplr_Mdcr_Pymt_Amt":"31.626488888","Avg_Suplr_Mdcr_Stdzd_Amt":"31.626488843"},{"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":"10","Tot_Suplrs":"9","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"135","Tot_Suplr_Srvcs":"10665","Avg_Suplr_Sbmtd_Chrg":"73.590572902","Avg_Suplr_Mdcr_Alowd_Amt":"40.790992968","Avg_Suplr_Mdcr_Pymt_Amt":"31.935181435","Avg_Suplr_Mdcr_Stdzd_Amt":"31.935181435"},{"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":"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":"17","Tot_Suplr_Srvcs":"1275","Avg_Suplr_Sbmtd_Chrg":"51.531207843","Avg_Suplr_Mdcr_Alowd_Amt":"40.396643137","Avg_Suplr_Mdcr_Pymt_Amt":"31.66454902","Avg_Suplr_Mdcr_Stdzd_Amt":"31.66454902"},{"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":"8","Tot_Suplrs":"10","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"84","Tot_Suplr_Srvcs":"6774","Avg_Suplr_Sbmtd_Chrg":"57.669250074","Avg_Suplr_Mdcr_Alowd_Amt":"40.614524653","Avg_Suplr_Mdcr_Pymt_Amt":"31.815816357","Avg_Suplr_Mdcr_Stdzd_Amt":"31.815816357"},{"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"110","Tot_Suplr_Srvcs":"8340","Avg_Suplr_Sbmtd_Chrg":"48.311863309","Avg_Suplr_Mdcr_Alowd_Amt":"40.432647482","Avg_Suplr_Mdcr_Pymt_Amt":"31.573443645","Avg_Suplr_Mdcr_Stdzd_Amt":"31.573443645"},{"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":"50","Tot_Suplrs":"36","Tot_Suplr_Benes":"111","Tot_Suplr_Clms":"769","Tot_Suplr_Srvcs":"60780","Avg_Suplr_Sbmtd_Chrg":"80.750281507","Avg_Suplr_Mdcr_Alowd_Amt":"40.495008062","Avg_Suplr_Mdcr_Pymt_Amt":"31.714671438","Avg_Suplr_Mdcr_Stdzd_Amt":"31.714671438"},{"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":"7","Tot_Suplrs":"18","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"263","Tot_Suplr_Srvcs":"19959","Avg_Suplr_Sbmtd_Chrg":"57.75422917","Avg_Suplr_Mdcr_Alowd_Amt":"40.754850443","Avg_Suplr_Mdcr_Pymt_Amt":"31.837213788","Avg_Suplr_Mdcr_Stdzd_Amt":"31.837213788"},{"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":"12","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"105","Tot_Suplr_Srvcs":"8538","Avg_Suplr_Sbmtd_Chrg":"54.35869056","Avg_Suplr_Mdcr_Alowd_Amt":"40.859119232","Avg_Suplr_Mdcr_Pymt_Amt":"32.012211291","Avg_Suplr_Mdcr_Stdzd_Amt":"32.012211291"},{"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":"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":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"1650","Avg_Suplr_Sbmtd_Chrg":"49.719539394","Avg_Suplr_Mdcr_Alowd_Amt":"40.536278788","Avg_Suplr_Mdcr_Pymt_Amt":"31.780430303","Avg_Suplr_Mdcr_Stdzd_Amt":"31.780430303"},{"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":"45","Tot_Suplrs":"26","Tot_Suplr_Benes":"110","Tot_Suplr_Clms":"649","Tot_Suplr_Srvcs":"49413","Avg_Suplr_Sbmtd_Chrg":"69.720623115","Avg_Suplr_Mdcr_Alowd_Amt":"40.825270475","Avg_Suplr_Mdcr_Pymt_Amt":"31.941965879","Avg_Suplr_Mdcr_Stdzd_Amt":"31.941965879"},{"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":"13","Tot_Suplrs":"11","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"241","Tot_Suplr_Srvcs":"19074","Avg_Suplr_Sbmtd_Chrg":"72.644514522","Avg_Suplr_Mdcr_Alowd_Amt":"40.540225962","Avg_Suplr_Mdcr_Pymt_Amt":"31.771304393","Avg_Suplr_Mdcr_Stdzd_Amt":"31.771304393"},{"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":"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":"14","Tot_Suplr_Srvcs":"1053","Avg_Suplr_Sbmtd_Chrg":"43.910075973","Avg_Suplr_Mdcr_Alowd_Amt":"40.097796771","Avg_Suplr_Mdcr_Pymt_Amt":"31.436609687","Avg_Suplr_Mdcr_Stdzd_Amt":"31.436609687"},{"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":"23","Tot_Suplr_Srvcs":"1738","Avg_Suplr_Sbmtd_Chrg":"48.362019563","Avg_Suplr_Mdcr_Alowd_Amt":"40.92698504","Avg_Suplr_Mdcr_Pymt_Amt":"25.129976985","Avg_Suplr_Mdcr_Stdzd_Amt":"25.129976985"},{"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":"22","Tot_Suplrs":"29","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"261","Tot_Suplr_Srvcs":"20952","Avg_Suplr_Sbmtd_Chrg":"50.158591543","Avg_Suplr_Mdcr_Alowd_Amt":"40.471117316","Avg_Suplr_Mdcr_Pymt_Amt":"31.671797919","Avg_Suplr_Mdcr_Stdzd_Amt":"31.671797919"},{"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":"7","Tot_Suplrs":"11","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"86","Tot_Suplr_Srvcs":"8475","Avg_Suplr_Sbmtd_Chrg":"51.313627139","Avg_Suplr_Mdcr_Alowd_Amt":"40.741519764","Avg_Suplr_Mdcr_Pymt_Amt":"31.886251327","Avg_Suplr_Mdcr_Stdzd_Amt":"31.886251327"},{"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":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"47","Tot_Suplr_Srvcs":"3528","Avg_Suplr_Sbmtd_Chrg":"48.832103175","Avg_Suplr_Mdcr_Alowd_Amt":"40.6513322","Avg_Suplr_Mdcr_Pymt_Amt":"31.759963152","Avg_Suplr_Mdcr_Stdzd_Amt":"31.759963152"},{"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":"14","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"137","Tot_Suplr_Srvcs":"10563","Avg_Suplr_Sbmtd_Chrg":"50.501183376","Avg_Suplr_Mdcr_Alowd_Amt":"40.257823535","Avg_Suplr_Mdcr_Pymt_Amt":"31.51556376","Avg_Suplr_Mdcr_Stdzd_Amt":"31.51556376"},{"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":"9","Tot_Suplrs":"12","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"13534","Avg_Suplr_Sbmtd_Chrg":"54.98780331","Avg_Suplr_Mdcr_Alowd_Amt":"40.539023201","Avg_Suplr_Mdcr_Pymt_Amt":"31.746087631","Avg_Suplr_Mdcr_Stdzd_Amt":"31.746087631"},{"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":"8","Tot_Suplrs":"13","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"74","Tot_Suplr_Srvcs":"5727","Avg_Suplr_Sbmtd_Chrg":"52.688377859","Avg_Suplr_Mdcr_Alowd_Amt":"40.741536581","Avg_Suplr_Mdcr_Pymt_Amt":"31.609692684","Avg_Suplr_Mdcr_Stdzd_Amt":"31.609692684"},{"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":"6","Tot_Suplrs":"11","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"98","Tot_Suplr_Srvcs":"7437","Avg_Suplr_Sbmtd_Chrg":"50.647657658","Avg_Suplr_Mdcr_Alowd_Amt":"40.811285465","Avg_Suplr_Mdcr_Pymt_Amt":"31.888105419","Avg_Suplr_Mdcr_Stdzd_Amt":"31.888105419"},{"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":"13","Tot_Suplrs":"13","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"169","Tot_Suplr_Srvcs":"14763","Avg_Suplr_Sbmtd_Chrg":"48.733968706","Avg_Suplr_Mdcr_Alowd_Amt":"40.285711576","Avg_Suplr_Mdcr_Pymt_Amt":"31.548942627","Avg_Suplr_Mdcr_Stdzd_Amt":"31.548942627"},{"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":"24","Tot_Suplrs":"31","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"242","Tot_Suplr_Srvcs":"18913","Avg_Suplr_Sbmtd_Chrg":"55.35232327","Avg_Suplr_Mdcr_Alowd_Amt":"40.584746999","Avg_Suplr_Mdcr_Pymt_Amt":"31.73863533","Avg_Suplr_Mdcr_Stdzd_Amt":"31.73863533"},{"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":"12","Tot_Suplrs":"13","Tot_Suplr_Benes":"64","Tot_Suplr_Clms":"427","Tot_Suplr_Srvcs":"37152","Avg_Suplr_Sbmtd_Chrg":"50.627806578","Avg_Suplr_Mdcr_Alowd_Amt":"40.508772879","Avg_Suplr_Mdcr_Pymt_Amt":"31.245009421","Avg_Suplr_Mdcr_Stdzd_Amt":"31.245009421"},{"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":"19","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"191","Tot_Suplr_Srvcs":"15132","Avg_Suplr_Sbmtd_Chrg":"51.277842982","Avg_Suplr_Mdcr_Alowd_Amt":"40.620060137","Avg_Suplr_Mdcr_Pymt_Amt":"31.381431404","Avg_Suplr_Mdcr_Stdzd_Amt":"31.381431404"},{"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":"4","Tot_Suplrs":"7","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"104","Tot_Suplr_Srvcs":"8445","Avg_Suplr_Sbmtd_Chrg":"57.214503256","Avg_Suplr_Mdcr_Alowd_Amt":"40.829801066","Avg_Suplr_Mdcr_Pymt_Amt":"31.964325636","Avg_Suplr_Mdcr_Stdzd_Amt":"31.964325636"},{"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":"12","Tot_Suplrs":"18","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"311","Tot_Suplr_Srvcs":"23924","Avg_Suplr_Sbmtd_Chrg":"53.726844591","Avg_Suplr_Mdcr_Alowd_Amt":"40.597110433","Avg_Suplr_Mdcr_Pymt_Amt":"31.745993145","Avg_Suplr_Mdcr_Stdzd_Amt":"31.745992727"},{"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":"4","Tot_Suplrs":"7","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"92","Tot_Suplr_Srvcs":"6771","Avg_Suplr_Sbmtd_Chrg":"47.454467582","Avg_Suplr_Mdcr_Alowd_Amt":"40.659045931","Avg_Suplr_Mdcr_Pymt_Amt":"31.800299808","Avg_Suplr_Mdcr_Stdzd_Amt":"31.800299808"},{"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":"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":"54","Tot_Suplr_Srvcs":"4050","Avg_Suplr_Sbmtd_Chrg":"71.030120988","Avg_Suplr_Mdcr_Alowd_Amt":"40.693197531","Avg_Suplr_Mdcr_Pymt_Amt":"31.786930864","Avg_Suplr_Mdcr_Stdzd_Amt":"31.786930864"},{"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":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"64","Tot_Suplr_Srvcs":"5964","Avg_Suplr_Sbmtd_Chrg":"53.768378605","Avg_Suplr_Mdcr_Alowd_Amt":"40.671098256","Avg_Suplr_Mdcr_Pymt_Amt":"31.866909792","Avg_Suplr_Mdcr_Stdzd_Amt":"31.866909792"},{"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":"9","Tot_Suplrs":"13","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"108","Tot_Suplr_Srvcs":"7899","Avg_Suplr_Sbmtd_Chrg":"52.268001013","Avg_Suplr_Mdcr_Alowd_Amt":"40.905248766","Avg_Suplr_Mdcr_Pymt_Amt":"32.048779592","Avg_Suplr_Mdcr_Stdzd_Amt":"32.048779592"},{"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":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"2475","Avg_Suplr_Sbmtd_Chrg":"49.009826263","Avg_Suplr_Mdcr_Alowd_Amt":"40.526775758","Avg_Suplr_Mdcr_Pymt_Amt":"31.684145455","Avg_Suplr_Mdcr_Stdzd_Amt":"31.684145455"},{"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":"41","Tot_Suplrs":"34","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"447","Tot_Suplr_Srvcs":"34489","Avg_Suplr_Sbmtd_Chrg":"53.706611963","Avg_Suplr_Mdcr_Alowd_Amt":"40.615764157","Avg_Suplr_Mdcr_Pymt_Amt":"31.523397025","Avg_Suplr_Mdcr_Stdzd_Amt":"31.523396735"},{"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":"21","Tot_Suplrs":"28","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"288","Tot_Suplr_Srvcs":"21552","Avg_Suplr_Sbmtd_Chrg":"65.31031598","Avg_Suplr_Mdcr_Alowd_Amt":"40.609303545","Avg_Suplr_Mdcr_Pymt_Amt":"31.794178731","Avg_Suplr_Mdcr_Stdzd_Amt":"31.794178731"},{"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":"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":"21","Tot_Suplr_Srvcs":"1521","Avg_Suplr_Sbmtd_Chrg":"49.441867193","Avg_Suplr_Mdcr_Alowd_Amt":"41.027120316","Avg_Suplr_Mdcr_Pymt_Amt":"31.978441815","Avg_Suplr_Mdcr_Stdzd_Amt":"31.978441815"},{"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":"26","Tot_Suplrs":"32","Tot_Suplr_Benes":"60","Tot_Suplr_Clms":"384","Tot_Suplr_Srvcs":"30720","Avg_Suplr_Sbmtd_Chrg":"57.302171224","Avg_Suplr_Mdcr_Alowd_Amt":"40.471413411","Avg_Suplr_Mdcr_Pymt_Amt":"31.65293457","Avg_Suplr_Mdcr_Stdzd_Amt":"31.65293457"},{"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":"9","Tot_Suplrs":"10","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"100","Tot_Suplr_Srvcs":"7500","Avg_Suplr_Sbmtd_Chrg":"54.946664","Avg_Suplr_Mdcr_Alowd_Amt":"40.517977333","Avg_Suplr_Mdcr_Pymt_Amt":"31.598430667","Avg_Suplr_Mdcr_Stdzd_Amt":"31.598430667"},{"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":"8","Tot_Suplrs":"7","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"11400","Avg_Suplr_Sbmtd_Chrg":"54.655936842","Avg_Suplr_Mdcr_Alowd_Amt":"40.691319298","Avg_Suplr_Mdcr_Pymt_Amt":"31.818330702","Avg_Suplr_Mdcr_Stdzd_Amt":"31.818330702"},{"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":"27","Tot_Suplrs":"28","Tot_Suplr_Benes":"79","Tot_Suplr_Clms":"475","Tot_Suplr_Srvcs":"39327","Avg_Suplr_Sbmtd_Chrg":"55.071488799","Avg_Suplr_Mdcr_Alowd_Amt":"40.652101101","Avg_Suplr_Mdcr_Pymt_Amt":"31.500288352","Avg_Suplr_Mdcr_Stdzd_Amt":"31.500288352"},{"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":"5","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"46","Tot_Suplr_Srvcs":"3378","Avg_Suplr_Sbmtd_Chrg":"48.593357016","Avg_Suplr_Mdcr_Alowd_Amt":"40.533425104","Avg_Suplr_Mdcr_Pymt_Amt":"31.70312611","Avg_Suplr_Mdcr_Stdzd_Amt":"31.70312611"},{"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":"4","Tot_Suplrs":"7","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"77","Tot_Suplr_Srvcs":"5781","Avg_Suplr_Sbmtd_Chrg":"59.471382114","Avg_Suplr_Mdcr_Alowd_Amt":"40.800612351","Avg_Suplr_Mdcr_Pymt_Amt":"31.932539353","Avg_Suplr_Mdcr_Stdzd_Amt":"31.932539353"},{"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":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"2208","Avg_Suplr_Sbmtd_Chrg":"46.814139493","Avg_Suplr_Mdcr_Alowd_Amt":"40.745466486","Avg_Suplr_Mdcr_Pymt_Amt":"31.879827899","Avg_Suplr_Mdcr_Stdzd_Amt":"31.879827899"},{"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":"13","Tot_Suplrs":"17","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"196","Tot_Suplr_Srvcs":"14856","Avg_Suplr_Sbmtd_Chrg":"52.7842986","Avg_Suplr_Mdcr_Alowd_Amt":"40.727267771","Avg_Suplr_Mdcr_Pymt_Amt":"31.867185649","Avg_Suplr_Mdcr_Stdzd_Amt":"31.867185649"},{"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":"25","Tot_Suplrs":"25","Tot_Suplr_Benes":"67","Tot_Suplr_Clms":"343","Tot_Suplr_Srvcs":"26942","Avg_Suplr_Sbmtd_Chrg":"67.557744043","Avg_Suplr_Mdcr_Alowd_Amt":"40.684616584","Avg_Suplr_Mdcr_Pymt_Amt":"31.53754287","Avg_Suplr_Mdcr_Stdzd_Amt":"31.53754287"},{"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":"2","Tot_Suplrs":"6","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"57","Tot_Suplr_Srvcs":"4275","Avg_Suplr_Sbmtd_Chrg":"59.538849123","Avg_Suplr_Mdcr_Alowd_Amt":"40.715784795","Avg_Suplr_Mdcr_Pymt_Amt":"29.295295906","Avg_Suplr_Mdcr_Stdzd_Amt":"29.295295906"},{"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"5283","Avg_Suplr_Sbmtd_Chrg":"54.712250615","Avg_Suplr_Mdcr_Alowd_Amt":"40.63001325","Avg_Suplr_Mdcr_Pymt_Amt":"31.755371948","Avg_Suplr_Mdcr_Stdzd_Amt":"31.755371948"},{"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":"11","Tot_Suplrs":"12","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"10854","Avg_Suplr_Sbmtd_Chrg":"60.707985075","Avg_Suplr_Mdcr_Alowd_Amt":"40.672852405","Avg_Suplr_Mdcr_Pymt_Amt":"31.853845587","Avg_Suplr_Mdcr_Stdzd_Amt":"31.853845587"},{"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":"10","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"93","Tot_Suplr_Srvcs":"7425","Avg_Suplr_Sbmtd_Chrg":"50.969504377","Avg_Suplr_Mdcr_Alowd_Amt":"40.477834343","Avg_Suplr_Mdcr_Pymt_Amt":"30.70210101","Avg_Suplr_Mdcr_Stdzd_Amt":"30.70210101"},{"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":"10","Tot_Suplrs":"12","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"4105","Avg_Suplr_Sbmtd_Chrg":"59.581181486","Avg_Suplr_Mdcr_Alowd_Amt":"40.621705238","Avg_Suplr_Mdcr_Pymt_Amt":"31.824211937","Avg_Suplr_Mdcr_Stdzd_Amt":"31.824209501"},{"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":"13","Tot_Suplrs":"18","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"224","Tot_Suplr_Srvcs":"18225","Avg_Suplr_Sbmtd_Chrg":"48.029755281","Avg_Suplr_Mdcr_Alowd_Amt":"40.713687243","Avg_Suplr_Mdcr_Pymt_Amt":"30.762456516","Avg_Suplr_Mdcr_Stdzd_Amt":"30.762456516"},{"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":"1804","Tot_Suplrs":"661","Tot_Suplr_Benes":"2538","Tot_Suplr_Clms":"7462","Tot_Suplr_Srvcs":"379516","Avg_Suplr_Sbmtd_Chrg":"157.74391138","Avg_Suplr_Mdcr_Alowd_Amt":"50.067404879","Avg_Suplr_Mdcr_Pymt_Amt":"39.120371104","Avg_Suplr_Mdcr_Stdzd_Amt":"39.120370946"},{"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":"31","Tot_Suplrs":"15","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"5954","Avg_Suplr_Sbmtd_Chrg":"139.92319449","Avg_Suplr_Mdcr_Alowd_Amt":"50.689329862","Avg_Suplr_Mdcr_Pymt_Amt":"39.293889822","Avg_Suplr_Mdcr_Stdzd_Amt":"39.293889822"},{"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":"41","Tot_Suplrs":"23","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"119","Tot_Suplr_Srvcs":"6268","Avg_Suplr_Sbmtd_Chrg":"139.44518028","Avg_Suplr_Mdcr_Alowd_Amt":"49.940666879","Avg_Suplr_Mdcr_Pymt_Amt":"39.032900447","Avg_Suplr_Mdcr_Stdzd_Amt":"39.032900447"},{"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":"16","Tot_Suplrs":"14","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"90","Tot_Suplr_Srvcs":"5096","Avg_Suplr_Sbmtd_Chrg":"138.69145408","Avg_Suplr_Mdcr_Alowd_Amt":"49.86716248","Avg_Suplr_Mdcr_Pymt_Amt":"38.977174254","Avg_Suplr_Mdcr_Stdzd_Amt":"38.977174254"},{"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":"184","Tot_Suplrs":"69","Tot_Suplr_Benes":"246","Tot_Suplr_Clms":"661","Tot_Suplr_Srvcs":"34846","Avg_Suplr_Sbmtd_Chrg":"184.13701142","Avg_Suplr_Mdcr_Alowd_Amt":"50.604416576","Avg_Suplr_Mdcr_Pymt_Amt":"39.611004419","Avg_Suplr_Mdcr_Stdzd_Amt":"39.611004132"},{"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":"29","Tot_Suplrs":"17","Tot_Suplr_Benes":"44","Tot_Suplr_Clms":"122","Tot_Suplr_Srvcs":"6064","Avg_Suplr_Sbmtd_Chrg":"127.93402704","Avg_Suplr_Mdcr_Alowd_Amt":"48.235963061","Avg_Suplr_Mdcr_Pymt_Amt":"37.697744063","Avg_Suplr_Mdcr_Stdzd_Amt":"37.697744063"},{"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":"32","Tot_Suplrs":"17","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"5676","Avg_Suplr_Sbmtd_Chrg":"162.23981853","Avg_Suplr_Mdcr_Alowd_Amt":"50.461948555","Avg_Suplr_Mdcr_Pymt_Amt":"39.487628612","Avg_Suplr_Mdcr_Stdzd_Amt":"39.487628612"},{"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":"9","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"1244","Avg_Suplr_Sbmtd_Chrg":"116.08676045","Avg_Suplr_Mdcr_Alowd_Amt":"45.153729904","Avg_Suplr_Mdcr_Pymt_Amt":"35.342299035","Avg_Suplr_Mdcr_Stdzd_Amt":"35.342299035"},{"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":"176","Tot_Suplrs":"63","Tot_Suplr_Benes":"288","Tot_Suplr_Clms":"863","Tot_Suplr_Srvcs":"41663","Avg_Suplr_Sbmtd_Chrg":"185.04311139","Avg_Suplr_Mdcr_Alowd_Amt":"50.183449824","Avg_Suplr_Mdcr_Pymt_Amt":"39.188723808","Avg_Suplr_Mdcr_Stdzd_Amt":"39.188723808"},{"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":"40","Tot_Suplrs":"22","Tot_Suplr_Benes":"75","Tot_Suplr_Clms":"182","Tot_Suplr_Srvcs":"9632","Avg_Suplr_Sbmtd_Chrg":"169.06328281","Avg_Suplr_Mdcr_Alowd_Amt":"50.117594477","Avg_Suplr_Mdcr_Pymt_Amt":"39.280708056","Avg_Suplr_Mdcr_Stdzd_Amt":"39.280708056"},{"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":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"700","Avg_Suplr_Sbmtd_Chrg":"217.06658571","Avg_Suplr_Mdcr_Alowd_Amt":"50.6397","Avg_Suplr_Mdcr_Pymt_Amt":"39.515585714","Avg_Suplr_Mdcr_Stdzd_Amt":"39.515585714"},{"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":"7","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"1008","Avg_Suplr_Sbmtd_Chrg":"142.9569246","Avg_Suplr_Mdcr_Alowd_Amt":"50.728799603","Avg_Suplr_Mdcr_Pymt_Amt":"39.771388889","Avg_Suplr_Mdcr_Stdzd_Amt":"39.771388889"},{"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":"64","Tot_Suplrs":"39","Tot_Suplr_Benes":"91","Tot_Suplr_Clms":"261","Tot_Suplr_Srvcs":"13535","Avg_Suplr_Sbmtd_Chrg":"155.52366605","Avg_Suplr_Mdcr_Alowd_Amt":"49.872430735","Avg_Suplr_Mdcr_Pymt_Amt":"38.733945327","Avg_Suplr_Mdcr_Stdzd_Amt":"38.733945327"},{"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":"23","Tot_Suplrs":"16","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"88","Tot_Suplr_Srvcs":"4680","Avg_Suplr_Sbmtd_Chrg":"168.55910043","Avg_Suplr_Mdcr_Alowd_Amt":"50.237611111","Avg_Suplr_Mdcr_Pymt_Amt":"39.288502137","Avg_Suplr_Mdcr_Stdzd_Amt":"39.288502137"},{"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":"23","Tot_Suplrs":"16","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"6030","Avg_Suplr_Sbmtd_Chrg":"124.56639469","Avg_Suplr_Mdcr_Alowd_Amt":"47.127537313","Avg_Suplr_Mdcr_Pymt_Amt":"36.878950249","Avg_Suplr_Mdcr_Stdzd_Amt":"36.878950249"},{"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":"19","Tot_Suplrs":"9","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"50","Tot_Suplr_Srvcs":"1992","Avg_Suplr_Sbmtd_Chrg":"126.1910492","Avg_Suplr_Mdcr_Alowd_Amt":"46.661972892","Avg_Suplr_Mdcr_Pymt_Amt":"36.527058233","Avg_Suplr_Mdcr_Stdzd_Amt":"36.527058233"},{"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":"25","Tot_Suplrs":"16","Tot_Suplr_Benes":"34","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"4181","Avg_Suplr_Sbmtd_Chrg":"146.11336283","Avg_Suplr_Mdcr_Alowd_Amt":"50.331946903","Avg_Suplr_Mdcr_Pymt_Amt":"39.397998087","Avg_Suplr_Mdcr_Stdzd_Amt":"39.397998087"},{"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":"21","Tot_Suplrs":"12","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"83","Tot_Suplr_Srvcs":"3175","Avg_Suplr_Sbmtd_Chrg":"177.09738583","Avg_Suplr_Mdcr_Alowd_Amt":"50.663051969","Avg_Suplr_Mdcr_Pymt_Amt":"39.675222047","Avg_Suplr_Mdcr_Stdzd_Amt":"39.675222047"},{"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":"11","Tot_Suplrs":"8","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"2240","Avg_Suplr_Sbmtd_Chrg":"150.14883482","Avg_Suplr_Mdcr_Alowd_Amt":"51.418290179","Avg_Suplr_Mdcr_Pymt_Amt":"40.233267857","Avg_Suplr_Mdcr_Stdzd_Amt":"40.233267857"},{"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":"33","Tot_Suplrs":"25","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"138","Tot_Suplr_Srvcs":"7137","Avg_Suplr_Sbmtd_Chrg":"142.34143618","Avg_Suplr_Mdcr_Alowd_Amt":"50.343735463","Avg_Suplr_Mdcr_Pymt_Amt":"39.457639064","Avg_Suplr_Mdcr_Stdzd_Amt":"39.457639064"},{"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":"64","Tot_Suplrs":"39","Tot_Suplr_Benes":"80","Tot_Suplr_Clms":"228","Tot_Suplr_Srvcs":"12264","Avg_Suplr_Sbmtd_Chrg":"187.37916667","Avg_Suplr_Mdcr_Alowd_Amt":"50.267145303","Avg_Suplr_Mdcr_Pymt_Amt":"39.340163894","Avg_Suplr_Mdcr_Stdzd_Amt":"39.340163894"},{"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":"49","Tot_Suplrs":"29","Tot_Suplr_Benes":"75","Tot_Suplr_Clms":"190","Tot_Suplr_Srvcs":"10192","Avg_Suplr_Sbmtd_Chrg":"128.79255593","Avg_Suplr_Mdcr_Alowd_Amt":"48.431874019","Avg_Suplr_Mdcr_Pymt_Amt":"37.337963108","Avg_Suplr_Mdcr_Stdzd_Amt":"37.337963108"},{"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":"38","Tot_Suplrs":"22","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"181","Tot_Suplr_Srvcs":"9172","Avg_Suplr_Sbmtd_Chrg":"134.7988901","Avg_Suplr_Mdcr_Alowd_Amt":"51.020823157","Avg_Suplr_Mdcr_Pymt_Amt":"39.914779765","Avg_Suplr_Mdcr_Stdzd_Amt":"39.914779765"},{"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":"13","Tot_Suplrs":"9","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"1924","Avg_Suplr_Sbmtd_Chrg":"152.27781185","Avg_Suplr_Mdcr_Alowd_Amt":"50.635051975","Avg_Suplr_Mdcr_Pymt_Amt":"39.697889813","Avg_Suplr_Mdcr_Stdzd_Amt":"39.697889813"},{"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":"40","Tot_Suplrs":"27","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"180","Tot_Suplr_Srvcs":"8818","Avg_Suplr_Sbmtd_Chrg":"128.05357337","Avg_Suplr_Mdcr_Alowd_Amt":"49.288732139","Avg_Suplr_Mdcr_Pymt_Amt":"38.549875255","Avg_Suplr_Mdcr_Stdzd_Amt":"38.549875255"},{"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":"12","Tot_Suplr_Srvcs":"628","Avg_Suplr_Sbmtd_Chrg":"141.53146497","Avg_Suplr_Mdcr_Alowd_Amt":"49.170700637","Avg_Suplr_Mdcr_Pymt_Amt":"38.433089172","Avg_Suplr_Mdcr_Stdzd_Amt":"38.433089172"},{"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":"12","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"2784","Avg_Suplr_Sbmtd_Chrg":"196.13506466","Avg_Suplr_Mdcr_Alowd_Amt":"48.26766523","Avg_Suplr_Mdcr_Pymt_Amt":"37.675308908","Avg_Suplr_Mdcr_Stdzd_Amt":"37.675308908"},{"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":"10","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"1280","Avg_Suplr_Sbmtd_Chrg":"173.13063281","Avg_Suplr_Mdcr_Alowd_Amt":"49.06521875","Avg_Suplr_Mdcr_Pymt_Amt":"38.455234375","Avg_Suplr_Mdcr_Stdzd_Amt":"38.455234375"},{"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":"6","Tot_Suplrs":"9","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"1680","Avg_Suplr_Sbmtd_Chrg":"128.93007143","Avg_Suplr_Mdcr_Alowd_Amt":"50.691297619","Avg_Suplr_Mdcr_Pymt_Amt":"39.674672619","Avg_Suplr_Mdcr_Stdzd_Amt":"39.674672619"},{"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":"47","Tot_Suplrs":"32","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"174","Tot_Suplr_Srvcs":"8860","Avg_Suplr_Sbmtd_Chrg":"165.4743386","Avg_Suplr_Mdcr_Alowd_Amt":"48.921529345","Avg_Suplr_Mdcr_Pymt_Amt":"38.305495485","Avg_Suplr_Mdcr_Stdzd_Amt":"38.305495485"},{"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":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"1052","Avg_Suplr_Sbmtd_Chrg":"96.22210076","Avg_Suplr_Mdcr_Alowd_Amt":"45.561948669","Avg_Suplr_Mdcr_Pymt_Amt":"35.627471483","Avg_Suplr_Mdcr_Stdzd_Amt":"35.627471483"},{"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":"118","Tot_Suplrs":"64","Tot_Suplr_Benes":"176","Tot_Suplr_Clms":"493","Tot_Suplr_Srvcs":"25652","Avg_Suplr_Sbmtd_Chrg":"151.06146187","Avg_Suplr_Mdcr_Alowd_Amt":"50.571487213","Avg_Suplr_Mdcr_Pymt_Amt":"39.571482146","Avg_Suplr_Mdcr_Stdzd_Amt":"39.571482146"},{"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":"66","Tot_Suplrs":"37","Tot_Suplr_Benes":"87","Tot_Suplr_Clms":"264","Tot_Suplr_Srvcs":"13828","Avg_Suplr_Sbmtd_Chrg":"161.9034987","Avg_Suplr_Mdcr_Alowd_Amt":"50.32263451","Avg_Suplr_Mdcr_Pymt_Amt":"39.225015187","Avg_Suplr_Mdcr_Stdzd_Amt":"39.225014463"},{"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"1008","Avg_Suplr_Sbmtd_Chrg":"113.67491071","Avg_Suplr_Mdcr_Alowd_Amt":"51.95593254","Avg_Suplr_Mdcr_Pymt_Amt":"40.604365079","Avg_Suplr_Mdcr_Stdzd_Amt":"40.604365079"},{"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":"73","Tot_Suplrs":"42","Tot_Suplr_Benes":"91","Tot_Suplr_Clms":"284","Tot_Suplr_Srvcs":"14768","Avg_Suplr_Sbmtd_Chrg":"161.21521465","Avg_Suplr_Mdcr_Alowd_Amt":"50.325574892","Avg_Suplr_Mdcr_Pymt_Amt":"39.373338299","Avg_Suplr_Mdcr_Stdzd_Amt":"39.373337622"},{"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":"31","Tot_Suplrs":"25","Tot_Suplr_Benes":"53","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"8072","Avg_Suplr_Sbmtd_Chrg":"141.9683672","Avg_Suplr_Mdcr_Alowd_Amt":"50.21074331","Avg_Suplr_Mdcr_Pymt_Amt":"39.339454906","Avg_Suplr_Mdcr_Stdzd_Amt":"39.339454906"},{"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":"20","Tot_Suplrs":"11","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"2512","Avg_Suplr_Sbmtd_Chrg":"144.38880971","Avg_Suplr_Mdcr_Alowd_Amt":"49.821552548","Avg_Suplr_Mdcr_Pymt_Amt":"39.060103503","Avg_Suplr_Mdcr_Stdzd_Amt":"39.060103503"},{"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":"81","Tot_Suplrs":"44","Tot_Suplr_Benes":"128","Tot_Suplr_Clms":"375","Tot_Suplr_Srvcs":"20372","Avg_Suplr_Sbmtd_Chrg":"142.23124386","Avg_Suplr_Mdcr_Alowd_Amt":"50.391451993","Avg_Suplr_Mdcr_Pymt_Amt":"39.432011094","Avg_Suplr_Mdcr_Stdzd_Amt":"39.432011094"},{"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":"10","Tot_Suplrs":"11","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"2928","Avg_Suplr_Sbmtd_Chrg":"150.55791325","Avg_Suplr_Mdcr_Alowd_Amt":"49.487168716","Avg_Suplr_Mdcr_Pymt_Amt":"38.649197404","Avg_Suplr_Mdcr_Stdzd_Amt":"38.649197404"},{"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":"32","Tot_Suplrs":"20","Tot_Suplr_Benes":"49","Tot_Suplr_Clms":"168","Tot_Suplr_Srvcs":"7724","Avg_Suplr_Sbmtd_Chrg":"148.93176981","Avg_Suplr_Mdcr_Alowd_Amt":"50.305671932","Avg_Suplr_Mdcr_Pymt_Amt":"39.375323666","Avg_Suplr_Mdcr_Stdzd_Amt":"39.375323666"},{"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":"9","Tot_Suplrs":"13","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"1852","Avg_Suplr_Sbmtd_Chrg":"118.43233261","Avg_Suplr_Mdcr_Alowd_Amt":"51.820766739","Avg_Suplr_Mdcr_Pymt_Amt":"40.49262419","Avg_Suplr_Mdcr_Stdzd_Amt":"40.49262419"},{"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":"29","Tot_Suplrs":"19","Tot_Suplr_Benes":"47","Tot_Suplr_Clms":"121","Tot_Suplr_Srvcs":"6680","Avg_Suplr_Sbmtd_Chrg":"131.6073503","Avg_Suplr_Mdcr_Alowd_Amt":"49.577356287","Avg_Suplr_Mdcr_Pymt_Amt":"38.827034431","Avg_Suplr_Mdcr_Stdzd_Amt":"38.827034431"},{"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":"114","Tot_Suplrs":"61","Tot_Suplr_Benes":"205","Tot_Suplr_Clms":"610","Tot_Suplr_Srvcs":"30008","Avg_Suplr_Sbmtd_Chrg":"170.47822247","Avg_Suplr_Mdcr_Alowd_Amt":"50.016954812","Avg_Suplr_Mdcr_Pymt_Amt":"39.067498334","Avg_Suplr_Mdcr_Stdzd_Amt":"39.067497334"},{"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":"8","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"1304","Avg_Suplr_Sbmtd_Chrg":"159.23459356","Avg_Suplr_Mdcr_Alowd_Amt":"53.101004601","Avg_Suplr_Mdcr_Pymt_Amt":"41.485920245","Avg_Suplr_Mdcr_Stdzd_Amt":"41.485920245"},{"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":"4","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"604","Avg_Suplr_Sbmtd_Chrg":"144.27932119","Avg_Suplr_Mdcr_Alowd_Amt":"48.84115894","Avg_Suplr_Mdcr_Pymt_Amt":"38.145298013","Avg_Suplr_Mdcr_Stdzd_Amt":"38.145298013"},{"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":"38","Tot_Suplrs":"20","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"6459","Avg_Suplr_Sbmtd_Chrg":"154.0665103","Avg_Suplr_Mdcr_Alowd_Amt":"49.895041028","Avg_Suplr_Mdcr_Pymt_Amt":"39.070690509","Avg_Suplr_Mdcr_Stdzd_Amt":"39.070690509"},{"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":"33","Tot_Suplrs":"21","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"85","Tot_Suplr_Srvcs":"4728","Avg_Suplr_Sbmtd_Chrg":"126.9469797","Avg_Suplr_Mdcr_Alowd_Amt":"51.162237733","Avg_Suplr_Mdcr_Pymt_Amt":"40.028111252","Avg_Suplr_Mdcr_Stdzd_Amt":"40.028111252"},{"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":"11","Tot_Suplrs":"11","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"50","Tot_Suplr_Srvcs":"2800","Avg_Suplr_Sbmtd_Chrg":"134.53374286","Avg_Suplr_Mdcr_Alowd_Amt":"50.294971429","Avg_Suplr_Mdcr_Pymt_Amt":"39.282332143","Avg_Suplr_Mdcr_Stdzd_Amt":"39.282332143"},{"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":"35","Tot_Suplrs":"25","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"155","Tot_Suplr_Srvcs":"7994","Avg_Suplr_Sbmtd_Chrg":"134.06889542","Avg_Suplr_Mdcr_Alowd_Amt":"50.33738679","Avg_Suplr_Mdcr_Pymt_Amt":"38.960086315","Avg_Suplr_Mdcr_Stdzd_Amt":"38.960086315"},{"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":"56","Tot_Suplrs":"16","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"6361","Avg_Suplr_Sbmtd_Chrg":"156.09887911","Avg_Suplr_Mdcr_Alowd_Amt":"67.271241943","Avg_Suplr_Mdcr_Pymt_Amt":"52.72019651","Avg_Suplr_Mdcr_Stdzd_Amt":"52.72019651"},{"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":"691","Tot_Suplrs":"34","Tot_Suplr_Benes":"1728","Tot_Suplr_Clms":"13911","Tot_Suplr_Srvcs":"387513","Avg_Suplr_Sbmtd_Chrg":"801.91967955","Avg_Suplr_Mdcr_Alowd_Amt":"509.9083839","Avg_Suplr_Mdcr_Pymt_Amt":"399.2150293","Avg_Suplr_Mdcr_Stdzd_Amt":"399.21502917"},{"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":"11","Tot_Suplrs":"6","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"413","Tot_Suplr_Srvcs":"11540","Avg_Suplr_Sbmtd_Chrg":"817.10179809","Avg_Suplr_Mdcr_Alowd_Amt":"510.21849393","Avg_Suplr_Mdcr_Pymt_Amt":"399.92286568","Avg_Suplr_Mdcr_Stdzd_Amt":"399.92286568"},{"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":"11","Tot_Suplrs":"4","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"222","Tot_Suplr_Srvcs":"6191","Avg_Suplr_Sbmtd_Chrg":"771.56631239","Avg_Suplr_Mdcr_Alowd_Amt":"510.03856728","Avg_Suplr_Mdcr_Pymt_Amt":"399.74823938","Avg_Suplr_Mdcr_Stdzd_Amt":"399.74823938"},{"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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"364","Avg_Suplr_Sbmtd_Chrg":"1054.6730769","Avg_Suplr_Mdcr_Alowd_Amt":"509.99799451","Avg_Suplr_Mdcr_Pymt_Amt":"399.48096154","Avg_Suplr_Mdcr_Stdzd_Amt":"399.48096154"},{"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":"69","Tot_Suplrs":"7","Tot_Suplr_Benes":"164","Tot_Suplr_Clms":"1348","Tot_Suplr_Srvcs":"37542","Avg_Suplr_Sbmtd_Chrg":"794.59015449","Avg_Suplr_Mdcr_Alowd_Amt":"510.09758431","Avg_Suplr_Mdcr_Pymt_Amt":"399.52444436","Avg_Suplr_Mdcr_Stdzd_Amt":"399.52444409"},{"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":"13","Tot_Suplrs":"3","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"175","Tot_Suplr_Srvcs":"4900","Avg_Suplr_Sbmtd_Chrg":"760.58010204","Avg_Suplr_Mdcr_Alowd_Amt":"510.16887755","Avg_Suplr_Mdcr_Pymt_Amt":"399.90578571","Avg_Suplr_Mdcr_Stdzd_Amt":"399.90578571"},{"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":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"205","Tot_Suplr_Srvcs":"5740","Avg_Suplr_Sbmtd_Chrg":"824.67256098","Avg_Suplr_Mdcr_Alowd_Amt":"510.39720557","Avg_Suplr_Mdcr_Pymt_Amt":"400.07744599","Avg_Suplr_Mdcr_Stdzd_Amt":"400.07744599"},{"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"58","Tot_Suplr_Srvcs":"1624","Avg_Suplr_Sbmtd_Chrg":"828.95197044","Avg_Suplr_Mdcr_Alowd_Amt":"512.98625616","Avg_Suplr_Mdcr_Pymt_Amt":"402.03055419","Avg_Suplr_Mdcr_Stdzd_Amt":"402.03055419"},{"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":"8","Tot_Suplrs":"2","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"4088","Avg_Suplr_Sbmtd_Chrg":"773.54452055","Avg_Suplr_Mdcr_Alowd_Amt":"509.50151908","Avg_Suplr_Mdcr_Pymt_Amt":"399.35436155","Avg_Suplr_Mdcr_Stdzd_Amt":"399.35436155"},{"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":"58","Tot_Suplrs":"8","Tot_Suplr_Benes":"158","Tot_Suplr_Clms":"1299","Tot_Suplr_Srvcs":"36208","Avg_Suplr_Sbmtd_Chrg":"806.9526577","Avg_Suplr_Mdcr_Alowd_Amt":"509.85290046","Avg_Suplr_Mdcr_Pymt_Amt":"399.63040019","Avg_Suplr_Mdcr_Stdzd_Amt":"399.63040019"},{"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":"16","Tot_Suplrs":"4","Tot_Suplr_Benes":"42","Tot_Suplr_Clms":"292","Tot_Suplr_Srvcs":"8128","Avg_Suplr_Sbmtd_Chrg":"805.97991511","Avg_Suplr_Mdcr_Alowd_Amt":"510.16555487","Avg_Suplr_Mdcr_Pymt_Amt":"399.87190207","Avg_Suplr_Mdcr_Stdzd_Amt":"399.87190207"},{"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":"4","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"1568","Avg_Suplr_Sbmtd_Chrg":"1058.9241071","Avg_Suplr_Mdcr_Alowd_Amt":"510.57035077","Avg_Suplr_Mdcr_Pymt_Amt":"400.23640306","Avg_Suplr_Mdcr_Stdzd_Amt":"400.23640306"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"16","Rfrg_Prvdr_Geo_Desc":"Idaho","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":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"644","Avg_Suplr_Sbmtd_Chrg":"754.55357143","Avg_Suplr_Mdcr_Alowd_Amt":"508.44849379","Avg_Suplr_Mdcr_Pymt_Amt":"398.54231366","Avg_Suplr_Mdcr_Stdzd_Amt":"398.54231366"},{"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":"17","Tot_Suplrs":"4","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"459","Tot_Suplr_Srvcs":"12804","Avg_Suplr_Sbmtd_Chrg":"890.64444705","Avg_Suplr_Mdcr_Alowd_Amt":"510.26942908","Avg_Suplr_Mdcr_Pymt_Amt":"399.11489613","Avg_Suplr_Mdcr_Stdzd_Amt":"399.11489613"},{"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":"19","Tot_Suplrs":"3","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"232","Tot_Suplr_Srvcs":"6496","Avg_Suplr_Sbmtd_Chrg":"799.7466133","Avg_Suplr_Mdcr_Alowd_Amt":"509.76231835","Avg_Suplr_Mdcr_Pymt_Amt":"399.58657943","Avg_Suplr_Mdcr_Stdzd_Amt":"399.58657943"},{"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"162","Tot_Suplr_Srvcs":"4536","Avg_Suplr_Sbmtd_Chrg":"807.28505291","Avg_Suplr_Mdcr_Alowd_Amt":"509.96109568","Avg_Suplr_Mdcr_Pymt_Amt":"399.7806724","Avg_Suplr_Mdcr_Stdzd_Amt":"399.7806724"},{"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"41","Tot_Suplr_Clms":"355","Tot_Suplr_Srvcs":"9921","Avg_Suplr_Sbmtd_Chrg":"760.46014615","Avg_Suplr_Mdcr_Alowd_Amt":"508.91326479","Avg_Suplr_Mdcr_Pymt_Amt":"397.40422538","Avg_Suplr_Mdcr_Stdzd_Amt":"397.40422538"},{"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":"5","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"63","Tot_Suplr_Srvcs":"1740","Avg_Suplr_Sbmtd_Chrg":"757.50215517","Avg_Suplr_Mdcr_Alowd_Amt":"508.95512644","Avg_Suplr_Mdcr_Pymt_Amt":"399.01704598","Avg_Suplr_Mdcr_Stdzd_Amt":"399.01704598"},{"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":"10","Tot_Suplrs":"5","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"162","Tot_Suplr_Srvcs":"4516","Avg_Suplr_Sbmtd_Chrg":"858.7109256","Avg_Suplr_Mdcr_Alowd_Amt":"509.97680027","Avg_Suplr_Mdcr_Pymt_Amt":"399.73088353","Avg_Suplr_Mdcr_Stdzd_Amt":"399.73088353"},{"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"30","Tot_Suplr_Srvcs":"840","Avg_Suplr_Sbmtd_Chrg":"757.60714286","Avg_Suplr_Mdcr_Alowd_Amt":"509.0080119","Avg_Suplr_Mdcr_Pymt_Amt":"399.06238095","Avg_Suplr_Mdcr_Stdzd_Amt":"399.06238095"},{"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":"13","Tot_Suplrs":"3","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"252","Tot_Suplr_Srvcs":"6992","Avg_Suplr_Sbmtd_Chrg":"836.23323084","Avg_Suplr_Mdcr_Alowd_Amt":"510.73879434","Avg_Suplr_Mdcr_Pymt_Amt":"400.29603118","Avg_Suplr_Mdcr_Stdzd_Amt":"400.29603118"},{"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":"16","Tot_Suplrs":"4","Tot_Suplr_Benes":"66","Tot_Suplr_Clms":"467","Tot_Suplr_Srvcs":"13056","Avg_Suplr_Sbmtd_Chrg":"800.20389093","Avg_Suplr_Mdcr_Alowd_Amt":"510.31613894","Avg_Suplr_Mdcr_Pymt_Amt":"399.98063802","Avg_Suplr_Mdcr_Stdzd_Amt":"399.98063802"},{"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":"18","Tot_Suplrs":"4","Tot_Suplr_Benes":"83","Tot_Suplr_Clms":"536","Tot_Suplr_Srvcs":"14940","Avg_Suplr_Sbmtd_Chrg":"791.91805556","Avg_Suplr_Mdcr_Alowd_Amt":"509.80814859","Avg_Suplr_Mdcr_Pymt_Amt":"398.39709973","Avg_Suplr_Mdcr_Stdzd_Amt":"398.39709906"},{"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":"20","Tot_Suplrs":"6","Tot_Suplr_Benes":"56","Tot_Suplr_Clms":"516","Tot_Suplr_Srvcs":"14304","Avg_Suplr_Sbmtd_Chrg":"776.77696798","Avg_Suplr_Mdcr_Alowd_Amt":"510.15224902","Avg_Suplr_Mdcr_Pymt_Amt":"399.83170162","Avg_Suplr_Mdcr_Stdzd_Amt":"399.83170162"},{"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":"6","Tot_Suplrs":"4","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"125","Tot_Suplr_Srvcs":"3396","Avg_Suplr_Sbmtd_Chrg":"780.34709953","Avg_Suplr_Mdcr_Alowd_Amt":"509.87196113","Avg_Suplr_Mdcr_Pymt_Amt":"399.6061013","Avg_Suplr_Mdcr_Stdzd_Amt":"399.6061013"},{"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":"14","Tot_Suplrs":"6","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"186","Tot_Suplr_Srvcs":"5188","Avg_Suplr_Sbmtd_Chrg":"818.205532","Avg_Suplr_Mdcr_Alowd_Amt":"510.10129144","Avg_Suplr_Mdcr_Pymt_Amt":"399.77511758","Avg_Suplr_Mdcr_Stdzd_Amt":"399.77511758"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"30","Rfrg_Prvdr_Geo_Desc":"Montana","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":"15","Tot_Suplr_Srvcs":"420","Avg_Suplr_Sbmtd_Chrg":"981.52142857","Avg_Suplr_Mdcr_Alowd_Amt":"509.5235","Avg_Suplr_Mdcr_Pymt_Amt":"399.4665","Avg_Suplr_Mdcr_Stdzd_Amt":"399.4665"},{"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":"5","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"43","Tot_Suplr_Srvcs":"1179","Avg_Suplr_Sbmtd_Chrg":"809.27910093","Avg_Suplr_Mdcr_Alowd_Amt":"509.00129771","Avg_Suplr_Mdcr_Pymt_Amt":"399.03592875","Avg_Suplr_Mdcr_Stdzd_Amt":"399.03592875"},{"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":"6","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"2831","Avg_Suplr_Sbmtd_Chrg":"772.43912398","Avg_Suplr_Mdcr_Alowd_Amt":"509.33600141","Avg_Suplr_Mdcr_Pymt_Amt":"399.21850936","Avg_Suplr_Mdcr_Stdzd_Amt":"399.21850936"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","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":"3","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"83","Tot_Suplr_Srvcs":"2324","Avg_Suplr_Sbmtd_Chrg":"867.24763339","Avg_Suplr_Mdcr_Alowd_Amt":"511.08525387","Avg_Suplr_Mdcr_Pymt_Amt":"400.63490534","Avg_Suplr_Mdcr_Stdzd_Amt":"400.63490534"},{"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":"22","Tot_Suplrs":"3","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"276","Tot_Suplr_Srvcs":"7633","Avg_Suplr_Sbmtd_Chrg":"782.98289663","Avg_Suplr_Mdcr_Alowd_Amt":"509.66300144","Avg_Suplr_Mdcr_Pymt_Amt":"399.52266999","Avg_Suplr_Mdcr_Stdzd_Amt":"399.52266999"},{"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":"3","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"44","Tot_Suplr_Srvcs":"1232","Avg_Suplr_Sbmtd_Chrg":"843.14366883","Avg_Suplr_Mdcr_Alowd_Amt":"511.34758117","Avg_Suplr_Mdcr_Pymt_Amt":"400.8661526","Avg_Suplr_Mdcr_Stdzd_Amt":"400.8661526"},{"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":"48","Tot_Suplrs":"7","Tot_Suplr_Benes":"88","Tot_Suplr_Clms":"655","Tot_Suplr_Srvcs":"18172","Avg_Suplr_Sbmtd_Chrg":"780.74861215","Avg_Suplr_Mdcr_Alowd_Amt":"508.2068512","Avg_Suplr_Mdcr_Pymt_Amt":"396.0295416","Avg_Suplr_Mdcr_Stdzd_Amt":"396.0295416"},{"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":"29","Tot_Suplrs":"5","Tot_Suplr_Benes":"121","Tot_Suplr_Clms":"895","Tot_Suplr_Srvcs":"25060","Avg_Suplr_Sbmtd_Chrg":"797.48734397","Avg_Suplr_Mdcr_Alowd_Amt":"510.00580287","Avg_Suplr_Mdcr_Pymt_Amt":"399.02109537","Avg_Suplr_Mdcr_Stdzd_Amt":"399.02109537"},{"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":"2","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"27","Tot_Suplr_Srvcs":"756","Avg_Suplr_Sbmtd_Chrg":"750.85793651","Avg_Suplr_Mdcr_Alowd_Amt":"511.58123016","Avg_Suplr_Mdcr_Pymt_Amt":"400.96080688","Avg_Suplr_Mdcr_Stdzd_Amt":"400.96080688"},{"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":"27","Tot_Suplrs":"3","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"477","Tot_Suplr_Srvcs":"13204","Avg_Suplr_Sbmtd_Chrg":"835.1308861","Avg_Suplr_Mdcr_Alowd_Amt":"510.13458649","Avg_Suplr_Mdcr_Pymt_Amt":"399.01334217","Avg_Suplr_Mdcr_Stdzd_Amt":"399.01334141"},{"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":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"1893","Avg_Suplr_Sbmtd_Chrg":"757.28341257","Avg_Suplr_Mdcr_Alowd_Amt":"505.76134707","Avg_Suplr_Mdcr_Pymt_Amt":"386.86293185","Avg_Suplr_Mdcr_Stdzd_Amt":"386.86292657"},{"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":"5","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"1820","Avg_Suplr_Sbmtd_Chrg":"755.96291209","Avg_Suplr_Mdcr_Alowd_Amt":"509.52262088","Avg_Suplr_Mdcr_Pymt_Amt":"399.29392308","Avg_Suplr_Mdcr_Stdzd_Amt":"399.29392308"},{"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":"36","Tot_Suplrs":"3","Tot_Suplr_Benes":"104","Tot_Suplr_Clms":"829","Tot_Suplr_Srvcs":"23044","Avg_Suplr_Sbmtd_Chrg":"771.67446884","Avg_Suplr_Mdcr_Alowd_Amt":"509.99932173","Avg_Suplr_Mdcr_Pymt_Amt":"399.28140514","Avg_Suplr_Mdcr_Stdzd_Amt":"399.28140514"},{"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"2784","Avg_Suplr_Sbmtd_Chrg":"810.05827945","Avg_Suplr_Mdcr_Alowd_Amt":"509.38522989","Avg_Suplr_Mdcr_Pymt_Amt":"399.21414871","Avg_Suplr_Mdcr_Stdzd_Amt":"399.21414871"},{"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":"13","Tot_Suplrs":"4","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"287","Tot_Suplr_Srvcs":"7972","Avg_Suplr_Sbmtd_Chrg":"772.53295911","Avg_Suplr_Mdcr_Alowd_Amt":"509.90545534","Avg_Suplr_Mdcr_Pymt_Amt":"399.67289513","Avg_Suplr_Mdcr_Stdzd_Amt":"399.67289513"},{"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":"5","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"182","Tot_Suplr_Srvcs":"5096","Avg_Suplr_Sbmtd_Chrg":"815.87902276","Avg_Suplr_Mdcr_Alowd_Amt":"509.6586303","Avg_Suplr_Mdcr_Pymt_Amt":"399.42203493","Avg_Suplr_Mdcr_Stdzd_Amt":"399.42203493"},{"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":"46","Tot_Suplrs":"8","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"779","Tot_Suplr_Srvcs":"21668","Avg_Suplr_Sbmtd_Chrg":"802.20509507","Avg_Suplr_Mdcr_Alowd_Amt":"510.0489736","Avg_Suplr_Mdcr_Pymt_Amt":"399.75260384","Avg_Suplr_Mdcr_Stdzd_Amt":"399.75260338"},{"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"130","Tot_Suplr_Srvcs":"3591","Avg_Suplr_Sbmtd_Chrg":"756.58552771","Avg_Suplr_Mdcr_Alowd_Amt":"509.68522974","Avg_Suplr_Mdcr_Pymt_Amt":"396.45081871","Avg_Suplr_Mdcr_Stdzd_Amt":"396.45081871"},{"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":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"364","Avg_Suplr_Sbmtd_Chrg":"754.55357143","Avg_Suplr_Mdcr_Alowd_Amt":"509.99766484","Avg_Suplr_Mdcr_Pymt_Amt":"399.55175824","Avg_Suplr_Mdcr_Stdzd_Amt":"399.55175824"},{"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":"22","Tot_Suplrs":"3","Tot_Suplr_Benes":"67","Tot_Suplr_Clms":"498","Tot_Suplr_Srvcs":"13904","Avg_Suplr_Sbmtd_Chrg":"768.18750575","Avg_Suplr_Mdcr_Alowd_Amt":"510.20590046","Avg_Suplr_Mdcr_Pymt_Amt":"399.92683185","Avg_Suplr_Mdcr_Stdzd_Amt":"399.92683185"},{"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":"14","Tot_Suplrs":"4","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"242","Tot_Suplr_Srvcs":"6776","Avg_Suplr_Sbmtd_Chrg":"948.88628985","Avg_Suplr_Mdcr_Alowd_Amt":"510.1990186","Avg_Suplr_Mdcr_Pymt_Amt":"399.84269185","Avg_Suplr_Mdcr_Stdzd_Amt":"399.84269185"},{"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":"4","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"896","Avg_Suplr_Sbmtd_Chrg":"757.41629464","Avg_Suplr_Mdcr_Alowd_Amt":"512.70733259","Avg_Suplr_Mdcr_Pymt_Amt":"401.96257812","Avg_Suplr_Mdcr_Stdzd_Amt":"401.96257812"},{"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":"4","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"255","Tot_Suplr_Srvcs":"7096","Avg_Suplr_Sbmtd_Chrg":"774.97186443","Avg_Suplr_Mdcr_Alowd_Amt":"509.6637345","Avg_Suplr_Mdcr_Pymt_Amt":"397.96157131","Avg_Suplr_Mdcr_Stdzd_Amt":"397.96157131"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","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":"19","Tot_Suplr_Srvcs":"532","Avg_Suplr_Sbmtd_Chrg":"945.73026316","Avg_Suplr_Mdcr_Alowd_Amt":"508.87261278","Avg_Suplr_Mdcr_Pymt_Amt":"398.77139098","Avg_Suplr_Mdcr_Stdzd_Amt":"398.77139098"},{"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":"225","Tot_Suplrs":"24","Tot_Suplr_Benes":"262","Tot_Suplr_Clms":"1886","Tot_Suplr_Srvcs":"317623","Avg_Suplr_Sbmtd_Chrg":"219.56141621","Avg_Suplr_Mdcr_Alowd_Amt":"116.81428237","Avg_Suplr_Mdcr_Pymt_Amt":"91.512726597","Avg_Suplr_Mdcr_Stdzd_Amt":"91.512726723"},{"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":"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":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"4356","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.96298898","Avg_Suplr_Mdcr_Pymt_Amt":"91.698978421","Avg_Suplr_Mdcr_Stdzd_Amt":"91.698978421"},{"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":"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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"2010","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"117.55762687","Avg_Suplr_Mdcr_Pymt_Amt":"92.16518408","Avg_Suplr_Mdcr_Stdzd_Amt":"92.16518408"},{"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":"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"4575","Avg_Suplr_Sbmtd_Chrg":"232.70961749","Avg_Suplr_Mdcr_Alowd_Amt":"116.8912459","Avg_Suplr_Mdcr_Pymt_Amt":"91.64273224","Avg_Suplr_Mdcr_Stdzd_Amt":"91.642730055"},{"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":"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":"27","Tot_Suplrs":"5","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"221","Tot_Suplr_Srvcs":"36905","Avg_Suplr_Sbmtd_Chrg":"216.94253895","Avg_Suplr_Mdcr_Alowd_Amt":"116.86604037","Avg_Suplr_Mdcr_Pymt_Amt":"91.589866143","Avg_Suplr_Mdcr_Stdzd_Amt":"91.589865872"},{"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":"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":"18","Tot_Suplrs":"3","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"139","Tot_Suplr_Srvcs":"24284","Avg_Suplr_Sbmtd_Chrg":"216.24830423","Avg_Suplr_Mdcr_Alowd_Amt":"116.49636427","Avg_Suplr_Mdcr_Pymt_Amt":"91.320592159","Avg_Suplr_Mdcr_Stdzd_Amt":"91.320592983"},{"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":"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":"7","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"74","Tot_Suplr_Srvcs":"13830","Avg_Suplr_Sbmtd_Chrg":"227.65000723","Avg_Suplr_Mdcr_Alowd_Amt":"117.20976139","Avg_Suplr_Mdcr_Pymt_Amt":"91.872232104","Avg_Suplr_Mdcr_Stdzd_Amt":"91.872232104"},{"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":"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"2610","Avg_Suplr_Sbmtd_Chrg":"247.20256705","Avg_Suplr_Mdcr_Alowd_Amt":"117.02637931","Avg_Suplr_Mdcr_Pymt_Amt":"91.748685824","Avg_Suplr_Mdcr_Stdzd_Amt":"91.748685824"},{"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":"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":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"6840","Avg_Suplr_Sbmtd_Chrg":"216.50605263","Avg_Suplr_Mdcr_Alowd_Amt":"117.64660526","Avg_Suplr_Mdcr_Pymt_Amt":"92.234940058","Avg_Suplr_Mdcr_Stdzd_Amt":"92.234940058"},{"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":"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":"2","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"41","Tot_Suplr_Srvcs":"7698","Avg_Suplr_Sbmtd_Chrg":"219.70880488","Avg_Suplr_Mdcr_Alowd_Amt":"116.60821772","Avg_Suplr_Mdcr_Pymt_Amt":"91.403933489","Avg_Suplr_Mdcr_Stdzd_Amt":"91.403933489"},{"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":"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"3600","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.99495","Avg_Suplr_Mdcr_Pymt_Amt":"91.724044444","Avg_Suplr_Mdcr_Stdzd_Amt":"91.724044444"},{"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":"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":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"9972","Avg_Suplr_Sbmtd_Chrg":"213.61383775","Avg_Suplr_Mdcr_Alowd_Amt":"116.03780485","Avg_Suplr_Mdcr_Pymt_Amt":"89.329877657","Avg_Suplr_Mdcr_Stdzd_Amt":"89.32987866"},{"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":"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":"6","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"41","Tot_Suplr_Srvcs":"7620","Avg_Suplr_Sbmtd_Chrg":"221.6356706","Avg_Suplr_Mdcr_Alowd_Amt":"116.71834646","Avg_Suplr_Mdcr_Pymt_Amt":"91.468738845","Avg_Suplr_Mdcr_Stdzd_Amt":"91.468738845"},{"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":"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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"2310","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"117.22093506","Avg_Suplr_Mdcr_Pymt_Amt":"91.854116883","Avg_Suplr_Mdcr_Stdzd_Amt":"91.854116883"},{"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":"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":"8","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"69","Tot_Suplr_Srvcs":"11070","Avg_Suplr_Sbmtd_Chrg":"222.4816477","Avg_Suplr_Mdcr_Alowd_Amt":"115.93844986","Avg_Suplr_Mdcr_Pymt_Amt":"90.870463415","Avg_Suplr_Mdcr_Stdzd_Amt":"90.870463415"},{"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":"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":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"2458","Avg_Suplr_Sbmtd_Chrg":"219.19242474","Avg_Suplr_Mdcr_Alowd_Amt":"116.90772579","Avg_Suplr_Mdcr_Pymt_Amt":"91.602697315","Avg_Suplr_Mdcr_Stdzd_Amt":"91.602697315"},{"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":"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":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"7302","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.94241578","Avg_Suplr_Mdcr_Pymt_Amt":"91.66026842","Avg_Suplr_Mdcr_Stdzd_Amt":"91.66026842"},{"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":"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"2664","Avg_Suplr_Sbmtd_Chrg":"240.80783784","Avg_Suplr_Mdcr_Alowd_Amt":"117.21796922","Avg_Suplr_Mdcr_Pymt_Amt":"91.850022523","Avg_Suplr_Mdcr_Stdzd_Amt":"91.850022523"},{"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":"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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"2492","Avg_Suplr_Sbmtd_Chrg":"247.17","Avg_Suplr_Mdcr_Alowd_Amt":"117.67996388","Avg_Suplr_Mdcr_Pymt_Amt":"92.208888443","Avg_Suplr_Mdcr_Stdzd_Amt":"92.208888443"},{"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":"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":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"8100","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"117.75112593","Avg_Suplr_Mdcr_Pymt_Amt":"92.293577778","Avg_Suplr_Mdcr_Stdzd_Amt":"92.293577778"},{"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":"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"3420","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.90421053","Avg_Suplr_Mdcr_Pymt_Amt":"91.628783626","Avg_Suplr_Mdcr_Stdzd_Amt":"91.62878655"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"33","Rfrg_Prvdr_Geo_Desc":"New Hampshire","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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"5160","Avg_Suplr_Sbmtd_Chrg":"231.56810078","Avg_Suplr_Mdcr_Alowd_Amt":"117.7898314","Avg_Suplr_Mdcr_Pymt_Amt":"92.347234496","Avg_Suplr_Mdcr_Stdzd_Amt":"92.347232558"},{"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":"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":"17","Tot_Suplrs":"3","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"130","Tot_Suplr_Srvcs":"21400","Avg_Suplr_Sbmtd_Chrg":"226.23220467","Avg_Suplr_Mdcr_Alowd_Amt":"116.63940607","Avg_Suplr_Mdcr_Pymt_Amt":"91.428215888","Avg_Suplr_Mdcr_Stdzd_Amt":"91.428215888"},{"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":"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":"14","Tot_Suplrs":"5","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"135","Tot_Suplr_Srvcs":"20801","Avg_Suplr_Sbmtd_Chrg":"224.97589924","Avg_Suplr_Mdcr_Alowd_Amt":"116.82802125","Avg_Suplr_Mdcr_Pymt_Amt":"91.583456084","Avg_Suplr_Mdcr_Stdzd_Amt":"91.583454642"},{"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":"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":"3","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"99","Tot_Suplr_Srvcs":"16992","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.82044786","Avg_Suplr_Mdcr_Pymt_Amt":"91.577171022","Avg_Suplr_Mdcr_Stdzd_Amt":"91.57717161"},{"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":"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":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"6450","Avg_Suplr_Sbmtd_Chrg":"224.50590698","Avg_Suplr_Mdcr_Alowd_Amt":"117.91877674","Avg_Suplr_Mdcr_Pymt_Amt":"92.448333333","Avg_Suplr_Mdcr_Stdzd_Amt":"92.448333333"},{"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":"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":"11","Tot_Suplrs":"3","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"84","Tot_Suplr_Srvcs":"14970","Avg_Suplr_Sbmtd_Chrg":"215.68212425","Avg_Suplr_Mdcr_Alowd_Amt":"117.0858978","Avg_Suplr_Mdcr_Pymt_Amt":"91.789839679","Avg_Suplr_Mdcr_Stdzd_Amt":"91.789839679"},{"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":"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"4530","Avg_Suplr_Sbmtd_Chrg":"223.55205298","Avg_Suplr_Mdcr_Alowd_Amt":"116.78327152","Avg_Suplr_Mdcr_Pymt_Amt":"91.540225166","Avg_Suplr_Mdcr_Stdzd_Amt":"91.540227373"},{"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":"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":"7","Tot_Suplrs":"2","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"91","Tot_Suplr_Srvcs":"14700","Avg_Suplr_Sbmtd_Chrg":"220.80307483","Avg_Suplr_Mdcr_Alowd_Amt":"116.4712449","Avg_Suplr_Mdcr_Pymt_Amt":"91.28259932","Avg_Suplr_Mdcr_Stdzd_Amt":"91.2826"},{"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":"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"22","Tot_Suplr_Srvcs":"3395","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"116.72504566","Avg_Suplr_Mdcr_Pymt_Amt":"91.481720177","Avg_Suplr_Mdcr_Stdzd_Amt":"91.481720177"},{"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":"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":"3","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"2850","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"117.85874737","Avg_Suplr_Mdcr_Pymt_Amt":"92.401263158","Avg_Suplr_Mdcr_Stdzd_Amt":"92.401263158"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"46","Rfrg_Prvdr_Geo_Desc":"South Dakota","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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"3780","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"117.19861905","Avg_Suplr_Mdcr_Pymt_Amt":"91.861912698","Avg_Suplr_Mdcr_Stdzd_Amt":"91.861912698"},{"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":"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":"5","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"5820","Avg_Suplr_Sbmtd_Chrg":"217.32030928","Avg_Suplr_Mdcr_Alowd_Amt":"115.99243299","Avg_Suplr_Mdcr_Pymt_Amt":"90.91147079","Avg_Suplr_Mdcr_Stdzd_Amt":"90.91147079"},{"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":"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":"5","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"50","Tot_Suplr_Srvcs":"8616","Avg_Suplr_Sbmtd_Chrg":"221.1084169","Avg_Suplr_Mdcr_Alowd_Amt":"115.95490367","Avg_Suplr_Mdcr_Pymt_Amt":"90.892404828","Avg_Suplr_Mdcr_Stdzd_Amt":"90.892404828"},{"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":"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":"8","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"7789","Avg_Suplr_Sbmtd_Chrg":"218.39439466","Avg_Suplr_Mdcr_Alowd_Amt":"117.32724868","Avg_Suplr_Mdcr_Pymt_Amt":"91.971532931","Avg_Suplr_Mdcr_Stdzd_Amt":"91.971534215"},{"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":"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":"3","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"23","Tot_Suplr_Srvcs":"4110","Avg_Suplr_Sbmtd_Chrg":"213.14990268","Avg_Suplr_Mdcr_Alowd_Amt":"117.28867153","Avg_Suplr_Mdcr_Pymt_Amt":"91.893459854","Avg_Suplr_Mdcr_Stdzd_Amt":"91.893459854"},{"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":"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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"1980","Avg_Suplr_Sbmtd_Chrg":"211.86","Avg_Suplr_Mdcr_Alowd_Amt":"118.16009091","Avg_Suplr_Mdcr_Pymt_Amt":"92.637525253","Avg_Suplr_Mdcr_Stdzd_Amt":"92.637525253"},{"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":"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":"1","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"3594","Avg_Suplr_Sbmtd_Chrg":"233.09249861","Avg_Suplr_Mdcr_Alowd_Amt":"115.63692265","Avg_Suplr_Mdcr_Pymt_Amt":"90.659346132","Avg_Suplr_Mdcr_Stdzd_Amt":"90.659348915"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"56","Rfrg_Prvdr_Geo_Desc":"Wyoming","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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"2610","Avg_Suplr_Sbmtd_Chrg":"212.74551724","Avg_Suplr_Mdcr_Alowd_Amt":"116.48932184","Avg_Suplr_Mdcr_Pymt_Amt":"91.327613027","Avg_Suplr_Mdcr_Stdzd_Amt":"91.327616858"},{"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":"26758","Tot_Suplrs":"11319","Tot_Suplr_Benes":"66403","Tot_Suplr_Clms":"419885","Tot_Suplr_Srvcs":"24905208","Avg_Suplr_Sbmtd_Chrg":"15.51028896","Avg_Suplr_Mdcr_Alowd_Amt":"8.6206315555","Avg_Suplr_Mdcr_Pymt_Amt":"6.6783719734","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6783347391"},{"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":"590","Tot_Suplrs":"161","Tot_Suplr_Benes":"1694","Tot_Suplr_Clms":"10214","Tot_Suplr_Srvcs":"596179","Avg_Suplr_Sbmtd_Chrg":"15.489980191","Avg_Suplr_Mdcr_Alowd_Amt":"8.6128493456","Avg_Suplr_Mdcr_Pymt_Amt":"6.6457060044","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6456689685"},{"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":"7","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"3210","Avg_Suplr_Sbmtd_Chrg":"15.969629283","Avg_Suplr_Mdcr_Alowd_Amt":"8.5682616822","Avg_Suplr_Mdcr_Pymt_Amt":"6.717529595","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7175109034"},{"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":"377","Tot_Suplrs":"248","Tot_Suplr_Benes":"1181","Tot_Suplr_Clms":"7093","Tot_Suplr_Srvcs":"434992","Avg_Suplr_Sbmtd_Chrg":"14.857785982","Avg_Suplr_Mdcr_Alowd_Amt":"8.6310567091","Avg_Suplr_Mdcr_Pymt_Amt":"6.7167166752","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7166789044"},{"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":"612","Tot_Suplrs":"95","Tot_Suplr_Benes":"1713","Tot_Suplr_Clms":"11828","Tot_Suplr_Srvcs":"695160","Avg_Suplr_Sbmtd_Chrg":"15.253492707","Avg_Suplr_Mdcr_Alowd_Amt":"8.6206925744","Avg_Suplr_Mdcr_Pymt_Amt":"6.6682566891","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6682203809"},{"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":"1137","Tot_Suplrs":"496","Tot_Suplr_Benes":"2772","Tot_Suplr_Clms":"15699","Tot_Suplr_Srvcs":"929471","Avg_Suplr_Sbmtd_Chrg":"15.8545197","Avg_Suplr_Mdcr_Alowd_Amt":"8.6274539281","Avg_Suplr_Mdcr_Pymt_Amt":"6.6916504657","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6916119599"},{"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":"348","Tot_Suplrs":"110","Tot_Suplr_Benes":"555","Tot_Suplr_Clms":"3642","Tot_Suplr_Srvcs":"212906","Avg_Suplr_Sbmtd_Chrg":"15.111995763","Avg_Suplr_Mdcr_Alowd_Amt":"8.6286956685","Avg_Suplr_Mdcr_Pymt_Amt":"6.6758809991","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6758437526"},{"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":"296","Tot_Suplrs":"227","Tot_Suplr_Benes":"902","Tot_Suplr_Clms":"4938","Tot_Suplr_Srvcs":"297673","Avg_Suplr_Sbmtd_Chrg":"14.850928502","Avg_Suplr_Mdcr_Alowd_Amt":"8.623981819","Avg_Suplr_Mdcr_Pymt_Amt":"6.6853545333","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6853198308"},{"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":"77","Tot_Suplrs":"82","Tot_Suplr_Benes":"198","Tot_Suplr_Clms":"1084","Tot_Suplr_Srvcs":"68046","Avg_Suplr_Sbmtd_Chrg":"15.939864944","Avg_Suplr_Mdcr_Alowd_Amt":"8.6253578462","Avg_Suplr_Mdcr_Pymt_Amt":"6.7071203304","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7070893219"},{"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":"22","Tot_Suplrs":"14","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"228","Tot_Suplr_Srvcs":"12788","Avg_Suplr_Sbmtd_Chrg":"14.980645918","Avg_Suplr_Mdcr_Alowd_Amt":"8.5894401001","Avg_Suplr_Mdcr_Pymt_Amt":"6.6740600563","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6740217391"},{"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":"1539","Tot_Suplrs":"831","Tot_Suplr_Benes":"4746","Tot_Suplr_Clms":"27462","Tot_Suplr_Srvcs":"1604466","Avg_Suplr_Sbmtd_Chrg":"15.294603395","Avg_Suplr_Mdcr_Alowd_Amt":"8.6203354325","Avg_Suplr_Mdcr_Pymt_Amt":"6.6823149883","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6822792318"},{"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":"673","Tot_Suplrs":"381","Tot_Suplr_Benes":"1839","Tot_Suplr_Clms":"11343","Tot_Suplr_Srvcs":"660420","Avg_Suplr_Sbmtd_Chrg":"15.18193436","Avg_Suplr_Mdcr_Alowd_Amt":"8.6164492293","Avg_Suplr_Mdcr_Pymt_Amt":"6.6715673208","Avg_Suplr_Mdcr_Stdzd_Amt":"6.671531162"},{"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":"7","Tot_Suplrs":"5","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"91","Tot_Suplr_Srvcs":"5430","Avg_Suplr_Sbmtd_Chrg":"14.760769797","Avg_Suplr_Mdcr_Alowd_Amt":"8.632679558","Avg_Suplr_Mdcr_Pymt_Amt":"6.7431712707","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7431289134"},{"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":"234","Tot_Suplrs":"60","Tot_Suplr_Benes":"710","Tot_Suplr_Clms":"4947","Tot_Suplr_Srvcs":"289292","Avg_Suplr_Sbmtd_Chrg":"15.174651183","Avg_Suplr_Mdcr_Alowd_Amt":"8.6325160046","Avg_Suplr_Mdcr_Pymt_Amt":"6.6726993142","Avg_Suplr_Mdcr_Stdzd_Amt":"6.672659078"},{"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":"1112","Tot_Suplrs":"566","Tot_Suplr_Benes":"3135","Tot_Suplr_Clms":"19910","Tot_Suplr_Srvcs":"1189317","Avg_Suplr_Sbmtd_Chrg":"15.982386714","Avg_Suplr_Mdcr_Alowd_Amt":"8.6248467818","Avg_Suplr_Mdcr_Pymt_Amt":"6.6827666467","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6827268928"},{"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":"828","Tot_Suplrs":"442","Tot_Suplr_Benes":"2020","Tot_Suplr_Clms":"12451","Tot_Suplr_Srvcs":"752003","Avg_Suplr_Sbmtd_Chrg":"15.47696347","Avg_Suplr_Mdcr_Alowd_Amt":"8.6251368545","Avg_Suplr_Mdcr_Pymt_Amt":"6.6702937887","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6702574724"},{"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":"538","Tot_Suplrs":"361","Tot_Suplr_Benes":"1329","Tot_Suplr_Clms":"8440","Tot_Suplr_Srvcs":"507202","Avg_Suplr_Sbmtd_Chrg":"15.415705813","Avg_Suplr_Mdcr_Alowd_Amt":"8.6184644579","Avg_Suplr_Mdcr_Pymt_Amt":"6.6849356864","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6848965304"},{"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":"748","Tot_Suplrs":"232","Tot_Suplr_Benes":"2597","Tot_Suplr_Clms":"17332","Tot_Suplr_Srvcs":"1029239","Avg_Suplr_Sbmtd_Chrg":"15.269095128","Avg_Suplr_Mdcr_Alowd_Amt":"8.6241738799","Avg_Suplr_Mdcr_Pymt_Amt":"6.68858169","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6885415632"},{"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":"865","Tot_Suplrs":"383","Tot_Suplr_Benes":"2191","Tot_Suplr_Clms":"13757","Tot_Suplr_Srvcs":"817854","Avg_Suplr_Sbmtd_Chrg":"16.947388458","Avg_Suplr_Mdcr_Alowd_Amt":"8.608906822","Avg_Suplr_Mdcr_Pymt_Amt":"6.6716354631","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6715957616"},{"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":"442","Tot_Suplrs":"118","Tot_Suplr_Benes":"1305","Tot_Suplr_Clms":"8347","Tot_Suplr_Srvcs":"488452","Avg_Suplr_Sbmtd_Chrg":"15.520474233","Avg_Suplr_Mdcr_Alowd_Amt":"8.6213861137","Avg_Suplr_Mdcr_Pymt_Amt":"6.66661846","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6665827144"},{"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":"203","Tot_Suplrs":"93","Tot_Suplr_Benes":"318","Tot_Suplr_Clms":"2129","Tot_Suplr_Srvcs":"125478","Avg_Suplr_Sbmtd_Chrg":"15.74436443","Avg_Suplr_Mdcr_Alowd_Amt":"8.6105448764","Avg_Suplr_Mdcr_Pymt_Amt":"6.658985878","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6589499354"},{"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":"358","Tot_Suplrs":"200","Tot_Suplr_Benes":"779","Tot_Suplr_Clms":"4789","Tot_Suplr_Srvcs":"293097","Avg_Suplr_Sbmtd_Chrg":"15.38292033","Avg_Suplr_Mdcr_Alowd_Amt":"8.5962750216","Avg_Suplr_Mdcr_Pymt_Amt":"6.6538585861","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6538265489"},{"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":"456","Tot_Suplrs":"271","Tot_Suplr_Benes":"1025","Tot_Suplr_Clms":"6086","Tot_Suplr_Srvcs":"360964","Avg_Suplr_Sbmtd_Chrg":"15.797047656","Avg_Suplr_Mdcr_Alowd_Amt":"8.6161871544","Avg_Suplr_Mdcr_Pymt_Amt":"6.6655231547","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6654848683"},{"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":"1078","Tot_Suplrs":"295","Tot_Suplr_Benes":"2284","Tot_Suplr_Clms":"14738","Tot_Suplr_Srvcs":"886430","Avg_Suplr_Sbmtd_Chrg":"15.354613213","Avg_Suplr_Mdcr_Alowd_Amt":"8.6126382343","Avg_Suplr_Mdcr_Pymt_Amt":"6.6604845842","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6604480218"},{"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":"492","Tot_Suplrs":"282","Tot_Suplr_Benes":"723","Tot_Suplr_Clms":"4531","Tot_Suplr_Srvcs":"270730","Avg_Suplr_Sbmtd_Chrg":"16.599554538","Avg_Suplr_Mdcr_Alowd_Amt":"8.6194678831","Avg_Suplr_Mdcr_Pymt_Amt":"6.6577475344","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6577094153"},{"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":"534","Tot_Suplrs":"122","Tot_Suplr_Benes":"1678","Tot_Suplr_Clms":"10814","Tot_Suplr_Srvcs":"633346","Avg_Suplr_Sbmtd_Chrg":"15.364355787","Avg_Suplr_Mdcr_Alowd_Amt":"8.6213031739","Avg_Suplr_Mdcr_Pymt_Amt":"6.6678148279","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6677784655"},{"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":"1100","Tot_Suplrs":"476","Tot_Suplr_Benes":"3117","Tot_Suplr_Clms":"19846","Tot_Suplr_Srvcs":"1187539","Avg_Suplr_Sbmtd_Chrg":"14.74789009","Avg_Suplr_Mdcr_Alowd_Amt":"8.6171620722","Avg_Suplr_Mdcr_Pymt_Amt":"6.676374477","Avg_Suplr_Mdcr_Stdzd_Amt":"6.676336474"},{"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":"140","Tot_Suplrs":"34","Tot_Suplr_Benes":"231","Tot_Suplr_Clms":"1647","Tot_Suplr_Srvcs":"97496","Avg_Suplr_Sbmtd_Chrg":"15.734962255","Avg_Suplr_Mdcr_Alowd_Amt":"8.6182285427","Avg_Suplr_Mdcr_Pymt_Amt":"6.6728848363","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6728479117"},{"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":"373","Tot_Suplrs":"178","Tot_Suplr_Benes":"978","Tot_Suplr_Clms":"6340","Tot_Suplr_Srvcs":"376716","Avg_Suplr_Sbmtd_Chrg":"15.630667399","Avg_Suplr_Mdcr_Alowd_Amt":"8.6293458467","Avg_Suplr_Mdcr_Pymt_Amt":"6.6996561866","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6996158379"},{"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":"175","Tot_Suplrs":"70","Tot_Suplr_Benes":"415","Tot_Suplr_Clms":"2464","Tot_Suplr_Srvcs":"145232","Avg_Suplr_Sbmtd_Chrg":"15.628853696","Avg_Suplr_Mdcr_Alowd_Amt":"8.6189003801","Avg_Suplr_Mdcr_Pymt_Amt":"6.6863213341","Avg_Suplr_Mdcr_Stdzd_Amt":"6.68628429"},{"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":"180","Tot_Suplrs":"106","Tot_Suplr_Benes":"350","Tot_Suplr_Clms":"2302","Tot_Suplr_Srvcs":"136386","Avg_Suplr_Sbmtd_Chrg":"15.982006511","Avg_Suplr_Mdcr_Alowd_Amt":"8.6254929392","Avg_Suplr_Mdcr_Pymt_Amt":"6.6813623832","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6813246961"},{"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":"541","Tot_Suplrs":"512","Tot_Suplr_Benes":"1967","Tot_Suplr_Clms":"10964","Tot_Suplr_Srvcs":"658303","Avg_Suplr_Sbmtd_Chrg":"15.835973571","Avg_Suplr_Mdcr_Alowd_Amt":"8.6217707955","Avg_Suplr_Mdcr_Pymt_Amt":"6.6767308519","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6766962933"},{"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":"131","Tot_Suplrs":"48","Tot_Suplr_Benes":"241","Tot_Suplr_Clms":"1566","Tot_Suplr_Srvcs":"92290","Avg_Suplr_Sbmtd_Chrg":"15.530561491","Avg_Suplr_Mdcr_Alowd_Amt":"8.6313790226","Avg_Suplr_Mdcr_Pymt_Amt":"6.7039603424","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7039226352"},{"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":"1074","Tot_Suplrs":"781","Tot_Suplr_Benes":"2440","Tot_Suplr_Clms":"13603","Tot_Suplr_Srvcs":"817234","Avg_Suplr_Sbmtd_Chrg":"15.968635507","Avg_Suplr_Mdcr_Alowd_Amt":"8.6202169024","Avg_Suplr_Mdcr_Pymt_Amt":"6.6795363874","Avg_Suplr_Mdcr_Stdzd_Amt":"6.679500963"},{"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":"1139","Tot_Suplrs":"440","Tot_Suplr_Benes":"2421","Tot_Suplr_Clms":"15660","Tot_Suplr_Srvcs":"918622","Avg_Suplr_Sbmtd_Chrg":"15.822300348","Avg_Suplr_Mdcr_Alowd_Amt":"8.6238664434","Avg_Suplr_Mdcr_Pymt_Amt":"6.6834489594","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6834129054"},{"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":"153","Tot_Suplrs":"95","Tot_Suplr_Benes":"312","Tot_Suplr_Clms":"1971","Tot_Suplr_Srvcs":"119466","Avg_Suplr_Sbmtd_Chrg":"16.868009392","Avg_Suplr_Mdcr_Alowd_Amt":"8.6332788408","Avg_Suplr_Mdcr_Pymt_Amt":"6.6763985569","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6763599685"},{"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":"850","Tot_Suplrs":"425","Tot_Suplr_Benes":"1658","Tot_Suplr_Clms":"10623","Tot_Suplr_Srvcs":"643593","Avg_Suplr_Sbmtd_Chrg":"15.383270017","Avg_Suplr_Mdcr_Alowd_Amt":"8.6080085396","Avg_Suplr_Mdcr_Pymt_Amt":"6.6623782888","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6623433599"},{"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":"652","Tot_Suplrs":"237","Tot_Suplr_Benes":"2016","Tot_Suplr_Clms":"12843","Tot_Suplr_Srvcs":"757476","Avg_Suplr_Sbmtd_Chrg":"15.298948508","Avg_Suplr_Mdcr_Alowd_Amt":"8.6101177067","Avg_Suplr_Mdcr_Pymt_Amt":"6.6658050288","Avg_Suplr_Mdcr_Stdzd_Amt":"6.665768394"},{"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":"357","Tot_Suplrs":"89","Tot_Suplr_Benes":"762","Tot_Suplr_Clms":"5100","Tot_Suplr_Srvcs":"303437","Avg_Suplr_Sbmtd_Chrg":"15.552614777","Avg_Suplr_Mdcr_Alowd_Amt":"8.629348761","Avg_Suplr_Mdcr_Pymt_Amt":"6.6997383641","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6997001354"},{"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":"884","Tot_Suplrs":"607","Tot_Suplr_Benes":"1716","Tot_Suplr_Clms":"10247","Tot_Suplr_Srvcs":"613621","Avg_Suplr_Sbmtd_Chrg":"15.437753141","Avg_Suplr_Mdcr_Alowd_Amt":"8.6225139622","Avg_Suplr_Mdcr_Pymt_Amt":"6.6798488155","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6798130279"},{"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":"76","Tot_Suplrs":"35","Tot_Suplr_Benes":"133","Tot_Suplr_Clms":"822","Tot_Suplr_Srvcs":"49503","Avg_Suplr_Sbmtd_Chrg":"15.269851322","Avg_Suplr_Mdcr_Alowd_Amt":"8.5838294649","Avg_Suplr_Mdcr_Pymt_Amt":"6.6319851322","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6319515989"},{"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":"421","Tot_Suplrs":"198","Tot_Suplr_Benes":"1063","Tot_Suplr_Clms":"6627","Tot_Suplr_Srvcs":"386679","Avg_Suplr_Sbmtd_Chrg":"14.79454995","Avg_Suplr_Mdcr_Alowd_Amt":"8.6084720401","Avg_Suplr_Mdcr_Pymt_Amt":"6.656351987","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6563163503"},{"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":"286","Tot_Suplrs":"198","Tot_Suplr_Benes":"877","Tot_Suplr_Clms":"5171","Tot_Suplr_Srvcs":"308034","Avg_Suplr_Sbmtd_Chrg":"16.150809359","Avg_Suplr_Mdcr_Alowd_Amt":"8.6352641916","Avg_Suplr_Mdcr_Pymt_Amt":"6.7177403144","Avg_Suplr_Mdcr_Stdzd_Amt":"6.7176982411"},{"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":"860","Tot_Suplrs":"395","Tot_Suplr_Benes":"1977","Tot_Suplr_Clms":"12503","Tot_Suplr_Srvcs":"734769","Avg_Suplr_Sbmtd_Chrg":"15.452831897","Avg_Suplr_Mdcr_Alowd_Amt":"8.6224602154","Avg_Suplr_Mdcr_Pymt_Amt":"6.6805881849","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6805520102"},{"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":"1611","Tot_Suplrs":"912","Tot_Suplr_Benes":"4880","Tot_Suplr_Clms":"28624","Tot_Suplr_Srvcs":"1683101","Avg_Suplr_Sbmtd_Chrg":"15.141577511","Avg_Suplr_Mdcr_Alowd_Amt":"8.627054544","Avg_Suplr_Mdcr_Pymt_Amt":"6.6921501443","Avg_Suplr_Mdcr_Stdzd_Amt":"6.692112446"},{"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":"244","Tot_Suplrs":"49","Tot_Suplr_Benes":"559","Tot_Suplr_Clms":"3665","Tot_Suplr_Srvcs":"214658","Avg_Suplr_Sbmtd_Chrg":"15.596743005","Avg_Suplr_Mdcr_Alowd_Amt":"8.6275774954","Avg_Suplr_Mdcr_Pymt_Amt":"6.6936198511","Avg_Suplr_Mdcr_Stdzd_Amt":"6.693579834"},{"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":"44","Tot_Suplrs":"29","Tot_Suplr_Benes":"67","Tot_Suplr_Clms":"391","Tot_Suplr_Srvcs":"22452","Avg_Suplr_Sbmtd_Chrg":"19.482483075","Avg_Suplr_Mdcr_Alowd_Amt":"8.612734723","Avg_Suplr_Mdcr_Pymt_Amt":"6.6660048103","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6659691787"},{"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":"615","Tot_Suplrs":"306","Tot_Suplr_Benes":"1443","Tot_Suplr_Clms":"8595","Tot_Suplr_Srvcs":"504206","Avg_Suplr_Sbmtd_Chrg":"15.589627811","Avg_Suplr_Mdcr_Alowd_Amt":"8.6304489633","Avg_Suplr_Mdcr_Pymt_Amt":"6.6797831839","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6797463537"},{"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":"534","Tot_Suplrs":"250","Tot_Suplr_Benes":"1196","Tot_Suplr_Clms":"7345","Tot_Suplr_Srvcs":"435509","Avg_Suplr_Sbmtd_Chrg":"15.251762352","Avg_Suplr_Mdcr_Alowd_Amt":"8.619367912","Avg_Suplr_Mdcr_Pymt_Amt":"6.6918658168","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6918266901"},{"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":"245","Tot_Suplrs":"139","Tot_Suplr_Benes":"479","Tot_Suplr_Clms":"3214","Tot_Suplr_Srvcs":"188957","Avg_Suplr_Sbmtd_Chrg":"15.755809047","Avg_Suplr_Mdcr_Alowd_Amt":"8.6224283832","Avg_Suplr_Mdcr_Pymt_Amt":"6.6726970157","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6726603407"},{"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":"325","Tot_Suplrs":"200","Tot_Suplr_Benes":"501","Tot_Suplr_Clms":"3180","Tot_Suplr_Srvcs":"191222","Avg_Suplr_Sbmtd_Chrg":"16.008892544","Avg_Suplr_Mdcr_Alowd_Amt":"8.6137905157","Avg_Suplr_Mdcr_Pymt_Amt":"6.6715396764","Avg_Suplr_Mdcr_Stdzd_Amt":"6.6715034358"},{"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":"164","Tot_Suplrs":"54","Tot_Suplr_Benes":"387","Tot_Suplr_Clms":"2502","Tot_Suplr_Srvcs":"147362","Avg_Suplr_Sbmtd_Chrg":"15.961346005","Avg_Suplr_Mdcr_Alowd_Amt":"8.6266936524","Avg_Suplr_Mdcr_Pymt_Amt":"6.6915529784","Avg_Suplr_Mdcr_Stdzd_Amt":"6.691512398"},{"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":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"24","Tot_Suplr_Clms":"111","Tot_Suplr_Srvcs":"6540","Avg_Suplr_Sbmtd_Chrg":"14.930042813","Avg_Suplr_Mdcr_Alowd_Amt":"8.2480321101","Avg_Suplr_Mdcr_Pymt_Amt":"6.3404984709","Avg_Suplr_Mdcr_Stdzd_Amt":"6.3404755352"},{"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":"13246","Tot_Suplrs":"6654","Tot_Suplr_Benes":"28259","Tot_Suplr_Clms":"166307","Tot_Suplr_Srvcs":"9935520","Avg_Suplr_Sbmtd_Chrg":"14.674967142","Avg_Suplr_Mdcr_Alowd_Amt":"10.076441675","Avg_Suplr_Mdcr_Pymt_Amt":"7.8208694673","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8208694019"},{"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":"161","Tot_Suplrs":"43","Tot_Suplr_Benes":"321","Tot_Suplr_Clms":"1951","Tot_Suplr_Srvcs":"114567","Avg_Suplr_Sbmtd_Chrg":"14.538259097","Avg_Suplr_Mdcr_Alowd_Amt":"10.099301457","Avg_Suplr_Mdcr_Pymt_Amt":"7.8393457977","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8393457104"},{"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":"10","Tot_Suplrs":"12","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"46","Tot_Suplr_Srvcs":"3029","Avg_Suplr_Sbmtd_Chrg":"17.204126775","Avg_Suplr_Mdcr_Alowd_Amt":"10.090105645","Avg_Suplr_Mdcr_Pymt_Amt":"7.8461637504","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8461637504"},{"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":"198","Tot_Suplrs":"162","Tot_Suplr_Benes":"585","Tot_Suplr_Clms":"3357","Tot_Suplr_Srvcs":"205243","Avg_Suplr_Sbmtd_Chrg":"14.442720531","Avg_Suplr_Mdcr_Alowd_Amt":"10.073560462","Avg_Suplr_Mdcr_Pymt_Amt":"7.8375353605","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8375353605"},{"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":"303","Tot_Suplrs":"50","Tot_Suplr_Benes":"621","Tot_Suplr_Clms":"4054","Tot_Suplr_Srvcs":"238951","Avg_Suplr_Sbmtd_Chrg":"13.719111366","Avg_Suplr_Mdcr_Alowd_Amt":"10.08532967","Avg_Suplr_Mdcr_Pymt_Amt":"7.8086460404","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8086460404"},{"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":"690","Tot_Suplrs":"350","Tot_Suplr_Benes":"1580","Tot_Suplr_Clms":"7715","Tot_Suplr_Srvcs":"459513","Avg_Suplr_Sbmtd_Chrg":"15.788960312","Avg_Suplr_Mdcr_Alowd_Amt":"10.100436027","Avg_Suplr_Mdcr_Pymt_Amt":"7.8474273416","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8474272763"},{"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":"158","Tot_Suplrs":"67","Tot_Suplr_Benes":"231","Tot_Suplr_Clms":"1334","Tot_Suplr_Srvcs":"77312","Avg_Suplr_Sbmtd_Chrg":"14.596001656","Avg_Suplr_Mdcr_Alowd_Amt":"10.090452452","Avg_Suplr_Mdcr_Pymt_Amt":"7.8254903508","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8254902214"},{"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":"154","Tot_Suplrs":"127","Tot_Suplr_Benes":"389","Tot_Suplr_Clms":"2159","Tot_Suplr_Srvcs":"131337","Avg_Suplr_Sbmtd_Chrg":"13.523143669","Avg_Suplr_Mdcr_Alowd_Amt":"10.066931786","Avg_Suplr_Mdcr_Pymt_Amt":"7.8382987277","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8382987277"},{"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":"40","Tot_Suplrs":"36","Tot_Suplr_Benes":"86","Tot_Suplr_Clms":"444","Tot_Suplr_Srvcs":"27094","Avg_Suplr_Sbmtd_Chrg":"14.101438326","Avg_Suplr_Mdcr_Alowd_Amt":"10.080190079","Avg_Suplr_Mdcr_Pymt_Amt":"7.8489399867","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8489399867"},{"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":"13","Tot_Suplrs":"19","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"90","Tot_Suplr_Srvcs":"5914","Avg_Suplr_Sbmtd_Chrg":"13.995777815","Avg_Suplr_Mdcr_Alowd_Amt":"10.002392628","Avg_Suplr_Mdcr_Pymt_Amt":"7.7444842746","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7444842746"},{"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":"759","Tot_Suplrs":"414","Tot_Suplr_Benes":"1949","Tot_Suplr_Clms":"10751","Tot_Suplr_Srvcs":"630382","Avg_Suplr_Sbmtd_Chrg":"14.219164142","Avg_Suplr_Mdcr_Alowd_Amt":"10.074412372","Avg_Suplr_Mdcr_Pymt_Amt":"7.8237068317","Avg_Suplr_Mdcr_Stdzd_Amt":"7.823706689"},{"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":"351","Tot_Suplrs":"185","Tot_Suplr_Benes":"769","Tot_Suplr_Clms":"4525","Tot_Suplr_Srvcs":"265118","Avg_Suplr_Sbmtd_Chrg":"14.463136075","Avg_Suplr_Mdcr_Alowd_Amt":"10.0852712","Avg_Suplr_Mdcr_Pymt_Amt":"7.8276798256","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8276796747"},{"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":"7","Tot_Suplrs":"11","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"81","Tot_Suplr_Srvcs":"4560","Avg_Suplr_Sbmtd_Chrg":"16.165342105","Avg_Suplr_Mdcr_Alowd_Amt":"10.142263158","Avg_Suplr_Mdcr_Pymt_Amt":"7.9229714912","Avg_Suplr_Mdcr_Stdzd_Amt":"7.9229714912"},{"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":"122","Tot_Suplrs":"60","Tot_Suplr_Benes":"268","Tot_Suplr_Clms":"1660","Tot_Suplr_Srvcs":"98668","Avg_Suplr_Sbmtd_Chrg":"14.36207281","Avg_Suplr_Mdcr_Alowd_Amt":"10.08386863","Avg_Suplr_Mdcr_Pymt_Amt":"7.8180132363","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8180132363"},{"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":"524","Tot_Suplrs":"326","Tot_Suplr_Benes":"1191","Tot_Suplr_Clms":"7241","Tot_Suplr_Srvcs":"437657","Avg_Suplr_Sbmtd_Chrg":"14.914148637","Avg_Suplr_Mdcr_Alowd_Amt":"10.09152094","Avg_Suplr_Mdcr_Pymt_Amt":"7.8344290163","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8344288792"},{"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":"342","Tot_Suplrs":"200","Tot_Suplr_Benes":"709","Tot_Suplr_Clms":"4470","Tot_Suplr_Srvcs":"271330","Avg_Suplr_Sbmtd_Chrg":"14.165142483","Avg_Suplr_Mdcr_Alowd_Amt":"10.070024877","Avg_Suplr_Mdcr_Pymt_Amt":"7.7616660156","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7616660156"},{"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":"182","Tot_Suplrs":"152","Tot_Suplr_Benes":"282","Tot_Suplr_Clms":"1749","Tot_Suplr_Srvcs":"105566","Avg_Suplr_Sbmtd_Chrg":"16.009257337","Avg_Suplr_Mdcr_Alowd_Amt":"10.070222894","Avg_Suplr_Mdcr_Pymt_Amt":"7.834376788","Avg_Suplr_Mdcr_Stdzd_Amt":"7.834376788"},{"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":"231","Tot_Suplrs":"105","Tot_Suplr_Benes":"554","Tot_Suplr_Clms":"3637","Tot_Suplr_Srvcs":"218780","Avg_Suplr_Sbmtd_Chrg":"13.770640552","Avg_Suplr_Mdcr_Alowd_Amt":"10.06532343","Avg_Suplr_Mdcr_Pymt_Amt":"7.8196011975","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8196010604"},{"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":"350","Tot_Suplrs":"194","Tot_Suplr_Benes":"710","Tot_Suplr_Clms":"3890","Tot_Suplr_Srvcs":"231959","Avg_Suplr_Sbmtd_Chrg":"14.949054747","Avg_Suplr_Mdcr_Alowd_Amt":"10.100270694","Avg_Suplr_Mdcr_Pymt_Amt":"7.8403956303","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8403955872"},{"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":"163","Tot_Suplrs":"86","Tot_Suplr_Benes":"406","Tot_Suplr_Clms":"2491","Tot_Suplr_Srvcs":"146055","Avg_Suplr_Sbmtd_Chrg":"14.433841567","Avg_Suplr_Mdcr_Alowd_Amt":"10.083898394","Avg_Suplr_Mdcr_Pymt_Amt":"7.816228681","Avg_Suplr_Mdcr_Stdzd_Amt":"7.816228681"},{"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":"123","Tot_Suplrs":"62","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"843","Tot_Suplr_Srvcs":"50103","Avg_Suplr_Sbmtd_Chrg":"14.614766381","Avg_Suplr_Mdcr_Alowd_Amt":"10.050226334","Avg_Suplr_Mdcr_Pymt_Amt":"7.7894720875","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7894720875"},{"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":"206","Tot_Suplrs":"192","Tot_Suplr_Benes":"646","Tot_Suplr_Clms":"3197","Tot_Suplr_Srvcs":"201064","Avg_Suplr_Sbmtd_Chrg":"14.530048393","Avg_Suplr_Mdcr_Alowd_Amt":"10.102085754","Avg_Suplr_Mdcr_Pymt_Amt":"7.8632546851","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8632546353"},{"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":"399","Tot_Suplrs":"257","Tot_Suplr_Benes":"949","Tot_Suplr_Clms":"4958","Tot_Suplr_Srvcs":"296762","Avg_Suplr_Sbmtd_Chrg":"15.172393804","Avg_Suplr_Mdcr_Alowd_Amt":"10.089119328","Avg_Suplr_Mdcr_Pymt_Amt":"7.8416506493","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8416506156"},{"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":"548","Tot_Suplrs":"179","Tot_Suplr_Benes":"1092","Tot_Suplr_Clms":"6396","Tot_Suplr_Srvcs":"386115","Avg_Suplr_Sbmtd_Chrg":"13.979478264","Avg_Suplr_Mdcr_Alowd_Amt":"9.9289796045","Avg_Suplr_Mdcr_Pymt_Amt":"7.7004676068","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7004675291"},{"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":"235","Tot_Suplrs":"169","Tot_Suplr_Benes":"292","Tot_Suplr_Clms":"1538","Tot_Suplr_Srvcs":"96006","Avg_Suplr_Sbmtd_Chrg":"16.571718434","Avg_Suplr_Mdcr_Alowd_Amt":"10.059459513","Avg_Suplr_Mdcr_Pymt_Amt":"7.7937588276","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7937588276"},{"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":"293","Tot_Suplrs":"89","Tot_Suplr_Benes":"801","Tot_Suplr_Clms":"5052","Tot_Suplr_Srvcs":"298338","Avg_Suplr_Sbmtd_Chrg":"13.713157224","Avg_Suplr_Mdcr_Alowd_Amt":"10.079204325","Avg_Suplr_Mdcr_Pymt_Amt":"7.8314318994","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8314317988"},{"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":"544","Tot_Suplrs":"231","Tot_Suplr_Benes":"1104","Tot_Suplr_Clms":"6727","Tot_Suplr_Srvcs":"403857","Avg_Suplr_Sbmtd_Chrg":"14.100885883","Avg_Suplr_Mdcr_Alowd_Amt":"10.080999512","Avg_Suplr_Mdcr_Pymt_Amt":"7.825769765","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8257697403"},{"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":"94","Tot_Suplrs":"40","Tot_Suplr_Benes":"175","Tot_Suplr_Clms":"1169","Tot_Suplr_Srvcs":"69600","Avg_Suplr_Sbmtd_Chrg":"14.619367529","Avg_Suplr_Mdcr_Alowd_Amt":"10.073893966","Avg_Suplr_Mdcr_Pymt_Amt":"7.8115225575","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8115224138"},{"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":"74","Tot_Suplrs":"35","Tot_Suplr_Benes":"114","Tot_Suplr_Clms":"674","Tot_Suplr_Srvcs":"39870","Avg_Suplr_Sbmtd_Chrg":"14.546734387","Avg_Suplr_Mdcr_Alowd_Amt":"10.087541008","Avg_Suplr_Mdcr_Pymt_Amt":"7.8139458239","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8139455731"},{"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":"95","Tot_Suplrs":"56","Tot_Suplr_Benes":"196","Tot_Suplr_Clms":"1169","Tot_Suplr_Srvcs":"70864","Avg_Suplr_Sbmtd_Chrg":"15.052282118","Avg_Suplr_Mdcr_Alowd_Amt":"10.079446687","Avg_Suplr_Mdcr_Pymt_Amt":"7.8363997234","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8363997234"},{"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":"117","Tot_Suplrs":"68","Tot_Suplr_Benes":"249","Tot_Suplr_Clms":"1494","Tot_Suplr_Srvcs":"87723","Avg_Suplr_Sbmtd_Chrg":"14.437335248","Avg_Suplr_Mdcr_Alowd_Amt":"10.075652907","Avg_Suplr_Mdcr_Pymt_Amt":"7.8177685442","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8177684302"},{"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":"323","Tot_Suplr_Benes":"1018","Tot_Suplr_Clms":"5232","Tot_Suplr_Srvcs":"322810","Avg_Suplr_Sbmtd_Chrg":"15.815656702","Avg_Suplr_Mdcr_Alowd_Amt":"10.042415353","Avg_Suplr_Mdcr_Pymt_Amt":"7.794212354","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7942121681"},{"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":"39","Tot_Suplrs":"18","Tot_Suplr_Benes":"51","Tot_Suplr_Clms":"269","Tot_Suplr_Srvcs":"15664","Avg_Suplr_Sbmtd_Chrg":"14.160472421","Avg_Suplr_Mdcr_Alowd_Amt":"10.212590015","Avg_Suplr_Mdcr_Pymt_Amt":"7.9351551328","Avg_Suplr_Mdcr_Stdzd_Amt":"7.9351551328"},{"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":"628","Tot_Suplrs":"523","Tot_Suplr_Benes":"1380","Tot_Suplr_Clms":"7435","Tot_Suplr_Srvcs":"456494","Avg_Suplr_Sbmtd_Chrg":"15.642568818","Avg_Suplr_Mdcr_Alowd_Amt":"10.085254133","Avg_Suplr_Mdcr_Pymt_Amt":"7.8324362423","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8324361985"},{"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":"622","Tot_Suplrs":"334","Tot_Suplr_Benes":"1583","Tot_Suplr_Clms":"9387","Tot_Suplr_Srvcs":"550052","Avg_Suplr_Sbmtd_Chrg":"14.516007923","Avg_Suplr_Mdcr_Alowd_Amt":"10.083703395","Avg_Suplr_Mdcr_Pymt_Amt":"7.8382488565","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8382487838"},{"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":"124","Tot_Suplrs":"74","Tot_Suplr_Benes":"347","Tot_Suplr_Clms":"2110","Tot_Suplr_Srvcs":"128100","Avg_Suplr_Sbmtd_Chrg":"16.479630601","Avg_Suplr_Mdcr_Alowd_Amt":"10.09461171","Avg_Suplr_Mdcr_Pymt_Amt":"7.8028241998","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8028241218"},{"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":"573","Tot_Suplrs":"302","Tot_Suplr_Benes":"1050","Tot_Suplr_Clms":"6341","Tot_Suplr_Srvcs":"387124","Avg_Suplr_Sbmtd_Chrg":"14.642892355","Avg_Suplr_Mdcr_Alowd_Amt":"10.065288951","Avg_Suplr_Mdcr_Pymt_Amt":"7.8212746562","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8212746562"},{"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":"196","Tot_Suplrs":"79","Tot_Suplr_Benes":"338","Tot_Suplr_Clms":"2171","Tot_Suplr_Srvcs":"127352","Avg_Suplr_Sbmtd_Chrg":"14.544068566","Avg_Suplr_Mdcr_Alowd_Amt":"10.071348467","Avg_Suplr_Mdcr_Pymt_Amt":"7.8131393304","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8131393304"},{"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":"127","Tot_Suplrs":"36","Tot_Suplr_Benes":"174","Tot_Suplr_Clms":"1066","Tot_Suplr_Srvcs":"62610","Avg_Suplr_Sbmtd_Chrg":"14.735823351","Avg_Suplr_Mdcr_Alowd_Amt":"10.058759943","Avg_Suplr_Mdcr_Pymt_Amt":"7.7419746047","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7419746047"},{"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":"369","Tot_Suplrs":"274","Tot_Suplr_Benes":"686","Tot_Suplr_Clms":"4033","Tot_Suplr_Srvcs":"241286","Avg_Suplr_Sbmtd_Chrg":"14.849532919","Avg_Suplr_Mdcr_Alowd_Amt":"10.081561715","Avg_Suplr_Mdcr_Pymt_Amt":"7.8035112688","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8035112688"},{"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":"42","Tot_Suplrs":"29","Tot_Suplr_Benes":"47","Tot_Suplr_Clms":"330","Tot_Suplr_Srvcs":"19202","Avg_Suplr_Sbmtd_Chrg":"14.769777627","Avg_Suplr_Mdcr_Alowd_Amt":"10.015437975","Avg_Suplr_Mdcr_Pymt_Amt":"7.7770039579","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7770039579"},{"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":"263","Tot_Suplrs":"132","Tot_Suplr_Benes":"611","Tot_Suplr_Clms":"3768","Tot_Suplr_Srvcs":"221828","Avg_Suplr_Sbmtd_Chrg":"13.781263321","Avg_Suplr_Mdcr_Alowd_Amt":"10.079454713","Avg_Suplr_Mdcr_Pymt_Amt":"7.8108924933","Avg_Suplr_Mdcr_Stdzd_Amt":"7.810892358"},{"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":"56","Tot_Suplrs":"76","Tot_Suplr_Benes":"125","Tot_Suplr_Clms":"834","Tot_Suplr_Srvcs":"50238","Avg_Suplr_Sbmtd_Chrg":"15.725816712","Avg_Suplr_Mdcr_Alowd_Amt":"10.085326446","Avg_Suplr_Mdcr_Pymt_Amt":"7.8399824834","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8399824834"},{"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":"453","Tot_Suplrs":"215","Tot_Suplr_Benes":"913","Tot_Suplr_Clms":"5555","Tot_Suplr_Srvcs":"327757","Avg_Suplr_Sbmtd_Chrg":"14.539452643","Avg_Suplr_Mdcr_Alowd_Amt":"10.084476304","Avg_Suplr_Mdcr_Pymt_Amt":"7.8176639706","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8176639401"},{"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":"789","Tot_Suplrs":"441","Tot_Suplr_Benes":"1954","Tot_Suplr_Clms":"10812","Tot_Suplr_Srvcs":"636455","Avg_Suplr_Sbmtd_Chrg":"14.398523242","Avg_Suplr_Mdcr_Alowd_Amt":"10.094025061","Avg_Suplr_Mdcr_Pymt_Amt":"7.8394259139","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8394258353"},{"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":"88","Tot_Suplrs":"27","Tot_Suplr_Benes":"140","Tot_Suplr_Clms":"849","Tot_Suplr_Srvcs":"50700","Avg_Suplr_Sbmtd_Chrg":"15.05204497","Avg_Suplr_Mdcr_Alowd_Amt":"10.07859645","Avg_Suplr_Mdcr_Pymt_Amt":"7.8370252465","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8370252465"},{"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":"23","Tot_Suplrs":"23","Tot_Suplr_Benes":"71","Tot_Suplr_Clms":"350","Tot_Suplr_Srvcs":"20880","Avg_Suplr_Sbmtd_Chrg":"18.637456418","Avg_Suplr_Mdcr_Alowd_Amt":"10.099525862","Avg_Suplr_Mdcr_Pymt_Amt":"7.8417332375","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8417332375"},{"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":"340","Tot_Suplrs":"190","Tot_Suplr_Benes":"662","Tot_Suplr_Clms":"3758","Tot_Suplr_Srvcs":"216865","Avg_Suplr_Sbmtd_Chrg":"14.499848662","Avg_Suplr_Mdcr_Alowd_Amt":"10.089348074","Avg_Suplr_Mdcr_Pymt_Amt":"7.8385022479","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8385022018"},{"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":"224","Tot_Suplrs":"119","Tot_Suplr_Benes":"392","Tot_Suplr_Clms":"2154","Tot_Suplr_Srvcs":"127680","Avg_Suplr_Sbmtd_Chrg":"14.746630796","Avg_Suplr_Mdcr_Alowd_Amt":"10.102350721","Avg_Suplr_Mdcr_Pymt_Amt":"7.8412176535","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8412176535"},{"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":"157","Tot_Suplrs":"100","Tot_Suplr_Benes":"278","Tot_Suplr_Clms":"1649","Tot_Suplr_Srvcs":"97400","Avg_Suplr_Sbmtd_Chrg":"14.83516694","Avg_Suplr_Mdcr_Alowd_Amt":"10.081996509","Avg_Suplr_Mdcr_Pymt_Amt":"7.7911277207","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7911277207"},{"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":"276","Tot_Suplrs":"232","Tot_Suplr_Benes":"489","Tot_Suplr_Clms":"3050","Tot_Suplr_Srvcs":"184736","Avg_Suplr_Sbmtd_Chrg":"15.708939784","Avg_Suplr_Mdcr_Alowd_Amt":"10.103209715","Avg_Suplr_Mdcr_Pymt_Amt":"7.8492468712","Avg_Suplr_Mdcr_Stdzd_Amt":"7.8492467629"},{"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":"36","Tot_Suplrs":"5","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"274","Tot_Suplr_Srvcs":"15960","Avg_Suplr_Sbmtd_Chrg":"14.250511905","Avg_Suplr_Mdcr_Alowd_Amt":"10.060451128","Avg_Suplr_Mdcr_Pymt_Amt":"7.7992005013","Avg_Suplr_Mdcr_Stdzd_Amt":"7.7992005013"},{"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":"2","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"990","Avg_Suplr_Sbmtd_Chrg":"15.173818182","Avg_Suplr_Mdcr_Alowd_Amt":"10.419454545","Avg_Suplr_Mdcr_Pymt_Amt":"8.1688383838","Avg_Suplr_Mdcr_Stdzd_Amt":"8.1688383838"},{"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":"2658","Tot_Suplrs":"2245","Tot_Suplr_Benes":"2782","Tot_Suplr_Clms":"7386","Tot_Suplr_Srvcs":"1772601","Avg_Suplr_Sbmtd_Chrg":"0.237008509","Avg_Suplr_Mdcr_Alowd_Amt":"0.1120140799","Avg_Suplr_Mdcr_Pymt_Amt":"0.0820102945","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0820102832"},{"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":"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":"39","Tot_Suplrs":"35","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"84","Tot_Suplr_Srvcs":"19220","Avg_Suplr_Sbmtd_Chrg":"0.220682102","Avg_Suplr_Mdcr_Alowd_Amt":"0.1094895942","Avg_Suplr_Mdcr_Pymt_Amt":"0.0786576483","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0786576483"},{"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":"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":"9","Tot_Suplrs":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"2730","Avg_Suplr_Sbmtd_Chrg":"0.171996337","Avg_Suplr_Mdcr_Alowd_Amt":"0.1033699634","Avg_Suplr_Mdcr_Pymt_Amt":"0.0525934066","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0525934066"},{"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":"36","Tot_Suplrs":"28","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"69","Tot_Suplr_Srvcs":"18851","Avg_Suplr_Sbmtd_Chrg":"0.1808583099","Avg_Suplr_Mdcr_Alowd_Amt":"0.1115691475","Avg_Suplr_Mdcr_Pymt_Amt":"0.0835430481","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0835430481"},{"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":"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":"14","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"66","Tot_Suplr_Srvcs":"19788","Avg_Suplr_Sbmtd_Chrg":"0.3215534667","Avg_Suplr_Mdcr_Alowd_Amt":"0.1136693956","Avg_Suplr_Mdcr_Pymt_Amt":"0.0838204973","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0838204973"},{"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":"328","Tot_Suplrs":"254","Tot_Suplr_Benes":"367","Tot_Suplr_Clms":"971","Tot_Suplr_Srvcs":"237875","Avg_Suplr_Sbmtd_Chrg":"0.2607809143","Avg_Suplr_Mdcr_Alowd_Amt":"0.1124348502","Avg_Suplr_Mdcr_Pymt_Amt":"0.0824828166","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0824827746"},{"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":"30","Tot_Suplrs":"29","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"60","Tot_Suplr_Srvcs":"11711","Avg_Suplr_Sbmtd_Chrg":"0.2085278798","Avg_Suplr_Mdcr_Alowd_Amt":"0.1038049697","Avg_Suplr_Mdcr_Pymt_Amt":"0.079665272","Avg_Suplr_Mdcr_Stdzd_Amt":"0.079665272"},{"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":"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":"28","Tot_Suplrs":"61","Tot_Suplr_Benes":"78","Tot_Suplr_Clms":"193","Tot_Suplr_Srvcs":"43962","Avg_Suplr_Sbmtd_Chrg":"0.226553842","Avg_Suplr_Mdcr_Alowd_Amt":"0.1146012465","Avg_Suplr_Mdcr_Pymt_Amt":"0.0819193849","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0819193849"},{"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":"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":"22","Tot_Suplr_Srvcs":"8675","Avg_Suplr_Sbmtd_Chrg":"0.2334340058","Avg_Suplr_Mdcr_Alowd_Amt":"0.115221902","Avg_Suplr_Mdcr_Pymt_Amt":"0.0903331412","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0903331412"},{"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":"118","Tot_Suplrs":"107","Tot_Suplr_Benes":"119","Tot_Suplr_Clms":"223","Tot_Suplr_Srvcs":"46851","Avg_Suplr_Sbmtd_Chrg":"0.2716992167","Avg_Suplr_Mdcr_Alowd_Amt":"0.1136895691","Avg_Suplr_Mdcr_Pymt_Amt":"0.0845318136","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0845318136"},{"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":"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":"69","Tot_Suplrs":"52","Tot_Suplr_Benes":"75","Tot_Suplr_Clms":"173","Tot_Suplr_Srvcs":"43232","Avg_Suplr_Sbmtd_Chrg":"0.2006657106","Avg_Suplr_Mdcr_Alowd_Amt":"0.1132735011","Avg_Suplr_Mdcr_Pymt_Amt":"0.0836445226","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0836442913"},{"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":"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":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"21","Tot_Suplr_Srvcs":"6250","Avg_Suplr_Sbmtd_Chrg":"0.217904","Avg_Suplr_Mdcr_Alowd_Amt":"0.1096","Avg_Suplr_Mdcr_Pymt_Amt":"0.0745344","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0745344"},{"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":"113","Tot_Suplrs":"94","Tot_Suplr_Benes":"113","Tot_Suplr_Clms":"307","Tot_Suplr_Srvcs":"80797","Avg_Suplr_Sbmtd_Chrg":"0.221666646","Avg_Suplr_Mdcr_Alowd_Amt":"0.1126575244","Avg_Suplr_Mdcr_Pymt_Amt":"0.0813860663","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0813860663"},{"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":"109","Tot_Suplrs":"99","Tot_Suplr_Benes":"119","Tot_Suplr_Clms":"231","Tot_Suplr_Srvcs":"53856","Avg_Suplr_Sbmtd_Chrg":"0.2162253045","Avg_Suplr_Mdcr_Alowd_Amt":"0.1116900624","Avg_Suplr_Mdcr_Pymt_Amt":"0.0825651738","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0825651738"},{"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":"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":"37","Tot_Suplrs":"39","Tot_Suplr_Benes":"40","Tot_Suplr_Clms":"144","Tot_Suplr_Srvcs":"32149","Avg_Suplr_Sbmtd_Chrg":"0.2711415596","Avg_Suplr_Mdcr_Alowd_Amt":"0.1101713895","Avg_Suplr_Mdcr_Pymt_Amt":"0.0784127034","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0784127034"},{"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":"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":"36","Tot_Suplrs":"26","Tot_Suplr_Benes":"34","Tot_Suplr_Clms":"136","Tot_Suplr_Srvcs":"33135","Avg_Suplr_Sbmtd_Chrg":"0.2152648257","Avg_Suplr_Mdcr_Alowd_Amt":"0.1034365475","Avg_Suplr_Mdcr_Pymt_Amt":"0.0726597254","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0726597254"},{"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":"48","Tot_Suplrs":"43","Tot_Suplr_Benes":"47","Tot_Suplr_Clms":"152","Tot_Suplr_Srvcs":"39463","Avg_Suplr_Sbmtd_Chrg":"0.2842657679","Avg_Suplr_Mdcr_Alowd_Amt":"0.1133464258","Avg_Suplr_Mdcr_Pymt_Amt":"0.0803869447","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0803869447"},{"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":"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":"53","Tot_Suplrs":"34","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"160","Tot_Suplr_Srvcs":"36361","Avg_Suplr_Sbmtd_Chrg":"0.179779984","Avg_Suplr_Mdcr_Alowd_Amt":"0.1139102335","Avg_Suplr_Mdcr_Pymt_Amt":"0.0861147933","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0861147933"},{"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":"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":"20","Tot_Suplrs":"13","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"12465","Avg_Suplr_Sbmtd_Chrg":"0.1357384677","Avg_Suplr_Mdcr_Alowd_Amt":"0.0987043722","Avg_Suplr_Mdcr_Pymt_Amt":"0.0666249499","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0666249499"},{"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":"51","Tot_Suplrs":"57","Tot_Suplr_Benes":"61","Tot_Suplr_Clms":"107","Tot_Suplr_Srvcs":"24590","Avg_Suplr_Sbmtd_Chrg":"0.246398536","Avg_Suplr_Mdcr_Alowd_Amt":"0.1137991053","Avg_Suplr_Mdcr_Pymt_Amt":"0.0836945913","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0836945913"},{"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":"113","Tot_Suplrs":"98","Tot_Suplr_Benes":"107","Tot_Suplr_Clms":"271","Tot_Suplr_Srvcs":"62570","Avg_Suplr_Sbmtd_Chrg":"0.2171855522","Avg_Suplr_Mdcr_Alowd_Amt":"0.11434825","Avg_Suplr_Mdcr_Pymt_Amt":"0.0850148634","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0850148634"},{"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":"98","Tot_Suplrs":"93","Tot_Suplr_Benes":"102","Tot_Suplr_Clms":"219","Tot_Suplr_Srvcs":"56665","Avg_Suplr_Sbmtd_Chrg":"0.2225569576","Avg_Suplr_Mdcr_Alowd_Amt":"0.1122885379","Avg_Suplr_Mdcr_Pymt_Amt":"0.0842904791","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0842904791"},{"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":"71","Tot_Suplrs":"60","Tot_Suplr_Benes":"68","Tot_Suplr_Clms":"185","Tot_Suplr_Srvcs":"43012","Avg_Suplr_Sbmtd_Chrg":"0.2251557705","Avg_Suplr_Mdcr_Alowd_Amt":"0.1129566168","Avg_Suplr_Mdcr_Pymt_Amt":"0.0835829536","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0835829536"},{"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":"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":"10","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"144","Tot_Suplr_Srvcs":"39675","Avg_Suplr_Sbmtd_Chrg":"0.2018046629","Avg_Suplr_Mdcr_Alowd_Amt":"0.1146830498","Avg_Suplr_Mdcr_Pymt_Amt":"0.0873857593","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0873857593"},{"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":"106","Tot_Suplrs":"80","Tot_Suplr_Benes":"106","Tot_Suplr_Clms":"315","Tot_Suplr_Srvcs":"82477","Avg_Suplr_Sbmtd_Chrg":"0.1823155546","Avg_Suplr_Mdcr_Alowd_Amt":"0.1082313857","Avg_Suplr_Mdcr_Pymt_Amt":"0.0800560156","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0800560156"},{"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":"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":"49","Tot_Suplrs":"41","Tot_Suplr_Benes":"51","Tot_Suplr_Clms":"308","Tot_Suplr_Srvcs":"67900","Avg_Suplr_Sbmtd_Chrg":"0.29860162","Avg_Suplr_Mdcr_Alowd_Amt":"0.1115648012","Avg_Suplr_Mdcr_Pymt_Amt":"0.0818848306","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0818848306"},{"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":"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":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"4678","Avg_Suplr_Sbmtd_Chrg":"0.1735079094","Avg_Suplr_Mdcr_Alowd_Amt":"0.1034309534","Avg_Suplr_Mdcr_Pymt_Amt":"0.0791427961","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0791427961"},{"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":"63","Tot_Suplrs":"62","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"118","Tot_Suplr_Srvcs":"25565","Avg_Suplr_Sbmtd_Chrg":"0.2784549188","Avg_Suplr_Mdcr_Alowd_Amt":"0.1132763544","Avg_Suplr_Mdcr_Pymt_Amt":"0.0821595932","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0821595932"},{"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":"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":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"2500","Avg_Suplr_Sbmtd_Chrg":"0.206492","Avg_Suplr_Mdcr_Alowd_Amt":"0.1132","Avg_Suplr_Mdcr_Pymt_Amt":"0.075008","Avg_Suplr_Mdcr_Stdzd_Amt":"0.075008"},{"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":"148","Tot_Suplrs":"130","Tot_Suplr_Benes":"140","Tot_Suplr_Clms":"333","Tot_Suplr_Srvcs":"70932","Avg_Suplr_Sbmtd_Chrg":"0.3030957819","Avg_Suplr_Mdcr_Alowd_Amt":"0.1144872554","Avg_Suplr_Mdcr_Pymt_Amt":"0.0825759883","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0825759883"},{"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":"100","Tot_Suplrs":"95","Tot_Suplr_Benes":"107","Tot_Suplr_Clms":"269","Tot_Suplr_Srvcs":"61335","Avg_Suplr_Sbmtd_Chrg":"0.2253954512","Avg_Suplr_Mdcr_Alowd_Amt":"0.1132477378","Avg_Suplr_Mdcr_Pymt_Amt":"0.0821149425","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0821149425"},{"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":"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":"23","Tot_Suplrs":"17","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"31795","Avg_Suplr_Sbmtd_Chrg":"0.2457820412","Avg_Suplr_Mdcr_Alowd_Amt":"0.114678094","Avg_Suplr_Mdcr_Pymt_Amt":"0.0839990565","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0839990565"},{"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":"101","Tot_Suplrs":"97","Tot_Suplr_Benes":"104","Tot_Suplr_Clms":"242","Tot_Suplr_Srvcs":"66013","Avg_Suplr_Sbmtd_Chrg":"0.200232227","Avg_Suplr_Mdcr_Alowd_Amt":"0.1109941981","Avg_Suplr_Mdcr_Pymt_Amt":"0.0836468574","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0836468574"},{"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":"48","Tot_Suplrs":"35","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"22540","Avg_Suplr_Sbmtd_Chrg":"0.1728975155","Avg_Suplr_Mdcr_Alowd_Amt":"0.1076912156","Avg_Suplr_Mdcr_Pymt_Amt":"0.0794183673","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0794183673"},{"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":"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":"17","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"42","Tot_Suplr_Srvcs":"11230","Avg_Suplr_Sbmtd_Chrg":"0.1848290294","Avg_Suplr_Mdcr_Alowd_Amt":"0.1003089938","Avg_Suplr_Mdcr_Pymt_Amt":"0.0700525378","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0700525378"},{"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":"94","Tot_Suplrs":"102","Tot_Suplr_Benes":"118","Tot_Suplr_Clms":"388","Tot_Suplr_Srvcs":"78738","Avg_Suplr_Sbmtd_Chrg":"0.2449953009","Avg_Suplr_Mdcr_Alowd_Amt":"0.1139127232","Avg_Suplr_Mdcr_Pymt_Amt":"0.0853313521","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0853313521"},{"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":"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":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"3200","Avg_Suplr_Sbmtd_Chrg":"0.2287375","Avg_Suplr_Mdcr_Alowd_Amt":"0.115065625","Avg_Suplr_Mdcr_Pymt_Amt":"0.071728125","Avg_Suplr_Mdcr_Stdzd_Amt":"0.071728125"},{"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":"29","Tot_Suplrs":"26","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"12582","Avg_Suplr_Sbmtd_Chrg":"0.2055921157","Avg_Suplr_Mdcr_Alowd_Amt":"0.1133222063","Avg_Suplr_Mdcr_Pymt_Amt":"0.0855714513","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0855714513"},{"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":"10","Tot_Suplrs":"10","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"56","Tot_Suplr_Srvcs":"11344","Avg_Suplr_Sbmtd_Chrg":"0.2426948166","Avg_Suplr_Mdcr_Alowd_Amt":"0.1134635049","Avg_Suplr_Mdcr_Pymt_Amt":"0.083467031","Avg_Suplr_Mdcr_Stdzd_Amt":"0.083467031"},{"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":"55","Tot_Suplrs":"43","Tot_Suplr_Benes":"57","Tot_Suplr_Clms":"108","Tot_Suplr_Srvcs":"27738","Avg_Suplr_Sbmtd_Chrg":"0.2416414305","Avg_Suplr_Mdcr_Alowd_Amt":"0.1127741726","Avg_Suplr_Mdcr_Pymt_Amt":"0.08215084","Avg_Suplr_Mdcr_Stdzd_Amt":"0.08215084"},{"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":"88","Tot_Suplrs":"88","Tot_Suplr_Benes":"90","Tot_Suplr_Clms":"265","Tot_Suplr_Srvcs":"58440","Avg_Suplr_Sbmtd_Chrg":"0.2333631075","Avg_Suplr_Mdcr_Alowd_Amt":"0.1124953799","Avg_Suplr_Mdcr_Pymt_Amt":"0.079952601","Avg_Suplr_Mdcr_Stdzd_Amt":"0.079952601"},{"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":"48","Tot_Suplrs":"46","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"115","Tot_Suplr_Srvcs":"29100","Avg_Suplr_Sbmtd_Chrg":"0.2310848797","Avg_Suplr_Mdcr_Alowd_Amt":"0.1142371134","Avg_Suplr_Mdcr_Pymt_Amt":"0.0829006873","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0829006873"},{"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":"59","Tot_Suplrs":"52","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"178","Tot_Suplr_Srvcs":"44695","Avg_Suplr_Sbmtd_Chrg":"0.228112988","Avg_Suplr_Mdcr_Alowd_Amt":"0.1101601969","Avg_Suplr_Mdcr_Pymt_Amt":"0.0790278555","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0790278555"},{"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":"30","Tot_Suplrs":"26","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"71","Tot_Suplr_Srvcs":"20590","Avg_Suplr_Sbmtd_Chrg":"0.4022268091","Avg_Suplr_Mdcr_Alowd_Amt":"0.1141423021","Avg_Suplr_Mdcr_Pymt_Amt":"0.0823632831","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0823632831"},{"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":"57","Tot_Suplrs":"55","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"192","Tot_Suplr_Srvcs":"49406","Avg_Suplr_Sbmtd_Chrg":"0.2154481237","Avg_Suplr_Mdcr_Alowd_Amt":"0.1111869004","Avg_Suplr_Mdcr_Pymt_Amt":"0.0798141926","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0798141926"},{"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":"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":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"4360","Avg_Suplr_Sbmtd_Chrg":"0.3286536697","Avg_Suplr_Mdcr_Alowd_Amt":"0.1153990826","Avg_Suplr_Mdcr_Pymt_Amt":"0.0904747706","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0904747706"},{"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":"451","Tot_Suplrs":"412","Tot_Suplr_Benes":"443","Tot_Suplr_Clms":"807","Tot_Suplr_Srvcs":"244823","Avg_Suplr_Sbmtd_Chrg":"1.4483999461","Avg_Suplr_Mdcr_Alowd_Amt":"0.2347637681","Avg_Suplr_Mdcr_Pymt_Amt":"0.1760645446","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1760643404"},{"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":"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":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"11455","Avg_Suplr_Sbmtd_Chrg":"1.2126896552","Avg_Suplr_Mdcr_Alowd_Amt":"0.2316612833","Avg_Suplr_Mdcr_Pymt_Amt":"0.175300742","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1752989961"},{"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":"10","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"3330","Avg_Suplr_Sbmtd_Chrg":"1.3120780781","Avg_Suplr_Mdcr_Alowd_Amt":"0.2434774775","Avg_Suplr_Mdcr_Pymt_Amt":"0.1908828829","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1908828829"},{"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":"43","Tot_Suplrs":"38","Tot_Suplr_Benes":"43","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"24482","Avg_Suplr_Sbmtd_Chrg":"1.4242153419","Avg_Suplr_Mdcr_Alowd_Amt":"0.2332579038","Avg_Suplr_Mdcr_Pymt_Amt":"0.1796438199","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1796438199"},{"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":"21","Tot_Suplrs":"21","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"10581","Avg_Suplr_Sbmtd_Chrg":"1.2808033267","Avg_Suplr_Mdcr_Alowd_Amt":"0.2405462622","Avg_Suplr_Mdcr_Pymt_Amt":"0.1839429165","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1839419715"},{"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":"16","Tot_Suplrs":"11","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"32","Tot_Suplr_Srvcs":"4677","Avg_Suplr_Sbmtd_Chrg":"1.1194312594","Avg_Suplr_Mdcr_Alowd_Amt":"0.2414795809","Avg_Suplr_Mdcr_Pymt_Amt":"0.1561920034","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1561920034"},{"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":"13","Tot_Suplrs":"12","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"4500","Avg_Suplr_Sbmtd_Chrg":"1.3740844444","Avg_Suplr_Mdcr_Alowd_Amt":"0.2504","Avg_Suplr_Mdcr_Pymt_Amt":"0.1889155556","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1889155556"},{"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":"11","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"4366","Avg_Suplr_Sbmtd_Chrg":"1.3502656894","Avg_Suplr_Mdcr_Alowd_Amt":"0.2235180944","Avg_Suplr_Mdcr_Pymt_Amt":"0.1635272561","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1635272561"},{"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":"15","Tot_Suplrs":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"34","Tot_Suplr_Srvcs":"9570","Avg_Suplr_Sbmtd_Chrg":"1.7616739812","Avg_Suplr_Mdcr_Alowd_Amt":"0.2412288401","Avg_Suplr_Mdcr_Pymt_Amt":"0.1705308255","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1705308255"},{"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":"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":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"5820","Avg_Suplr_Sbmtd_Chrg":"1.3399175258","Avg_Suplr_Mdcr_Alowd_Amt":"0.2428573883","Avg_Suplr_Mdcr_Pymt_Amt":"0.1519587629","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1519587629"},{"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":"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":"11","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"7350","Avg_Suplr_Sbmtd_Chrg":"1.2366707483","Avg_Suplr_Mdcr_Alowd_Amt":"0.2225659864","Avg_Suplr_Mdcr_Pymt_Amt":"0.1541102041","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1541102041"},{"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":"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":"20","Tot_Suplrs":"13","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"21872","Avg_Suplr_Sbmtd_Chrg":"1.3546328639","Avg_Suplr_Mdcr_Alowd_Amt":"0.2331355157","Avg_Suplr_Mdcr_Pymt_Amt":"0.1754380029","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1754380029"},{"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":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"4170","Avg_Suplr_Sbmtd_Chrg":"1.3550263789","Avg_Suplr_Mdcr_Alowd_Amt":"0.2332326139","Avg_Suplr_Mdcr_Pymt_Amt":"0.1828585132","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1828585132"},{"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":"23","Tot_Suplrs":"21","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"12435","Avg_Suplr_Sbmtd_Chrg":"1.343455569","Avg_Suplr_Mdcr_Alowd_Amt":"0.2288492159","Avg_Suplr_Mdcr_Pymt_Amt":"0.1771757137","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1771757137"},{"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":"7","Tot_Suplrs":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"3295","Avg_Suplr_Sbmtd_Chrg":"1.5957693475","Avg_Suplr_Mdcr_Alowd_Amt":"0.2477207891","Avg_Suplr_Mdcr_Pymt_Amt":"0.1446130501","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1446130501"},{"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":"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":"22","Tot_Suplr_Srvcs":"5850","Avg_Suplr_Sbmtd_Chrg":"1.4031435897","Avg_Suplr_Mdcr_Alowd_Amt":"0.2325641026","Avg_Suplr_Mdcr_Pymt_Amt":"0.1766410256","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1766410256"},{"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":"15","Tot_Suplrs":"15","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"7770","Avg_Suplr_Sbmtd_Chrg":"1.3078725869","Avg_Suplr_Mdcr_Alowd_Amt":"0.2372406692","Avg_Suplr_Mdcr_Pymt_Amt":"0.1663938224","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1663938224"},{"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":"22","Tot_Suplrs":"21","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"7075","Avg_Suplr_Sbmtd_Chrg":"1.410975265","Avg_Suplr_Mdcr_Alowd_Amt":"0.2349865724","Avg_Suplr_Mdcr_Pymt_Amt":"0.1795236749","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1795236749"},{"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":"22","Tot_Suplrs":"22","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"15270","Avg_Suplr_Sbmtd_Chrg":"1.3594184676","Avg_Suplr_Mdcr_Alowd_Amt":"0.2395356909","Avg_Suplr_Mdcr_Pymt_Amt":"0.1801650295","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1801650295"},{"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":"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"5190","Avg_Suplr_Sbmtd_Chrg":"1.4485818882","Avg_Suplr_Mdcr_Alowd_Amt":"0.2343371869","Avg_Suplr_Mdcr_Pymt_Amt":"0.1677052023","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1677052023"},{"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":"15","Tot_Suplrs":"14","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"7725","Avg_Suplr_Sbmtd_Chrg":"1.7095326861","Avg_Suplr_Mdcr_Alowd_Amt":"0.2371572816","Avg_Suplr_Mdcr_Pymt_Amt":"0.1859275081","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1859275081"},{"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":"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":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"2700","Avg_Suplr_Sbmtd_Chrg":"1.4228555556","Avg_Suplr_Mdcr_Alowd_Amt":"0.2481111111","Avg_Suplr_Mdcr_Pymt_Amt":"0.1856333333","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1856333333"},{"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":"13","Tot_Suplrs":"10","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"36","Tot_Suplr_Srvcs":"8180","Avg_Suplr_Sbmtd_Chrg":"3.2120696822","Avg_Suplr_Mdcr_Alowd_Amt":"0.2359290954","Avg_Suplr_Mdcr_Pymt_Amt":"0.1849559902","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1849559902"},{"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":"20","Tot_Suplrs":"20","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"41","Tot_Suplr_Srvcs":"15492","Avg_Suplr_Sbmtd_Chrg":"1.2530467338","Avg_Suplr_Mdcr_Alowd_Amt":"0.2334437129","Avg_Suplr_Mdcr_Pymt_Amt":"0.1830176865","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1830170411"},{"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":"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":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"4800","Avg_Suplr_Sbmtd_Chrg":"1.6262791667","Avg_Suplr_Mdcr_Alowd_Amt":"0.24103125","Avg_Suplr_Mdcr_Pymt_Amt":"0.1820354167","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1820354167"},{"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":"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":"17","Tot_Suplrs":"16","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"4455","Avg_Suplr_Sbmtd_Chrg":"1.491640853","Avg_Suplr_Mdcr_Alowd_Amt":"0.218617284","Avg_Suplr_Mdcr_Pymt_Amt":"0.1713961841","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1713961841"},{"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":"137370","Tot_Suplrs":"40528","Tot_Suplr_Benes":"394543","Tot_Suplr_Clms":"1359983","Tot_Suplr_Srvcs":"302818551","Avg_Suplr_Sbmtd_Chrg":"0.3487666518","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479863203","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347417879","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347417684"},{"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":"2211","Tot_Suplrs":"920","Tot_Suplr_Benes":"8618","Tot_Suplr_Clms":"32520","Tot_Suplr_Srvcs":"7619269","Avg_Suplr_Sbmtd_Chrg":"0.3355179847","Avg_Suplr_Mdcr_Alowd_Amt":"0.047996502","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346381602","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346381497"},{"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":"245","Tot_Suplrs":"97","Tot_Suplr_Benes":"426","Tot_Suplr_Clms":"1144","Tot_Suplr_Srvcs":"235000","Avg_Suplr_Sbmtd_Chrg":"0.3161281277","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480395745","Avg_Suplr_Mdcr_Pymt_Amt":"0.034315234","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0343151489"},{"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":"2029","Tot_Suplrs":"954","Tot_Suplr_Benes":"5242","Tot_Suplr_Clms":"15154","Tot_Suplr_Srvcs":"3629811","Avg_Suplr_Sbmtd_Chrg":"0.3370688639","Avg_Suplr_Mdcr_Alowd_Amt":"0.047998882","Avg_Suplr_Mdcr_Pymt_Amt":"0.0353414103","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0353413773"},{"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":"1508","Tot_Suplrs":"488","Tot_Suplr_Benes":"5533","Tot_Suplr_Clms":"25859","Tot_Suplr_Srvcs":"5524746","Avg_Suplr_Sbmtd_Chrg":"0.2586757509","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480066649","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349506366","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349506294"},{"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":"9764","Tot_Suplrs":"3679","Tot_Suplr_Benes":"23902","Tot_Suplr_Clms":"77099","Tot_Suplr_Srvcs":"16639082","Avg_Suplr_Sbmtd_Chrg":"0.4262566829","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479386513","Avg_Suplr_Mdcr_Pymt_Amt":"0.0343306812","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0343306632"},{"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":"1724","Tot_Suplrs":"752","Tot_Suplr_Benes":"3417","Tot_Suplr_Clms":"11318","Tot_Suplr_Srvcs":"2490387","Avg_Suplr_Sbmtd_Chrg":"0.3618013064","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479999374","Avg_Suplr_Mdcr_Pymt_Amt":"0.0350855751","Avg_Suplr_Mdcr_Stdzd_Amt":"0.035085559"},{"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":"1739","Tot_Suplrs":"786","Tot_Suplr_Benes":"4686","Tot_Suplr_Clms":"14791","Tot_Suplr_Srvcs":"2923130","Avg_Suplr_Sbmtd_Chrg":"0.4069163773","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479953303","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349084748","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349084646"},{"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":"534","Tot_Suplrs":"273","Tot_Suplr_Benes":"1852","Tot_Suplr_Clms":"5240","Tot_Suplr_Srvcs":"1233874","Avg_Suplr_Sbmtd_Chrg":"0.3589112827","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479835056","Avg_Suplr_Mdcr_Pymt_Amt":"0.0353228287","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0353227963"},{"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":"250","Tot_Suplrs":"210","Tot_Suplr_Benes":"524","Tot_Suplr_Clms":"1747","Tot_Suplr_Srvcs":"359182","Avg_Suplr_Sbmtd_Chrg":"0.3105994176","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479574979","Avg_Suplr_Mdcr_Pymt_Amt":"0.0345611417","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0345611417"},{"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":"7541","Tot_Suplrs":"3569","Tot_Suplr_Benes":"22817","Tot_Suplr_Clms":"69911","Tot_Suplr_Srvcs":"16111128","Avg_Suplr_Sbmtd_Chrg":"0.31188441","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479880049","Avg_Suplr_Mdcr_Pymt_Amt":"0.0350229475","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0350229251"},{"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":"3213","Tot_Suplrs":"1752","Tot_Suplr_Benes":"10901","Tot_Suplr_Clms":"37123","Tot_Suplr_Srvcs":"8450799","Avg_Suplr_Sbmtd_Chrg":"0.3422074315","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479927567","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349531932","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349531683"},{"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":"257","Tot_Suplrs":"147","Tot_Suplr_Benes":"436","Tot_Suplr_Clms":"1068","Tot_Suplr_Srvcs":"158696","Avg_Suplr_Sbmtd_Chrg":"0.4278468897","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480245249","Avg_Suplr_Mdcr_Pymt_Amt":"0.033912701","Avg_Suplr_Mdcr_Stdzd_Amt":"0.033912638"},{"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":"702","Tot_Suplrs":"270","Tot_Suplr_Benes":"1413","Tot_Suplr_Clms":"5220","Tot_Suplr_Srvcs":"1034696","Avg_Suplr_Sbmtd_Chrg":"0.315642121","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479930627","Avg_Suplr_Mdcr_Pymt_Amt":"0.0342401343","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0342401246"},{"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":"5874","Tot_Suplrs":"2217","Tot_Suplr_Benes":"17255","Tot_Suplr_Clms":"59549","Tot_Suplr_Srvcs":"13209129","Avg_Suplr_Sbmtd_Chrg":"0.3113002424","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479760217","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347594077","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347593895"},{"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":"3977","Tot_Suplrs":"1407","Tot_Suplr_Benes":"14371","Tot_Suplr_Clms":"49767","Tot_Suplr_Srvcs":"11983430","Avg_Suplr_Sbmtd_Chrg":"0.2822838995","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479626434","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347034897","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347034655"},{"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":"2205","Tot_Suplrs":"837","Tot_Suplr_Benes":"7212","Tot_Suplr_Clms":"25169","Tot_Suplr_Srvcs":"5255767","Avg_Suplr_Sbmtd_Chrg":"0.3540520879","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479852151","Avg_Suplr_Mdcr_Pymt_Amt":"0.0343753576","Avg_Suplr_Mdcr_Stdzd_Amt":"0.03437535"},{"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":"1820","Tot_Suplrs":"608","Tot_Suplr_Benes":"5861","Tot_Suplr_Clms":"22512","Tot_Suplr_Srvcs":"4693638","Avg_Suplr_Sbmtd_Chrg":"0.3662284032","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479987038","Avg_Suplr_Mdcr_Pymt_Amt":"0.0344792952","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034479276"},{"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":"3286","Tot_Suplrs":"1211","Tot_Suplr_Benes":"13493","Tot_Suplr_Clms":"46649","Tot_Suplr_Srvcs":"10911175","Avg_Suplr_Sbmtd_Chrg":"0.3762236679","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479900726","Avg_Suplr_Mdcr_Pymt_Amt":"0.0345414825","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0345414715"},{"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":"2073","Tot_Suplrs":"796","Tot_Suplr_Benes":"6712","Tot_Suplr_Clms":"24626","Tot_Suplr_Srvcs":"5282061","Avg_Suplr_Sbmtd_Chrg":"0.8437983753","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479874882","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346527407","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034652735"},{"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":"1262","Tot_Suplrs":"374","Tot_Suplr_Benes":"3616","Tot_Suplr_Clms":"11917","Tot_Suplr_Srvcs":"2476605","Avg_Suplr_Sbmtd_Chrg":"0.3381816761","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479920738","Avg_Suplr_Mdcr_Pymt_Amt":"0.0345273106","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0345272944"},{"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":"2267","Tot_Suplrs":"1003","Tot_Suplr_Benes":"5663","Tot_Suplr_Clms":"18412","Tot_Suplr_Srvcs":"4161846","Avg_Suplr_Sbmtd_Chrg":"0.3387368994","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479808359","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349558033","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034955772"},{"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":"4178","Tot_Suplrs":"1300","Tot_Suplr_Benes":"10861","Tot_Suplr_Clms":"33240","Tot_Suplr_Srvcs":"6861118","Avg_Suplr_Sbmtd_Chrg":"0.3499640175","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479889837","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346640708","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346640518"},{"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":"5916","Tot_Suplrs":"1810","Tot_Suplr_Benes":"17518","Tot_Suplr_Clms":"58860","Tot_Suplr_Srvcs":"14699691","Avg_Suplr_Sbmtd_Chrg":"0.3384517702","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479902421","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348045343","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348045139"},{"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":"2998","Tot_Suplrs":"1106","Tot_Suplr_Benes":"5381","Tot_Suplr_Clms":"16066","Tot_Suplr_Srvcs":"2900999","Avg_Suplr_Sbmtd_Chrg":"0.3340249583","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479921572","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349207221","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349207015"},{"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":"1672","Tot_Suplrs":"512","Tot_Suplr_Benes":"7415","Tot_Suplr_Clms":"32627","Tot_Suplr_Srvcs":"7232723","Avg_Suplr_Sbmtd_Chrg":"0.2826400389","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480092173","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348445668","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034844553"},{"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":"3149","Tot_Suplrs":"1270","Tot_Suplr_Benes":"11150","Tot_Suplr_Clms":"41789","Tot_Suplr_Srvcs":"9244279","Avg_Suplr_Sbmtd_Chrg":"0.3599542214","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479865147","Avg_Suplr_Mdcr_Pymt_Amt":"0.034677004","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346769867"},{"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":"502","Tot_Suplrs":"200","Tot_Suplr_Benes":"1015","Tot_Suplr_Clms":"3666","Tot_Suplr_Srvcs":"770136","Avg_Suplr_Sbmtd_Chrg":"0.300160608","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480065599","Avg_Suplr_Mdcr_Pymt_Amt":"0.0341448004","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0341447614"},{"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":"1198","Tot_Suplrs":"479","Tot_Suplr_Benes":"3122","Tot_Suplr_Clms":"11411","Tot_Suplr_Srvcs":"2332389","Avg_Suplr_Sbmtd_Chrg":"0.3231435365","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479992574","Avg_Suplr_Mdcr_Pymt_Amt":"0.034393894","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0343938897"},{"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":"969","Tot_Suplrs":"436","Tot_Suplr_Benes":"2601","Tot_Suplr_Clms":"8359","Tot_Suplr_Srvcs":"1912675","Avg_Suplr_Sbmtd_Chrg":"0.3036387572","Avg_Suplr_Mdcr_Alowd_Amt":"0.048000549","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348093743","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348093691"},{"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":"932","Tot_Suplrs":"392","Tot_Suplr_Benes":"2317","Tot_Suplr_Clms":"7267","Tot_Suplr_Srvcs":"1428456","Avg_Suplr_Sbmtd_Chrg":"0.3286722447","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479878624","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348450005","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348449935"},{"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":"3710","Tot_Suplrs":"1784","Tot_Suplr_Benes":"12063","Tot_Suplr_Clms":"35075","Tot_Suplr_Srvcs":"7797829","Avg_Suplr_Sbmtd_Chrg":"0.4060485976","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479948201","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347574139","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347573934"},{"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":"703","Tot_Suplrs":"274","Tot_Suplr_Benes":"1548","Tot_Suplr_Clms":"5272","Tot_Suplr_Srvcs":"1210143","Avg_Suplr_Sbmtd_Chrg":"0.3516481854","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480072851","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347257225","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347256977"},{"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":"9199","Tot_Suplrs":"3823","Tot_Suplr_Benes":"22659","Tot_Suplr_Clms":"69720","Tot_Suplr_Srvcs":"14002249","Avg_Suplr_Sbmtd_Chrg":"0.4245788959","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479934145","Avg_Suplr_Mdcr_Pymt_Amt":"0.0345387959","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0345387623"},{"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":"5056","Tot_Suplrs":"1793","Tot_Suplr_Benes":"15965","Tot_Suplr_Clms":"56629","Tot_Suplr_Srvcs":"12071999","Avg_Suplr_Sbmtd_Chrg":"0.3180367203","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479792916","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349262968","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349262852"},{"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":"461","Tot_Suplrs":"225","Tot_Suplr_Benes":"1217","Tot_Suplr_Clms":"4632","Tot_Suplr_Srvcs":"857587","Avg_Suplr_Sbmtd_Chrg":"0.3385518087","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480030947","Avg_Suplr_Mdcr_Pymt_Amt":"0.0344816677","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0344816328"},{"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":"5778","Tot_Suplrs":"2335","Tot_Suplr_Benes":"17740","Tot_Suplr_Clms":"59561","Tot_Suplr_Srvcs":"14388698","Avg_Suplr_Sbmtd_Chrg":"0.3093513805","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479886137","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346912104","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346911861"},{"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":"2090","Tot_Suplrs":"665","Tot_Suplr_Benes":"7212","Tot_Suplr_Clms":"26569","Tot_Suplr_Srvcs":"6019100","Avg_Suplr_Sbmtd_Chrg":"0.3120278696","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479944028","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346957303","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034695707"},{"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":"1351","Tot_Suplrs":"497","Tot_Suplr_Benes":"2867","Tot_Suplr_Clms":"11183","Tot_Suplr_Srvcs":"2324047","Avg_Suplr_Sbmtd_Chrg":"0.3122351785","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480084138","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349318925","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034931871"},{"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":"5808","Tot_Suplrs":"2630","Tot_Suplr_Benes":"14060","Tot_Suplr_Clms":"46498","Tot_Suplr_Srvcs":"10618897","Avg_Suplr_Sbmtd_Chrg":"0.3384349457","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479744073","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347185767","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034718556"},{"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":"526","Tot_Suplrs":"258","Tot_Suplr_Benes":"1180","Tot_Suplr_Clms":"3827","Tot_Suplr_Srvcs":"724466","Avg_Suplr_Sbmtd_Chrg":"0.322505404","Avg_Suplr_Mdcr_Alowd_Amt":"0.0478582984","Avg_Suplr_Mdcr_Pymt_Amt":"0.0343783283","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0343783145"},{"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":"1964","Tot_Suplrs":"919","Tot_Suplr_Benes":"6105","Tot_Suplr_Clms":"21827","Tot_Suplr_Srvcs":"5052964","Avg_Suplr_Sbmtd_Chrg":"0.3390775414","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479819191","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348606343","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348606125"},{"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":"572","Tot_Suplrs":"287","Tot_Suplr_Benes":"1599","Tot_Suplr_Clms":"5953","Tot_Suplr_Srvcs":"1240592","Avg_Suplr_Sbmtd_Chrg":"0.3945614352","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479971256","Avg_Suplr_Mdcr_Pymt_Amt":"0.0347220682","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0347220521"},{"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":"3747","Tot_Suplrs":"1557","Tot_Suplr_Benes":"12535","Tot_Suplr_Clms":"44885","Tot_Suplr_Srvcs":"10349305","Avg_Suplr_Sbmtd_Chrg":"0.3345012511","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479837535","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349073131","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0349072976"},{"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":"7769","Tot_Suplrs":"3196","Tot_Suplr_Benes":"24016","Tot_Suplr_Clms":"79820","Tot_Suplr_Srvcs":"18406318","Avg_Suplr_Sbmtd_Chrg":"0.3224847414","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480013124","Avg_Suplr_Mdcr_Pymt_Amt":"0.0349904011","Avg_Suplr_Mdcr_Stdzd_Amt":"0.034990374"},{"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":"500","Tot_Suplrs":"216","Tot_Suplr_Benes":"1004","Tot_Suplr_Clms":"3755","Tot_Suplr_Srvcs":"693121","Avg_Suplr_Sbmtd_Chrg":"0.3208167838","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480004357","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348785566","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348785421"},{"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":"469","Tot_Suplrs":"199","Tot_Suplr_Benes":"1100","Tot_Suplr_Clms":"3475","Tot_Suplr_Srvcs":"629961","Avg_Suplr_Sbmtd_Chrg":"0.4248917314","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479896692","Avg_Suplr_Mdcr_Pymt_Amt":"0.0344731023","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0344730706"},{"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":"3440","Tot_Suplrs":"1483","Tot_Suplr_Benes":"10728","Tot_Suplr_Clms":"39210","Tot_Suplr_Srvcs":"8559021","Avg_Suplr_Sbmtd_Chrg":"0.321000993","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479911254","Avg_Suplr_Mdcr_Pymt_Amt":"0.0348133916","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0348133706"},{"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":"2958","Tot_Suplrs":"1032","Tot_Suplr_Benes":"6610","Tot_Suplr_Clms":"23445","Tot_Suplr_Srvcs":"5108677","Avg_Suplr_Sbmtd_Chrg":"0.3489120745","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480026277","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346002948","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346002791"},{"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":"1573","Tot_Suplrs":"649","Tot_Suplr_Benes":"6438","Tot_Suplr_Clms":"22488","Tot_Suplr_Srvcs":"5450328","Avg_Suplr_Sbmtd_Chrg":"0.3184163393","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479937795","Avg_Suplr_Mdcr_Pymt_Amt":"0.0343223857","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0343223747"},{"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":"3147","Tot_Suplrs":"1127","Tot_Suplr_Benes":"6950","Tot_Suplr_Clms":"21487","Tot_Suplr_Srvcs":"4573562","Avg_Suplr_Sbmtd_Chrg":"0.3298525875","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479774911","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346298487","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346298268"},{"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":"306","Tot_Suplrs":"110","Tot_Suplr_Benes":"732","Tot_Suplr_Clms":"3045","Tot_Suplr_Srvcs":"603392","Avg_Suplr_Sbmtd_Chrg":"0.2857603018","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480082765","Avg_Suplr_Mdcr_Pymt_Amt":"0.0346480563","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0346480232"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"66","Rfrg_Prvdr_Geo_Desc":"Guam","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":"8","Tot_Suplrs":"11","Tot_Suplr_Benes":"13","Tot_Suplr_Clms":"51","Tot_Suplr_Srvcs":"15715","Avg_Suplr_Sbmtd_Chrg":"0.4270919504","Avg_Suplr_Mdcr_Alowd_Amt":"0.0477791919","Avg_Suplr_Mdcr_Pymt_Amt":"0.03","Avg_Suplr_Mdcr_Stdzd_Amt":"0.03"},{"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":"207","Tot_Suplrs":"92","Tot_Suplr_Benes":"506","Tot_Suplr_Clms":"1325","Tot_Suplr_Srvcs":"319770","Avg_Suplr_Sbmtd_Chrg":"0.1234688057","Avg_Suplr_Mdcr_Alowd_Amt":"0.0479058698","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361243394","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0361244019"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"78","Rfrg_Prvdr_Geo_Desc":"Virgin Islands","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":"12","Tot_Suplrs":"8","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"37","Tot_Suplr_Srvcs":"3238","Avg_Suplr_Sbmtd_Chrg":"0.4793545398","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480574429","Avg_Suplr_Mdcr_Pymt_Amt":"0.0334651019","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0334651019"},{"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":"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":"3","Tot_Suplrs":"11","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"5787","Avg_Suplr_Sbmtd_Chrg":"0.2558752376","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480335234","Avg_Suplr_Mdcr_Pymt_Amt":"0.0364627614","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0364627614"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9D","Rfrg_Prvdr_Geo_Desc":"Unknown","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":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"9574","Avg_Suplr_Sbmtd_Chrg":"0.5314622937","Avg_Suplr_Mdcr_Alowd_Amt":"0.0481199081","Avg_Suplr_Mdcr_Pymt_Amt":"0.0361499896","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0361499896"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9E","Rfrg_Prvdr_Geo_Desc":"Foreign Country","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":"7","Tot_Suplrs":"16","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"55","Tot_Suplr_Srvcs":"13995","Avg_Suplr_Sbmtd_Chrg":"0.3070353698","Avg_Suplr_Mdcr_Alowd_Amt":"0.0480300107","Avg_Suplr_Mdcr_Pymt_Amt":"0.0338349411","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0338349411"},{"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":"19297","Tot_Suplrs":"15138","Tot_Suplr_Benes":"23975","Tot_Suplr_Clms":"70424","Tot_Suplr_Srvcs":"12217417","Avg_Suplr_Sbmtd_Chrg":"3.2877396793","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761561671","Avg_Suplr_Mdcr_Pymt_Amt":"0.056215705","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562146197"},{"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":"346","Tot_Suplrs":"301","Tot_Suplr_Benes":"464","Tot_Suplr_Clms":"1292","Tot_Suplr_Srvcs":"219199","Avg_Suplr_Sbmtd_Chrg":"3.1255441403","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761006209","Avg_Suplr_Mdcr_Pymt_Amt":"0.0551094211","Avg_Suplr_Mdcr_Stdzd_Amt":"0.055108235"},{"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":"19","Tot_Suplrs":"18","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"11827","Avg_Suplr_Sbmtd_Chrg":"2.6370093853","Avg_Suplr_Mdcr_Alowd_Amt":"0.0756616217","Avg_Suplr_Mdcr_Pymt_Amt":"0.0542842648","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0542834193"},{"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":"300","Tot_Suplrs":"282","Tot_Suplr_Benes":"413","Tot_Suplr_Clms":"914","Tot_Suplr_Srvcs":"195401","Avg_Suplr_Sbmtd_Chrg":"2.91388693","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762737652","Avg_Suplr_Mdcr_Pymt_Amt":"0.0563923931","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0563915742"},{"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":"98","Tot_Suplrs":"87","Tot_Suplr_Benes":"111","Tot_Suplr_Clms":"329","Tot_Suplr_Srvcs":"64550","Avg_Suplr_Sbmtd_Chrg":"2.993125794","Avg_Suplr_Mdcr_Alowd_Amt":"0.0764176607","Avg_Suplr_Mdcr_Pymt_Amt":"0.0577879163","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0577872967"},{"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":"1651","Tot_Suplrs":"1326","Tot_Suplr_Benes":"2131","Tot_Suplr_Clms":"6114","Tot_Suplr_Srvcs":"964526","Avg_Suplr_Sbmtd_Chrg":"3.409916135","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762424859","Avg_Suplr_Mdcr_Pymt_Amt":"0.0558972386","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0558958908"},{"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":"191","Tot_Suplrs":"171","Tot_Suplr_Benes":"216","Tot_Suplr_Clms":"648","Tot_Suplr_Srvcs":"111325","Avg_Suplr_Sbmtd_Chrg":"2.6660340445","Avg_Suplr_Mdcr_Alowd_Amt":"0.0759093645","Avg_Suplr_Mdcr_Pymt_Amt":"0.0562763979","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562754997"},{"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":"238","Tot_Suplrs":"216","Tot_Suplr_Benes":"290","Tot_Suplr_Clms":"940","Tot_Suplr_Srvcs":"126653","Avg_Suplr_Sbmtd_Chrg":"4.0322817462","Avg_Suplr_Mdcr_Alowd_Amt":"0.0763667659","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557366979","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0557336976"},{"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":"88","Tot_Suplrs":"79","Tot_Suplr_Benes":"124","Tot_Suplr_Clms":"333","Tot_Suplr_Srvcs":"65455","Avg_Suplr_Sbmtd_Chrg":"3.0451931862","Avg_Suplr_Mdcr_Alowd_Amt":"0.0763203728","Avg_Suplr_Mdcr_Pymt_Amt":"0.0585150103","Avg_Suplr_Mdcr_Stdzd_Amt":"0.058513177"},{"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":"28","Tot_Suplrs":"28","Tot_Suplr_Benes":"29","Tot_Suplr_Clms":"69","Tot_Suplr_Srvcs":"9717","Avg_Suplr_Sbmtd_Chrg":"3.07733251","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760275805","Avg_Suplr_Mdcr_Pymt_Amt":"0.057564063","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0575620047"},{"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":"1255","Tot_Suplrs":"1194","Tot_Suplr_Benes":"1755","Tot_Suplr_Clms":"4475","Tot_Suplr_Srvcs":"830010","Avg_Suplr_Sbmtd_Chrg":"3.5555941977","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761868411","Avg_Suplr_Mdcr_Pymt_Amt":"0.0566707751","Avg_Suplr_Mdcr_Stdzd_Amt":"0.056670004"},{"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":"520","Tot_Suplrs":"495","Tot_Suplr_Benes":"714","Tot_Suplr_Clms":"2086","Tot_Suplr_Srvcs":"351386","Avg_Suplr_Sbmtd_Chrg":"3.0801218034","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761308646","Avg_Suplr_Mdcr_Pymt_Amt":"0.0563347714","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0563335762"},{"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":"33","Tot_Suplrs":"29","Tot_Suplr_Benes":"41","Tot_Suplr_Clms":"104","Tot_Suplr_Srvcs":"14480","Avg_Suplr_Sbmtd_Chrg":"3.7714122928","Avg_Suplr_Mdcr_Alowd_Amt":"0.0767631215","Avg_Suplr_Mdcr_Pymt_Amt":"0.0562472376","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562458564"},{"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":"45","Tot_Suplrs":"45","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"153","Tot_Suplr_Srvcs":"27398","Avg_Suplr_Sbmtd_Chrg":"2.5262884152","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760446018","Avg_Suplr_Mdcr_Pymt_Amt":"0.0570636543","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0570625593"},{"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":"786","Tot_Suplrs":"653","Tot_Suplr_Benes":"960","Tot_Suplr_Clms":"2822","Tot_Suplr_Srvcs":"513917","Avg_Suplr_Sbmtd_Chrg":"3.2846503618","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760327835","Avg_Suplr_Mdcr_Pymt_Amt":"0.0565812573","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0565803233"},{"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":"604","Tot_Suplrs":"481","Tot_Suplr_Benes":"825","Tot_Suplr_Clms":"2578","Tot_Suplr_Srvcs":"514941","Avg_Suplr_Sbmtd_Chrg":"3.1262261502","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760537032","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557959456","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0557952659"},{"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":"338","Tot_Suplrs":"274","Tot_Suplr_Benes":"427","Tot_Suplr_Clms":"1396","Tot_Suplr_Srvcs":"203049","Avg_Suplr_Sbmtd_Chrg":"3.1443363425","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761710228","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557917547","Avg_Suplr_Mdcr_Stdzd_Amt":"0.055789834"},{"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":"251","Tot_Suplrs":"190","Tot_Suplr_Benes":"296","Tot_Suplr_Clms":"957","Tot_Suplr_Srvcs":"163910","Avg_Suplr_Sbmtd_Chrg":"3.1069159905","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762704533","Avg_Suplr_Mdcr_Pymt_Amt":"0.0558541883","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0558533952"},{"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":"500","Tot_Suplrs":"363","Tot_Suplr_Benes":"623","Tot_Suplr_Clms":"1715","Tot_Suplr_Srvcs":"290489","Avg_Suplr_Sbmtd_Chrg":"3.1694047279","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761558613","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557297522","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0557284785"},{"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":"434","Tot_Suplrs":"321","Tot_Suplr_Benes":"539","Tot_Suplr_Clms":"1510","Tot_Suplr_Srvcs":"257379","Avg_Suplr_Sbmtd_Chrg":"3.0402321091","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761693844","Avg_Suplr_Mdcr_Pymt_Amt":"0.0569834369","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0569826598"},{"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":"117","Tot_Suplrs":"94","Tot_Suplr_Benes":"126","Tot_Suplr_Clms":"411","Tot_Suplr_Srvcs":"61723","Avg_Suplr_Sbmtd_Chrg":"3.5821474977","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760943246","Avg_Suplr_Mdcr_Pymt_Amt":"0.0560076471","Avg_Suplr_Mdcr_Stdzd_Amt":"0.056006837"},{"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":"264","Tot_Suplrs":"279","Tot_Suplr_Benes":"352","Tot_Suplr_Clms":"929","Tot_Suplr_Srvcs":"169793","Avg_Suplr_Sbmtd_Chrg":"3.3397810275","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762874795","Avg_Suplr_Mdcr_Pymt_Amt":"0.0568607069","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0568600001"},{"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":"406","Tot_Suplrs":"381","Tot_Suplr_Benes":"528","Tot_Suplr_Clms":"1540","Tot_Suplr_Srvcs":"231114","Avg_Suplr_Sbmtd_Chrg":"3.8147561809","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761675191","Avg_Suplr_Mdcr_Pymt_Amt":"0.0562773783","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562753446"},{"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":"511","Tot_Suplrs":"420","Tot_Suplr_Benes":"586","Tot_Suplr_Clms":"1613","Tot_Suplr_Srvcs":"345147","Avg_Suplr_Sbmtd_Chrg":"3.1238266594","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760518851","Avg_Suplr_Mdcr_Pymt_Amt":"0.0564768345","Avg_Suplr_Mdcr_Stdzd_Amt":"0.056476313"},{"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":"358","Tot_Suplrs":"292","Tot_Suplr_Benes":"403","Tot_Suplr_Clms":"1306","Tot_Suplr_Srvcs":"205952","Avg_Suplr_Sbmtd_Chrg":"3.9090096236","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761041893","Avg_Suplr_Mdcr_Pymt_Amt":"0.0570371252","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0570353286"},{"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":"226","Tot_Suplrs":"167","Tot_Suplr_Benes":"266","Tot_Suplr_Clms":"796","Tot_Suplr_Srvcs":"137156","Avg_Suplr_Sbmtd_Chrg":"2.9592421768","Avg_Suplr_Mdcr_Alowd_Amt":"0.0758964245","Avg_Suplr_Mdcr_Pymt_Amt":"0.0562549214","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562539736"},{"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":"502","Tot_Suplrs":"412","Tot_Suplr_Benes":"655","Tot_Suplr_Clms":"2058","Tot_Suplr_Srvcs":"400302","Avg_Suplr_Sbmtd_Chrg":"2.9508561286","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762042908","Avg_Suplr_Mdcr_Pymt_Amt":"0.0560722654","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0560715909"},{"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":"49","Tot_Suplrs":"42","Tot_Suplr_Benes":"57","Tot_Suplr_Clms":"186","Tot_Suplr_Srvcs":"34645","Avg_Suplr_Sbmtd_Chrg":"3.0394238707","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762115745","Avg_Suplr_Mdcr_Pymt_Amt":"0.0547773127","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0547770241"},{"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":"143","Tot_Suplrs":"116","Tot_Suplr_Benes":"158","Tot_Suplr_Clms":"590","Tot_Suplr_Srvcs":"96140","Avg_Suplr_Sbmtd_Chrg":"2.6539020179","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762801123","Avg_Suplr_Mdcr_Pymt_Amt":"0.0572701269","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0572692948"},{"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":"123","Tot_Suplrs":"130","Tot_Suplr_Benes":"194","Tot_Suplr_Clms":"511","Tot_Suplr_Srvcs":"110129","Avg_Suplr_Sbmtd_Chrg":"3.5040053937","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760303826","Avg_Suplr_Mdcr_Pymt_Amt":"0.0562631096","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0562631096"},{"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":"101","Tot_Suplrs":"85","Tot_Suplr_Benes":"118","Tot_Suplr_Clms":"364","Tot_Suplr_Srvcs":"55010","Avg_Suplr_Sbmtd_Chrg":"3.2383712052","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761588802","Avg_Suplr_Mdcr_Pymt_Amt":"0.0558576622","Avg_Suplr_Mdcr_Stdzd_Amt":"0.055856208"},{"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":"645","Tot_Suplrs":"591","Tot_Suplr_Benes":"896","Tot_Suplr_Clms":"2520","Tot_Suplr_Srvcs":"442111","Avg_Suplr_Sbmtd_Chrg":"3.3456939547","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762107706","Avg_Suplr_Mdcr_Pymt_Amt":"0.0564589436","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0564579031"},{"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":"67","Tot_Suplrs":"58","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"190","Tot_Suplr_Srvcs":"37771","Avg_Suplr_Sbmtd_Chrg":"3.4357287337","Avg_Suplr_Mdcr_Alowd_Amt":"0.0759590691","Avg_Suplr_Mdcr_Pymt_Amt":"0.057556591","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0575557968"},{"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":"1201","Tot_Suplrs":"1017","Tot_Suplr_Benes":"1485","Tot_Suplr_Clms":"4044","Tot_Suplr_Srvcs":"622488","Avg_Suplr_Sbmtd_Chrg":"3.7270972452","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761482631","Avg_Suplr_Mdcr_Pymt_Amt":"0.0559381225","Avg_Suplr_Mdcr_Stdzd_Amt":"0.055936259"},{"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":"718","Tot_Suplrs":"559","Tot_Suplr_Benes":"829","Tot_Suplr_Clms":"2450","Tot_Suplr_Srvcs":"397070","Avg_Suplr_Sbmtd_Chrg":"3.2227517566","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762433072","Avg_Suplr_Mdcr_Pymt_Amt":"0.0563068477","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0563053618"},{"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":"71","Tot_Suplrs":"50","Tot_Suplr_Benes":"83","Tot_Suplr_Clms":"273","Tot_Suplr_Srvcs":"29801","Avg_Suplr_Sbmtd_Chrg":"5.935585383","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760182544","Avg_Suplr_Mdcr_Pymt_Amt":"0.0565423979","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0565377001"},{"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":"744","Tot_Suplrs":"619","Tot_Suplr_Benes":"876","Tot_Suplr_Clms":"2577","Tot_Suplr_Srvcs":"514996","Avg_Suplr_Sbmtd_Chrg":"3.1009540268","Avg_Suplr_Mdcr_Alowd_Amt":"0.0759721046","Avg_Suplr_Mdcr_Pymt_Amt":"0.055852395","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0558519095"},{"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":"370","Tot_Suplrs":"271","Tot_Suplr_Benes":"524","Tot_Suplr_Clms":"1487","Tot_Suplr_Srvcs":"272435","Avg_Suplr_Sbmtd_Chrg":"3.0410141502","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762401674","Avg_Suplr_Mdcr_Pymt_Amt":"0.0559828216","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0559820508"},{"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":"95","Tot_Suplrs":"89","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"343","Tot_Suplr_Srvcs":"63606","Avg_Suplr_Sbmtd_Chrg":"3.2978506745","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760723831","Avg_Suplr_Mdcr_Pymt_Amt":"0.0566501588","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0566498444"},{"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":"830","Tot_Suplrs":"736","Tot_Suplr_Benes":"1000","Tot_Suplr_Clms":"3354","Tot_Suplr_Srvcs":"486584","Avg_Suplr_Sbmtd_Chrg":"3.7206790606","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762257082","Avg_Suplr_Mdcr_Pymt_Amt":"0.0564018751","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0563996761"},{"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":"53","Tot_Suplrs":"55","Tot_Suplr_Benes":"62","Tot_Suplr_Clms":"179","Tot_Suplr_Srvcs":"30292","Avg_Suplr_Sbmtd_Chrg":"3.1037207844","Avg_Suplr_Mdcr_Alowd_Amt":"0.0763350059","Avg_Suplr_Mdcr_Pymt_Amt":"0.0544196488","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0544170078"},{"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":"309","Tot_Suplrs":"273","Tot_Suplr_Benes":"400","Tot_Suplr_Clms":"1124","Tot_Suplr_Srvcs":"204758","Avg_Suplr_Sbmtd_Chrg":"3.0405463034","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761592221","Avg_Suplr_Mdcr_Pymt_Amt":"0.0570506158","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0570495902"},{"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":"137","Tot_Suplrs":"106","Tot_Suplr_Benes":"182","Tot_Suplr_Clms":"688","Tot_Suplr_Srvcs":"112979","Avg_Suplr_Sbmtd_Chrg":"2.9260246594","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761296347","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557576187","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0557560255"},{"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":"422","Tot_Suplrs":"385","Tot_Suplr_Benes":"500","Tot_Suplr_Clms":"1340","Tot_Suplr_Srvcs":"254115","Avg_Suplr_Sbmtd_Chrg":"3.2578040257","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762358381","Avg_Suplr_Mdcr_Pymt_Amt":"0.0560327411","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0560322295"},{"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":"1626","Tot_Suplrs":"1293","Tot_Suplr_Benes":"2189","Tot_Suplr_Clms":"5833","Tot_Suplr_Srvcs":"1105966","Avg_Suplr_Sbmtd_Chrg":"3.0929340142","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761018784","Avg_Suplr_Mdcr_Pymt_Amt":"0.0561850545","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0561844668"},{"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":"32","Tot_Suplrs":"30","Tot_Suplr_Benes":"32","Tot_Suplr_Clms":"60","Tot_Suplr_Srvcs":"9092","Avg_Suplr_Sbmtd_Chrg":"2.9290156181","Avg_Suplr_Mdcr_Alowd_Amt":"0.0764507259","Avg_Suplr_Mdcr_Pymt_Amt":"0.0570952486","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0570941487"},{"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":"35","Tot_Suplrs":"28","Tot_Suplr_Benes":"43","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"13854","Avg_Suplr_Sbmtd_Chrg":"4.2557680092","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762848275","Avg_Suplr_Mdcr_Pymt_Amt":"0.0549076079","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0549068861"},{"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":"494","Tot_Suplrs":"435","Tot_Suplr_Benes":"568","Tot_Suplr_Clms":"1840","Tot_Suplr_Srvcs":"305730","Avg_Suplr_Sbmtd_Chrg":"3.2294806202","Avg_Suplr_Mdcr_Alowd_Amt":"0.0762379223","Avg_Suplr_Mdcr_Pymt_Amt":"0.0552031204","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0552021719"},{"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":"264","Tot_Suplrs":"229","Tot_Suplr_Benes":"275","Tot_Suplr_Clms":"845","Tot_Suplr_Srvcs":"144828","Avg_Suplr_Sbmtd_Chrg":"3.0405011462","Avg_Suplr_Mdcr_Alowd_Amt":"0.0763036153","Avg_Suplr_Mdcr_Pymt_Amt":"0.0563161129","Avg_Suplr_Mdcr_Stdzd_Amt":"0.056314801"},{"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":"253","Tot_Suplrs":"202","Tot_Suplr_Benes":"306","Tot_Suplr_Clms":"917","Tot_Suplr_Srvcs":"148909","Avg_Suplr_Sbmtd_Chrg":"3.4715601475","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760806936","Avg_Suplr_Mdcr_Pymt_Amt":"0.0557190633","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0557179888"},{"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":"301","Tot_Suplrs":"261","Tot_Suplr_Benes":"327","Tot_Suplr_Clms":"1024","Tot_Suplr_Srvcs":"182982","Avg_Suplr_Sbmtd_Chrg":"3.3403879617","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761587479","Avg_Suplr_Mdcr_Pymt_Amt":"0.0577268256","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0577257872"},{"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":"21","Tot_Suplrs":"19","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"53","Tot_Suplr_Srvcs":"10595","Avg_Suplr_Sbmtd_Chrg":"4.8757300613","Avg_Suplr_Mdcr_Alowd_Amt":"0.0761019349","Avg_Suplr_Mdcr_Pymt_Amt":"0.0543416706","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0543397829"},{"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":"81","Tot_Suplrs":"36","Tot_Suplr_Benes":"115","Tot_Suplr_Clms":"329","Tot_Suplr_Srvcs":"40372","Avg_Suplr_Sbmtd_Chrg":"3.981220648","Avg_Suplr_Mdcr_Alowd_Amt":"0.0760309125","Avg_Suplr_Mdcr_Pymt_Amt":"0.0545846131","Avg_Suplr_Mdcr_Stdzd_Amt":"0.05458387"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"78","Rfrg_Prvdr_Geo_Desc":"Virgin Islands","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":"1","Tot_Suplrs":"1","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"2880","Avg_Suplr_Sbmtd_Chrg":"3.4892083333","Avg_Suplr_Mdcr_Alowd_Amt":"0.07625","Avg_Suplr_Mdcr_Pymt_Amt":"0.0446979167","Avg_Suplr_Mdcr_Stdzd_Amt":"0.0446979167"},{"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":"116708","Tot_Suplrs":"37754","Tot_Suplr_Benes":"322981","Tot_Suplr_Clms":"1310063","Tot_Suplr_Srvcs":"136646805","Avg_Suplr_Sbmtd_Chrg":"1.5709424707","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669417569","Avg_Suplr_Mdcr_Pymt_Amt":"0.1222796429","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1222794565"},{"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":"2069","Tot_Suplrs":"896","Tot_Suplr_Benes":"9398","Tot_Suplr_Clms":"40155","Tot_Suplr_Srvcs":"4317657","Avg_Suplr_Sbmtd_Chrg":"1.5725761889","Avg_Suplr_Mdcr_Alowd_Amt":"0.167009026","Avg_Suplr_Mdcr_Pymt_Amt":"0.1219795597","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1219794393"},{"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":"239","Tot_Suplrs":"116","Tot_Suplr_Benes":"385","Tot_Suplr_Clms":"1323","Tot_Suplr_Srvcs":"136533","Avg_Suplr_Sbmtd_Chrg":"1.8541959819","Avg_Suplr_Mdcr_Alowd_Amt":"0.1671240652","Avg_Suplr_Mdcr_Pymt_Amt":"0.1197949214","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1197944087"},{"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":"1511","Tot_Suplrs":"843","Tot_Suplr_Benes":"3388","Tot_Suplr_Clms":"12127","Tot_Suplr_Srvcs":"1280801","Avg_Suplr_Sbmtd_Chrg":"1.7100137648","Avg_Suplr_Mdcr_Alowd_Amt":"0.167026478","Avg_Suplr_Mdcr_Pymt_Amt":"0.1233095149","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1233091558"},{"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":"1513","Tot_Suplrs":"483","Tot_Suplr_Benes":"5495","Tot_Suplr_Clms":"28059","Tot_Suplr_Srvcs":"2945124","Avg_Suplr_Sbmtd_Chrg":"1.1619913457","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670360874","Avg_Suplr_Mdcr_Pymt_Amt":"0.122343718","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1223436772"},{"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":"7331","Tot_Suplrs":"3150","Tot_Suplr_Benes":"19141","Tot_Suplr_Clms":"72544","Tot_Suplr_Srvcs":"7203510","Avg_Suplr_Sbmtd_Chrg":"1.7181279154","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670789879","Avg_Suplr_Mdcr_Pymt_Amt":"0.121472342","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1214721309"},{"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":"1728","Tot_Suplrs":"733","Tot_Suplr_Benes":"3659","Tot_Suplr_Clms":"14813","Tot_Suplr_Srvcs":"1457153","Avg_Suplr_Sbmtd_Chrg":"1.5162099725","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669883396","Avg_Suplr_Mdcr_Pymt_Amt":"0.1218704762","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1218702978"},{"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":"1475","Tot_Suplrs":"653","Tot_Suplr_Benes":"3342","Tot_Suplr_Clms":"12064","Tot_Suplr_Srvcs":"1154321","Avg_Suplr_Sbmtd_Chrg":"1.8029770488","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668465358","Avg_Suplr_Mdcr_Pymt_Amt":"0.1236329496","Avg_Suplr_Mdcr_Stdzd_Amt":"0.123632681"},{"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":"327","Tot_Suplrs":"225","Tot_Suplr_Benes":"851","Tot_Suplr_Clms":"3034","Tot_Suplr_Srvcs":"347318","Avg_Suplr_Sbmtd_Chrg":"1.4282405173","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669215532","Avg_Suplr_Mdcr_Pymt_Amt":"0.1233642368","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1233634018"},{"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":"138","Tot_Suplrs":"128","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"870","Tot_Suplr_Srvcs":"78237","Avg_Suplr_Sbmtd_Chrg":"1.4544591434","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669911934","Avg_Suplr_Mdcr_Pymt_Amt":"0.1227141889","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1227138055"},{"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":"6756","Tot_Suplrs":"3260","Tot_Suplr_Benes":"21716","Tot_Suplr_Clms":"76324","Tot_Suplr_Srvcs":"8111591","Avg_Suplr_Sbmtd_Chrg":"1.413382318","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669519506","Avg_Suplr_Mdcr_Pymt_Amt":"0.1234539241","Avg_Suplr_Mdcr_Stdzd_Amt":"0.123453685"},{"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":"2449","Tot_Suplrs":"1488","Tot_Suplr_Benes":"7002","Tot_Suplr_Clms":"29525","Tot_Suplr_Srvcs":"3050824","Avg_Suplr_Sbmtd_Chrg":"1.5779799097","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669758105","Avg_Suplr_Mdcr_Pymt_Amt":"0.1221511565","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1221509795"},{"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":"138","Tot_Suplrs":"126","Tot_Suplr_Benes":"237","Tot_Suplr_Clms":"655","Tot_Suplr_Srvcs":"59220","Avg_Suplr_Sbmtd_Chrg":"2.1524105032","Avg_Suplr_Mdcr_Alowd_Amt":"0.1666911516","Avg_Suplr_Mdcr_Pymt_Amt":"0.1191435326","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1191433637"},{"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":"747","Tot_Suplrs":"278","Tot_Suplr_Benes":"1880","Tot_Suplr_Clms":"8067","Tot_Suplr_Srvcs":"782700","Avg_Suplr_Sbmtd_Chrg":"1.4957536221","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668162259","Avg_Suplr_Mdcr_Pymt_Amt":"0.1210353775","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1210353264"},{"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":"4990","Tot_Suplrs":"2192","Tot_Suplr_Benes":"14747","Tot_Suplr_Clms":"55946","Tot_Suplr_Srvcs":"6043945","Avg_Suplr_Sbmtd_Chrg":"1.6774099251","Avg_Suplr_Mdcr_Alowd_Amt":"0.166660916","Avg_Suplr_Mdcr_Pymt_Amt":"0.1220447423","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1220445024"},{"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":"3515","Tot_Suplrs":"1361","Tot_Suplr_Benes":"12610","Tot_Suplr_Clms":"50613","Tot_Suplr_Srvcs":"5677234","Avg_Suplr_Sbmtd_Chrg":"1.4459700146","Avg_Suplr_Mdcr_Alowd_Amt":"0.1667229816","Avg_Suplr_Mdcr_Pymt_Amt":"0.1221368593","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1221367377"},{"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":"2103","Tot_Suplrs":"845","Tot_Suplr_Benes":"6581","Tot_Suplr_Clms":"28167","Tot_Suplr_Srvcs":"2780037","Avg_Suplr_Sbmtd_Chrg":"1.9082924939","Avg_Suplr_Mdcr_Alowd_Amt":"0.166984943","Avg_Suplr_Mdcr_Pymt_Amt":"0.1216067664","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1216066261"},{"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":"1733","Tot_Suplrs":"652","Tot_Suplr_Benes":"5887","Tot_Suplr_Clms":"26061","Tot_Suplr_Srvcs":"2566510","Avg_Suplr_Sbmtd_Chrg":"1.737557621","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669490125","Avg_Suplr_Mdcr_Pymt_Amt":"0.1217046066","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1217045365"},{"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":"3011","Tot_Suplrs":"1155","Tot_Suplr_Benes":"10735","Tot_Suplr_Clms":"42114","Tot_Suplr_Srvcs":"4632898","Avg_Suplr_Sbmtd_Chrg":"1.7448028469","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669263601","Avg_Suplr_Mdcr_Pymt_Amt":"0.1222554803","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1222554198"},{"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":"1772","Tot_Suplrs":"726","Tot_Suplr_Benes":"5721","Tot_Suplr_Clms":"25025","Tot_Suplr_Srvcs":"2522911","Avg_Suplr_Sbmtd_Chrg":"1.504361882","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670467369","Avg_Suplr_Mdcr_Pymt_Amt":"0.12249815","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1224980231"},{"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":"1199","Tot_Suplrs":"372","Tot_Suplr_Benes":"3171","Tot_Suplr_Clms":"12084","Tot_Suplr_Srvcs":"1186668","Avg_Suplr_Sbmtd_Chrg":"1.5667545345","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669136186","Avg_Suplr_Mdcr_Pymt_Amt":"0.120704561","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1207044852"},{"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":"1917","Tot_Suplrs":"899","Tot_Suplr_Benes":"4724","Tot_Suplr_Clms":"16976","Tot_Suplr_Srvcs":"1848348","Avg_Suplr_Sbmtd_Chrg":"1.5232084975","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669035701","Avg_Suplr_Mdcr_Pymt_Amt":"0.1229694733","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1229692515"},{"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":"3169","Tot_Suplrs":"1208","Tot_Suplr_Benes":"6930","Tot_Suplr_Clms":"24906","Tot_Suplr_Srvcs":"2484787","Avg_Suplr_Sbmtd_Chrg":"1.6995893894","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668971264","Avg_Suplr_Mdcr_Pymt_Amt":"0.121912675","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1219123732"},{"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":"4535","Tot_Suplrs":"1638","Tot_Suplr_Benes":"11940","Tot_Suplr_Clms":"47806","Tot_Suplr_Srvcs":"5358466","Avg_Suplr_Sbmtd_Chrg":"1.4333691265","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669222647","Avg_Suplr_Mdcr_Pymt_Amt":"0.1224651495","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1224650114"},{"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":"3003","Tot_Suplrs":"1100","Tot_Suplr_Benes":"5696","Tot_Suplr_Clms":"21257","Tot_Suplr_Srvcs":"1991997","Avg_Suplr_Sbmtd_Chrg":"1.665583412","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668689963","Avg_Suplr_Mdcr_Pymt_Amt":"0.1229756069","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1229752956"},{"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":"1554","Tot_Suplrs":"501","Tot_Suplr_Benes":"6326","Tot_Suplr_Clms":"31401","Tot_Suplr_Srvcs":"3140441","Avg_Suplr_Sbmtd_Chrg":"1.4610881593","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669808667","Avg_Suplr_Mdcr_Pymt_Amt":"0.1222446911","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1222446115"},{"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":"3066","Tot_Suplrs":"1237","Tot_Suplr_Benes":"11043","Tot_Suplr_Clms":"46325","Tot_Suplr_Srvcs":"5010803","Avg_Suplr_Sbmtd_Chrg":"1.5554485499","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668855391","Avg_Suplr_Mdcr_Pymt_Amt":"0.1215752705","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1215751467"},{"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":"727","Tot_Suplrs":"234","Tot_Suplr_Benes":"1856","Tot_Suplr_Clms":"8262","Tot_Suplr_Srvcs":"828136","Avg_Suplr_Sbmtd_Chrg":"1.5078372876","Avg_Suplr_Mdcr_Alowd_Amt":"0.1671314253","Avg_Suplr_Mdcr_Pymt_Amt":"0.1211109166","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1211108562"},{"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":"1229","Tot_Suplrs":"486","Tot_Suplr_Benes":"3748","Tot_Suplr_Clms":"15761","Tot_Suplr_Srvcs":"1558254","Avg_Suplr_Sbmtd_Chrg":"1.6389059165","Avg_Suplr_Mdcr_Alowd_Amt":"0.166965084","Avg_Suplr_Mdcr_Pymt_Amt":"0.1216465544","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1216463298"},{"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":"814","Tot_Suplrs":"427","Tot_Suplr_Benes":"2092","Tot_Suplr_Clms":"7927","Tot_Suplr_Srvcs":"828379","Avg_Suplr_Sbmtd_Chrg":"1.4833195313","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670678397","Avg_Suplr_Mdcr_Pymt_Amt":"0.12287156","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1228713669"},{"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":"1002","Tot_Suplrs":"390","Tot_Suplr_Benes":"2638","Tot_Suplr_Clms":"10793","Tot_Suplr_Srvcs":"1067005","Avg_Suplr_Sbmtd_Chrg":"1.4882263719","Avg_Suplr_Mdcr_Alowd_Amt":"0.166866875","Avg_Suplr_Mdcr_Pymt_Amt":"0.122292426","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1222922292"},{"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":"2831","Tot_Suplrs":"1592","Tot_Suplr_Benes":"8700","Tot_Suplr_Clms":"28727","Tot_Suplr_Srvcs":"3069609","Avg_Suplr_Sbmtd_Chrg":"1.8291873265","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669440375","Avg_Suplr_Mdcr_Pymt_Amt":"0.1230991015","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1230988605"},{"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":"617","Tot_Suplrs":"261","Tot_Suplr_Benes":"1424","Tot_Suplr_Clms":"5887","Tot_Suplr_Srvcs":"616383","Avg_Suplr_Sbmtd_Chrg":"1.622678497","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668662828","Avg_Suplr_Mdcr_Pymt_Amt":"0.1217958315","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1217954421"},{"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":"5896","Tot_Suplrs":"3012","Tot_Suplr_Benes":"12958","Tot_Suplr_Clms":"45794","Tot_Suplr_Srvcs":"4589055","Avg_Suplr_Sbmtd_Chrg":"1.8221311098","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670079701","Avg_Suplr_Mdcr_Pymt_Amt":"0.1222024338","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1222020263"},{"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":"4505","Tot_Suplrs":"1738","Tot_Suplr_Benes":"12564","Tot_Suplr_Clms":"51178","Tot_Suplr_Srvcs":"5246685","Avg_Suplr_Sbmtd_Chrg":"1.5226934741","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670176978","Avg_Suplr_Mdcr_Pymt_Amt":"0.1228566304","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1228564494"},{"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":"534","Tot_Suplrs":"238","Tot_Suplr_Benes":"1447","Tot_Suplr_Clms":"6845","Tot_Suplr_Srvcs":"598170","Avg_Suplr_Sbmtd_Chrg":"1.7856477088","Avg_Suplr_Mdcr_Alowd_Amt":"0.166997041","Avg_Suplr_Mdcr_Pymt_Amt":"0.1213955899","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1213955397"},{"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":"4841","Tot_Suplrs":"2100","Tot_Suplr_Benes":"13131","Tot_Suplr_Clms":"50631","Tot_Suplr_Srvcs":"5699873","Avg_Suplr_Sbmtd_Chrg":"1.5260557788","Avg_Suplr_Mdcr_Alowd_Amt":"0.166979466","Avg_Suplr_Mdcr_Pymt_Amt":"0.1226470134","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1226468537"},{"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":"1803","Tot_Suplrs":"609","Tot_Suplr_Benes":"6811","Tot_Suplr_Clms":"30269","Tot_Suplr_Srvcs":"3219919","Avg_Suplr_Sbmtd_Chrg":"1.4654963991","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670617304","Avg_Suplr_Mdcr_Pymt_Amt":"0.1220114792","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1220112804"},{"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":"1487","Tot_Suplrs":"499","Tot_Suplr_Benes":"3719","Tot_Suplr_Clms":"16587","Tot_Suplr_Srvcs":"1627516","Avg_Suplr_Sbmtd_Chrg":"1.3329734823","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670881699","Avg_Suplr_Mdcr_Pymt_Amt":"0.1224684058","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1224682584"},{"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":"4675","Tot_Suplrs":"2272","Tot_Suplr_Benes":"9976","Tot_Suplr_Clms":"38974","Tot_Suplr_Srvcs":"4148674","Avg_Suplr_Sbmtd_Chrg":"1.5932682587","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669324584","Avg_Suplr_Mdcr_Pymt_Amt":"0.1223730185","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1223729293"},{"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":"332","Tot_Suplrs":"218","Tot_Suplr_Benes":"640","Tot_Suplr_Clms":"2311","Tot_Suplr_Srvcs":"231040","Avg_Suplr_Sbmtd_Chrg":"1.5636706631","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668798909","Avg_Suplr_Mdcr_Pymt_Amt":"0.120843447","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1208432306"},{"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":"1803","Tot_Suplrs":"849","Tot_Suplr_Benes":"5574","Tot_Suplr_Clms":"22682","Tot_Suplr_Srvcs":"2426754","Avg_Suplr_Sbmtd_Chrg":"1.5428618888","Avg_Suplr_Mdcr_Alowd_Amt":"0.1667726024","Avg_Suplr_Mdcr_Pymt_Amt":"0.1223995469","Avg_Suplr_Mdcr_Stdzd_Amt":"0.122399448"},{"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":"632","Tot_Suplrs":"308","Tot_Suplr_Benes":"1906","Tot_Suplr_Clms":"8840","Tot_Suplr_Srvcs":"847648","Avg_Suplr_Sbmtd_Chrg":"1.7319298695","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670100915","Avg_Suplr_Mdcr_Pymt_Amt":"0.1231003199","Avg_Suplr_Mdcr_Stdzd_Amt":"0.123100025"},{"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":"3251","Tot_Suplrs":"1483","Tot_Suplr_Benes":"9724","Tot_Suplr_Clms":"38875","Tot_Suplr_Srvcs":"4130118","Avg_Suplr_Sbmtd_Chrg":"1.5614029987","Avg_Suplr_Mdcr_Alowd_Amt":"0.1671033225","Avg_Suplr_Mdcr_Pymt_Amt":"0.1228867892","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1228865277"},{"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":"6060","Tot_Suplrs":"2848","Tot_Suplr_Benes":"17891","Tot_Suplr_Clms":"73748","Tot_Suplr_Srvcs":"7840374","Avg_Suplr_Sbmtd_Chrg":"1.413612093","Avg_Suplr_Mdcr_Alowd_Amt":"0.166969679","Avg_Suplr_Mdcr_Pymt_Amt":"0.1226675934","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1226673345"},{"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":"507","Tot_Suplrs":"230","Tot_Suplr_Benes":"911","Tot_Suplr_Clms":"4212","Tot_Suplr_Srvcs":"372968","Avg_Suplr_Sbmtd_Chrg":"1.3771088404","Avg_Suplr_Mdcr_Alowd_Amt":"0.166726502","Avg_Suplr_Mdcr_Pymt_Amt":"0.1215544497","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1215543693"},{"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":"527","Tot_Suplrs":"200","Tot_Suplr_Benes":"1325","Tot_Suplr_Clms":"5309","Tot_Suplr_Srvcs":"493026","Avg_Suplr_Sbmtd_Chrg":"1.7328209466","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668392945","Avg_Suplr_Mdcr_Pymt_Amt":"0.1198325849","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1198325849"},{"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":"2852","Tot_Suplrs":"1277","Tot_Suplr_Benes":"7703","Tot_Suplr_Clms":"31366","Tot_Suplr_Srvcs":"3154517","Avg_Suplr_Sbmtd_Chrg":"1.5125266309","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670391442","Avg_Suplr_Mdcr_Pymt_Amt":"0.1223949308","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1223947533"},{"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":"2834","Tot_Suplrs":"988","Tot_Suplr_Benes":"6711","Tot_Suplr_Clms":"27359","Tot_Suplr_Srvcs":"2673529","Avg_Suplr_Sbmtd_Chrg":"1.6324115317","Avg_Suplr_Mdcr_Alowd_Amt":"0.1670015998","Avg_Suplr_Mdcr_Pymt_Amt":"0.1216815864","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1216813582"},{"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":"1228","Tot_Suplrs":"610","Tot_Suplr_Benes":"3387","Tot_Suplr_Clms":"13620","Tot_Suplr_Srvcs":"1476542","Avg_Suplr_Sbmtd_Chrg":"1.6736572072","Avg_Suplr_Mdcr_Alowd_Amt":"0.1669835196","Avg_Suplr_Mdcr_Pymt_Amt":"0.1213353633","Avg_Suplr_Mdcr_Stdzd_Amt":"0.121335343"},{"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":"3265","Tot_Suplrs":"1164","Tot_Suplr_Benes":"8048","Tot_Suplr_Clms":"29424","Tot_Suplr_Srvcs":"3079264","Avg_Suplr_Sbmtd_Chrg":"1.6485772574","Avg_Suplr_Mdcr_Alowd_Amt":"0.1666299544","Avg_Suplr_Mdcr_Pymt_Amt":"0.1215613796","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1215611036"},{"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":"389","Tot_Suplrs":"138","Tot_Suplr_Benes":"1209","Tot_Suplr_Clms":"5878","Tot_Suplr_Srvcs":"591133","Avg_Suplr_Sbmtd_Chrg":"1.3946002845","Avg_Suplr_Mdcr_Alowd_Amt":"0.1668647326","Avg_Suplr_Mdcr_Pymt_Amt":"0.1216033109","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1216032263"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"66","Rfrg_Prvdr_Geo_Desc":"Guam","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":"6","Tot_Suplrs":"14","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"5020","Avg_Suplr_Sbmtd_Chrg":"1.6789442231","Avg_Suplr_Mdcr_Alowd_Amt":"0.1662410359","Avg_Suplr_Mdcr_Pymt_Amt":"0.121940239","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1219342629"},{"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":"53","Tot_Suplrs":"47","Tot_Suplr_Benes":"146","Tot_Suplr_Clms":"381","Tot_Suplr_Srvcs":"40271","Avg_Suplr_Sbmtd_Chrg":"0.5549474808","Avg_Suplr_Mdcr_Alowd_Amt":"0.1646999081","Avg_Suplr_Mdcr_Pymt_Amt":"0.1270775496","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1270775496"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"78","Rfrg_Prvdr_Geo_Desc":"Virgin Islands","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":"4","Tot_Suplrs":"2","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"1135","Avg_Suplr_Sbmtd_Chrg":"2.4583788546","Avg_Suplr_Mdcr_Alowd_Amt":"0.1698942731","Avg_Suplr_Mdcr_Pymt_Amt":"0.1269427313","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1269427313"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9B","Rfrg_Prvdr_Geo_Desc":"Armed Forces Europe","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":"5","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"15","Tot_Suplr_Srvcs":"1947","Avg_Suplr_Sbmtd_Chrg":"0.8960246533","Avg_Suplr_Mdcr_Alowd_Amt":"0.164473549","Avg_Suplr_Mdcr_Pymt_Amt":"0.1215151515","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1215151515"},{"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":"2","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"2220","Avg_Suplr_Sbmtd_Chrg":"2.1461891892","Avg_Suplr_Mdcr_Alowd_Amt":"0.1672162162","Avg_Suplr_Mdcr_Pymt_Amt":"0.111518018","Avg_Suplr_Mdcr_Stdzd_Amt":"0.111518018"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9D","Rfrg_Prvdr_Geo_Desc":"Unknown","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":"7","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"2998","Avg_Suplr_Sbmtd_Chrg":"1.8032621748","Avg_Suplr_Mdcr_Alowd_Amt":"0.1644896598","Avg_Suplr_Mdcr_Pymt_Amt":"0.1289693129","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1289693129"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9E","Rfrg_Prvdr_Geo_Desc":"Foreign Country","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":"5","Tot_Suplrs":"15","Tot_Suplr_Benes":"25","Tot_Suplr_Clms":"68","Tot_Suplr_Srvcs":"8249","Avg_Suplr_Sbmtd_Chrg":"0.9854794521","Avg_Suplr_Mdcr_Alowd_Amt":"0.1652285125","Avg_Suplr_Mdcr_Pymt_Amt":"0.1194387198","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1194387198"},{"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":"499","Tot_Suplrs":"602","Tot_Suplr_Benes":"676","Tot_Suplr_Clms":"2177","Tot_Suplr_Srvcs":"440418","Avg_Suplr_Sbmtd_Chrg":"1.9066222089","Avg_Suplr_Mdcr_Alowd_Amt":"0.8213714244","Avg_Suplr_Mdcr_Pymt_Amt":"0.6226968698","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6226919654"},{"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":"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":"10","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"29","Tot_Suplr_Srvcs":"4140","Avg_Suplr_Sbmtd_Chrg":"1.6904879227","Avg_Suplr_Mdcr_Alowd_Amt":"0.8191884058","Avg_Suplr_Mdcr_Pymt_Amt":"0.6155048309","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6155048309"},{"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":"18","Tot_Suplrs":"35","Tot_Suplr_Benes":"57","Tot_Suplr_Clms":"113","Tot_Suplr_Srvcs":"22920","Avg_Suplr_Sbmtd_Chrg":"1.5583739092","Avg_Suplr_Mdcr_Alowd_Amt":"0.8306963351","Avg_Suplr_Mdcr_Pymt_Amt":"0.6411042757","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6411016579"},{"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":"43","Tot_Suplrs":"48","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"176","Tot_Suplr_Srvcs":"30076","Avg_Suplr_Sbmtd_Chrg":"1.8373071552","Avg_Suplr_Mdcr_Alowd_Amt":"0.8223763133","Avg_Suplr_Mdcr_Pymt_Amt":"0.6135636388","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6135579864"},{"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":"8","Tot_Suplrs":"10","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"3600","Avg_Suplr_Sbmtd_Chrg":"2.2630944444","Avg_Suplr_Mdcr_Alowd_Amt":"0.8313527778","Avg_Suplr_Mdcr_Pymt_Amt":"0.6309527778","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6309527778"},{"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":"14","Tot_Suplrs":"55","Tot_Suplr_Benes":"69","Tot_Suplr_Clms":"166","Tot_Suplr_Srvcs":"30030","Avg_Suplr_Sbmtd_Chrg":"1.6851674992","Avg_Suplr_Mdcr_Alowd_Amt":"0.8207032967","Avg_Suplr_Mdcr_Pymt_Amt":"0.6197092907","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6197062937"},{"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":"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"2468","Avg_Suplr_Sbmtd_Chrg":"1.9895583468","Avg_Suplr_Mdcr_Alowd_Amt":"0.839643436","Avg_Suplr_Mdcr_Pymt_Amt":"0.6582860616","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6582860616"},{"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":"25","Tot_Suplrs":"33","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"75","Tot_Suplr_Srvcs":"17340","Avg_Suplr_Sbmtd_Chrg":"2.2171643599","Avg_Suplr_Mdcr_Alowd_Amt":"0.8244567474","Avg_Suplr_Mdcr_Pymt_Amt":"0.61733391","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6173298731"},{"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":"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":"45","Tot_Suplr_Srvcs":"8580","Avg_Suplr_Sbmtd_Chrg":"1.9908368298","Avg_Suplr_Mdcr_Alowd_Amt":"0.8249300699","Avg_Suplr_Mdcr_Pymt_Amt":"0.6315745921","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6315652681"},{"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":"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":"12","Tot_Suplr_Srvcs":"1800","Avg_Suplr_Sbmtd_Chrg":"2.4762944444","Avg_Suplr_Mdcr_Alowd_Amt":"0.8238","Avg_Suplr_Mdcr_Pymt_Amt":"0.6458555556","Avg_Suplr_Mdcr_Stdzd_Amt":"0.64585"},{"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":"19","Tot_Suplrs":"25","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"108","Tot_Suplr_Srvcs":"19230","Avg_Suplr_Sbmtd_Chrg":"1.7538679147","Avg_Suplr_Mdcr_Alowd_Amt":"0.8208465939","Avg_Suplr_Mdcr_Pymt_Amt":"0.6070187207","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6070150806"},{"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":"9","Tot_Suplrs":"14","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"7328","Avg_Suplr_Sbmtd_Chrg":"1.9151350983","Avg_Suplr_Mdcr_Alowd_Amt":"0.8235780568","Avg_Suplr_Mdcr_Pymt_Amt":"0.6202319869","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6202265284"},{"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":"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"19","Tot_Suplr_Srvcs":"4016","Avg_Suplr_Sbmtd_Chrg":"1.0272211155","Avg_Suplr_Mdcr_Alowd_Amt":"0.8126170319","Avg_Suplr_Mdcr_Pymt_Amt":"0.6164790837","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6164790837"},{"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":"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":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"47","Tot_Suplr_Srvcs":"10380","Avg_Suplr_Sbmtd_Chrg":"1.7159344894","Avg_Suplr_Mdcr_Alowd_Amt":"0.7790346821","Avg_Suplr_Mdcr_Pymt_Amt":"0.6102947977","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6102870906"},{"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":"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":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"17","Tot_Suplr_Srvcs":"3120","Avg_Suplr_Sbmtd_Chrg":"1.5201089744","Avg_Suplr_Mdcr_Alowd_Amt":"0.8270769231","Avg_Suplr_Mdcr_Pymt_Amt":"0.5990352564","Avg_Suplr_Mdcr_Stdzd_Amt":"0.599025641"},{"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":"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"12","Tot_Suplr_Srvcs":"2880","Avg_Suplr_Sbmtd_Chrg":"1.9730069444","Avg_Suplr_Mdcr_Alowd_Amt":"0.839375","Avg_Suplr_Mdcr_Pymt_Amt":"0.6473645833","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6473645833"},{"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":"23","Tot_Suplrs":"27","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"76","Tot_Suplr_Srvcs":"16590","Avg_Suplr_Sbmtd_Chrg":"1.733074141","Avg_Suplr_Mdcr_Alowd_Amt":"0.8267052441","Avg_Suplr_Mdcr_Pymt_Amt":"0.6273381555","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6273321278"},{"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":"17","Tot_Suplrs":"14","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"40","Tot_Suplr_Srvcs":"12996","Avg_Suplr_Sbmtd_Chrg":"2.2147253001","Avg_Suplr_Mdcr_Alowd_Amt":"0.8151385042","Avg_Suplr_Mdcr_Pymt_Amt":"0.6285372422","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6285357033"},{"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":"4","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"2640","Avg_Suplr_Sbmtd_Chrg":"2.2355568182","Avg_Suplr_Mdcr_Alowd_Amt":"0.8410454545","Avg_Suplr_Mdcr_Pymt_Amt":"0.6593787879","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6593712121"},{"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":"12","Tot_Suplrs":"12","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"8664","Avg_Suplr_Sbmtd_Chrg":"1.748726916","Avg_Suplr_Mdcr_Alowd_Amt":"0.8324873038","Avg_Suplr_Mdcr_Pymt_Amt":"0.6238954294","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6238908126"},{"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":"8","Tot_Suplrs":"9","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"8140","Avg_Suplr_Sbmtd_Chrg":"2.0908722359","Avg_Suplr_Mdcr_Alowd_Amt":"0.8265208845","Avg_Suplr_Mdcr_Pymt_Amt":"0.6298157248","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6298083538"},{"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":"5","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"20","Tot_Suplr_Srvcs":"4320","Avg_Suplr_Sbmtd_Chrg":"1.2911550926","Avg_Suplr_Mdcr_Alowd_Amt":"0.8361666667","Avg_Suplr_Mdcr_Pymt_Amt":"0.6555509259","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6555439815"},{"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":"57","Tot_Suplrs":"68","Tot_Suplr_Benes":"69","Tot_Suplr_Clms":"229","Tot_Suplr_Srvcs":"47492","Avg_Suplr_Sbmtd_Chrg":"1.9411437716","Avg_Suplr_Mdcr_Alowd_Amt":"0.8116760718","Avg_Suplr_Mdcr_Pymt_Amt":"0.6193607344","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6193567338"},{"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":"14","Tot_Suplrs":"15","Tot_Suplr_Benes":"14","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"7860","Avg_Suplr_Sbmtd_Chrg":"1.9549300254","Avg_Suplr_Mdcr_Alowd_Amt":"0.8217557252","Avg_Suplr_Mdcr_Pymt_Amt":"0.6125483461","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6125407125"},{"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":"24","Tot_Suplrs":"24","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"81","Tot_Suplr_Srvcs":"16440","Avg_Suplr_Sbmtd_Chrg":"1.8609750608","Avg_Suplr_Mdcr_Alowd_Amt":"0.8257335766","Avg_Suplr_Mdcr_Pymt_Amt":"0.6195054745","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6194981752"},{"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":"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":"8","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"26","Tot_Suplr_Srvcs":"6360","Avg_Suplr_Sbmtd_Chrg":"2.8777641509","Avg_Suplr_Mdcr_Alowd_Amt":"0.8223207547","Avg_Suplr_Mdcr_Pymt_Amt":"0.6244921384","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6244858491"},{"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":"7","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"25","Tot_Suplr_Srvcs":"5520","Avg_Suplr_Sbmtd_Chrg":"2.2189963768","Avg_Suplr_Mdcr_Alowd_Amt":"0.8232391304","Avg_Suplr_Mdcr_Pymt_Amt":"0.6068405797","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6068315217"},{"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":"26","Tot_Suplrs":"31","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"106","Tot_Suplr_Srvcs":"19312","Avg_Suplr_Sbmtd_Chrg":"1.8775067316","Avg_Suplr_Mdcr_Alowd_Amt":"0.8247504143","Avg_Suplr_Mdcr_Pymt_Amt":"0.6136127796","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6136076015"},{"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":"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":"19","Tot_Suplr_Srvcs":"4680","Avg_Suplr_Sbmtd_Chrg":"1.9232029915","Avg_Suplr_Mdcr_Alowd_Amt":"0.819025641","Avg_Suplr_Mdcr_Pymt_Amt":"0.625784188","Avg_Suplr_Mdcr_Stdzd_Amt":"0.625775641"},{"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":"20","Tot_Suplrs":"19","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"48","Tot_Suplr_Srvcs":"9120","Avg_Suplr_Sbmtd_Chrg":"1.7454210526","Avg_Suplr_Mdcr_Alowd_Amt":"0.82175","Avg_Suplr_Mdcr_Pymt_Amt":"0.6142719298","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6142675439"},{"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":"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":"4","Tot_Suplrs":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"14","Tot_Suplr_Srvcs":"4148","Avg_Suplr_Sbmtd_Chrg":"1.6418972999","Avg_Suplr_Mdcr_Alowd_Amt":"0.8251952748","Avg_Suplr_Mdcr_Pymt_Amt":"0.6469527483","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6469503375"},{"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":"21","Tot_Suplrs":"26","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"94","Tot_Suplr_Srvcs":"17280","Avg_Suplr_Sbmtd_Chrg":"1.8831568287","Avg_Suplr_Mdcr_Alowd_Amt":"0.8253958333","Avg_Suplr_Mdcr_Pymt_Amt":"0.6187818287","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6187777778"},{"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":"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":"11","Tot_Suplr_Clms":"38","Tot_Suplr_Srvcs":"10864","Avg_Suplr_Sbmtd_Chrg":"1.6360530191","Avg_Suplr_Mdcr_Alowd_Amt":"0.8197174153","Avg_Suplr_Mdcr_Pymt_Amt":"0.619966863","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6199604197"},{"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":"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":"2","Tot_Suplrs":"7","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"33","Tot_Suplr_Srvcs":"5760","Avg_Suplr_Sbmtd_Chrg":"2.3119722222","Avg_Suplr_Mdcr_Alowd_Amt":"0.82303125","Avg_Suplr_Mdcr_Pymt_Amt":"0.6310885417","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6310850694"},{"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":"15","Tot_Suplrs":"24","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"226","Tot_Suplr_Srvcs":"47160","Avg_Suplr_Sbmtd_Chrg":"2.2866747243","Avg_Suplr_Mdcr_Alowd_Amt":"0.8172709924","Avg_Suplr_Mdcr_Pymt_Amt":"0.6271242578","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6271176845"},{"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":"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"16","Tot_Suplr_Srvcs":"3280","Avg_Suplr_Sbmtd_Chrg":"1.450402439","Avg_Suplr_Mdcr_Alowd_Amt":"0.8467804878","Avg_Suplr_Mdcr_Pymt_Amt":"0.6279176829","Avg_Suplr_Mdcr_Stdzd_Amt":"0.6279146341"},{"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":"45719","Tot_Suplrs":"21662","Tot_Suplr_Benes":"76877","Tot_Suplr_Clms":"322302","Tot_Suplr_Srvcs":"15644287","Avg_Suplr_Sbmtd_Chrg":"1.9115955115","Avg_Suplr_Mdcr_Alowd_Amt":"0.2154421349","Avg_Suplr_Mdcr_Pymt_Amt":"0.1582633807","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1582551285"},{"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":"1047","Tot_Suplrs":"476","Tot_Suplr_Benes":"2148","Tot_Suplr_Clms":"9256","Tot_Suplr_Srvcs":"478695","Avg_Suplr_Sbmtd_Chrg":"1.9466945341","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156196534","Avg_Suplr_Mdcr_Pymt_Amt":"0.1566065449","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1565995258"},{"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":"30","Tot_Suplrs":"26","Tot_Suplr_Benes":"34","Tot_Suplr_Clms":"116","Tot_Suplr_Srvcs":"5407","Avg_Suplr_Sbmtd_Chrg":"1.352006658","Avg_Suplr_Mdcr_Alowd_Amt":"0.2147678935","Avg_Suplr_Mdcr_Pymt_Amt":"0.1488681339","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1488625855"},{"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":"593","Tot_Suplrs":"382","Tot_Suplr_Benes":"961","Tot_Suplr_Clms":"3571","Tot_Suplr_Srvcs":"178834","Avg_Suplr_Sbmtd_Chrg":"1.9784770793","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156729145","Avg_Suplr_Mdcr_Pymt_Amt":"0.1612149815","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1612055873"},{"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":"613","Tot_Suplrs":"180","Tot_Suplr_Benes":"1102","Tot_Suplr_Clms":"5716","Tot_Suplr_Srvcs":"272538","Avg_Suplr_Sbmtd_Chrg":"1.3035713552","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155554822","Avg_Suplr_Mdcr_Pymt_Amt":"0.159286228","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1592721015"},{"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":"3471","Tot_Suplrs":"1822","Tot_Suplr_Benes":"5413","Tot_Suplr_Clms":"19300","Tot_Suplr_Srvcs":"902068","Avg_Suplr_Sbmtd_Chrg":"2.3114699557","Avg_Suplr_Mdcr_Alowd_Amt":"0.2148465526","Avg_Suplr_Mdcr_Pymt_Amt":"0.1558211576","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1558126771"},{"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":"426","Tot_Suplrs":"222","Tot_Suplr_Benes":"544","Tot_Suplr_Clms":"2344","Tot_Suplr_Srvcs":"105520","Avg_Suplr_Sbmtd_Chrg":"1.6667584344","Avg_Suplr_Mdcr_Alowd_Amt":"0.2159702426","Avg_Suplr_Mdcr_Pymt_Amt":"0.1604365997","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1604264594"},{"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":"300","Tot_Suplrs":"179","Tot_Suplr_Benes":"406","Tot_Suplr_Clms":"1536","Tot_Suplr_Srvcs":"67825","Avg_Suplr_Sbmtd_Chrg":"2.180362993","Avg_Suplr_Mdcr_Alowd_Amt":"0.2153686694","Avg_Suplr_Mdcr_Pymt_Amt":"0.1582962035","Avg_Suplr_Mdcr_Stdzd_Amt":"0.158282934"},{"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":"139","Tot_Suplrs":"106","Tot_Suplr_Benes":"217","Tot_Suplr_Clms":"797","Tot_Suplr_Srvcs":"42953","Avg_Suplr_Sbmtd_Chrg":"2.1722722511","Avg_Suplr_Mdcr_Alowd_Amt":"0.2149637976","Avg_Suplr_Mdcr_Pymt_Amt":"0.1572458268","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1572379112"},{"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":"74","Tot_Suplrs":"47","Tot_Suplr_Benes":"110","Tot_Suplr_Clms":"526","Tot_Suplr_Srvcs":"20838","Avg_Suplr_Sbmtd_Chrg":"1.3741241962","Avg_Suplr_Mdcr_Alowd_Amt":"0.2148824263","Avg_Suplr_Mdcr_Pymt_Amt":"0.1597720511","Avg_Suplr_Mdcr_Stdzd_Amt":"0.159767732"},{"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":"3046","Tot_Suplrs":"1824","Tot_Suplr_Benes":"6257","Tot_Suplr_Clms":"21758","Tot_Suplr_Srvcs":"1045019","Avg_Suplr_Sbmtd_Chrg":"2.570522268","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156016206","Avg_Suplr_Mdcr_Pymt_Amt":"0.1581431055","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1581316799"},{"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":"1419","Tot_Suplrs":"952","Tot_Suplr_Benes":"3031","Tot_Suplr_Clms":"11931","Tot_Suplr_Srvcs":"584080","Avg_Suplr_Sbmtd_Chrg":"2.073575315","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156750103","Avg_Suplr_Mdcr_Pymt_Amt":"0.1582153472","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1582089269"},{"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":"44","Tot_Suplrs":"45","Tot_Suplr_Benes":"67","Tot_Suplr_Clms":"211","Tot_Suplr_Srvcs":"7394","Avg_Suplr_Sbmtd_Chrg":"2.4207019205","Avg_Suplr_Mdcr_Alowd_Amt":"0.2151798756","Avg_Suplr_Mdcr_Pymt_Amt":"0.1550608602","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1550554504"},{"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":"238","Tot_Suplrs":"91","Tot_Suplr_Benes":"338","Tot_Suplr_Clms":"1706","Tot_Suplr_Srvcs":"79781","Avg_Suplr_Sbmtd_Chrg":"1.5745156115","Avg_Suplr_Mdcr_Alowd_Amt":"0.21494065","Avg_Suplr_Mdcr_Pymt_Amt":"0.1579274514","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1579165465"},{"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":"1918","Tot_Suplrs":"991","Tot_Suplr_Benes":"3310","Tot_Suplr_Clms":"14662","Tot_Suplr_Srvcs":"746617","Avg_Suplr_Sbmtd_Chrg":"1.7816400243","Avg_Suplr_Mdcr_Alowd_Amt":"0.2150341474","Avg_Suplr_Mdcr_Pymt_Amt":"0.1579508101","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1579441132"},{"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":"1432","Tot_Suplrs":"775","Tot_Suplr_Benes":"2694","Tot_Suplr_Clms":"11794","Tot_Suplr_Srvcs":"599316","Avg_Suplr_Sbmtd_Chrg":"1.6123481102","Avg_Suplr_Mdcr_Alowd_Amt":"0.2151569623","Avg_Suplr_Mdcr_Pymt_Amt":"0.1583958212","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1583897143"},{"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":"549","Tot_Suplrs":"322","Tot_Suplr_Benes":"916","Tot_Suplr_Clms":"4350","Tot_Suplr_Srvcs":"200338","Avg_Suplr_Sbmtd_Chrg":"2.1692718306","Avg_Suplr_Mdcr_Alowd_Amt":"0.21551478","Avg_Suplr_Mdcr_Pymt_Amt":"0.1575206401","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1575147002"},{"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":"812","Tot_Suplrs":"329","Tot_Suplr_Benes":"1692","Tot_Suplr_Clms":"8758","Tot_Suplr_Srvcs":"404362","Avg_Suplr_Sbmtd_Chrg":"2.090158645","Avg_Suplr_Mdcr_Alowd_Amt":"0.2158551743","Avg_Suplr_Mdcr_Pymt_Amt":"0.159859878","Avg_Suplr_Mdcr_Stdzd_Amt":"0.159851717"},{"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":"1236","Tot_Suplrs":"600","Tot_Suplr_Benes":"2231","Tot_Suplr_Clms":"9445","Tot_Suplr_Srvcs":"480955","Avg_Suplr_Sbmtd_Chrg":"1.7525887661","Avg_Suplr_Mdcr_Alowd_Amt":"0.2152217775","Avg_Suplr_Mdcr_Pymt_Amt":"0.1572411764","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1572343151"},{"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":"806","Tot_Suplrs":"387","Tot_Suplr_Benes":"1496","Tot_Suplr_Clms":"6438","Tot_Suplr_Srvcs":"301230","Avg_Suplr_Sbmtd_Chrg":"1.7493140457","Avg_Suplr_Mdcr_Alowd_Amt":"0.2154168907","Avg_Suplr_Mdcr_Pymt_Amt":"0.1576784517","Avg_Suplr_Mdcr_Stdzd_Amt":"0.157667729"},{"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":"294","Tot_Suplrs":"154","Tot_Suplr_Benes":"386","Tot_Suplr_Clms":"1405","Tot_Suplr_Srvcs":"66706","Avg_Suplr_Sbmtd_Chrg":"1.8695940395","Avg_Suplr_Mdcr_Alowd_Amt":"0.2154014631","Avg_Suplr_Mdcr_Pymt_Amt":"0.154242347","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1542354511"},{"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":"704","Tot_Suplrs":"386","Tot_Suplr_Benes":"1026","Tot_Suplr_Clms":"4373","Tot_Suplr_Srvcs":"207073","Avg_Suplr_Sbmtd_Chrg":"1.5902236409","Avg_Suplr_Mdcr_Alowd_Amt":"0.2152976487","Avg_Suplr_Mdcr_Pymt_Amt":"0.1594171621","Avg_Suplr_Mdcr_Stdzd_Amt":"0.159409049"},{"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":"720","Tot_Suplrs":"427","Tot_Suplr_Benes":"847","Tot_Suplr_Clms":"3121","Tot_Suplr_Srvcs":"139481","Avg_Suplr_Sbmtd_Chrg":"1.8868990759","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155583915","Avg_Suplr_Mdcr_Pymt_Amt":"0.1592185316","Avg_Suplr_Mdcr_Stdzd_Amt":"0.159211864"},{"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":"2108","Tot_Suplrs":"895","Tot_Suplr_Benes":"3392","Tot_Suplr_Clms":"14656","Tot_Suplr_Srvcs":"748742","Avg_Suplr_Sbmtd_Chrg":"1.8711992783","Avg_Suplr_Mdcr_Alowd_Amt":"0.2153506548","Avg_Suplr_Mdcr_Pymt_Amt":"0.1576080546","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1576006154"},{"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":"514","Tot_Suplrs":"320","Tot_Suplr_Benes":"573","Tot_Suplr_Clms":"2475","Tot_Suplr_Srvcs":"113611","Avg_Suplr_Sbmtd_Chrg":"1.7999889975","Avg_Suplr_Mdcr_Alowd_Amt":"0.215457042","Avg_Suplr_Mdcr_Pymt_Amt":"0.1609529007","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1609421623"},{"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":"674","Tot_Suplrs":"272","Tot_Suplr_Benes":"1535","Tot_Suplr_Clms":"7480","Tot_Suplr_Srvcs":"367361","Avg_Suplr_Sbmtd_Chrg":"1.6310970136","Avg_Suplr_Mdcr_Alowd_Amt":"0.2157152229","Avg_Suplr_Mdcr_Pymt_Amt":"0.1593128557","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1593042811"},{"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":"1256","Tot_Suplrs":"552","Tot_Suplr_Benes":"2192","Tot_Suplr_Clms":"9808","Tot_Suplr_Srvcs":"483038","Avg_Suplr_Sbmtd_Chrg":"2.0039236044","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156487481","Avg_Suplr_Mdcr_Pymt_Amt":"0.1595374691","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1595294987"},{"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":"133","Tot_Suplrs":"56","Tot_Suplr_Benes":"184","Tot_Suplr_Clms":"910","Tot_Suplr_Srvcs":"42148","Avg_Suplr_Sbmtd_Chrg":"1.428450223","Avg_Suplr_Mdcr_Alowd_Amt":"0.2158809433","Avg_Suplr_Mdcr_Pymt_Amt":"0.1604636044","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1604550631"},{"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":"405","Tot_Suplrs":"211","Tot_Suplr_Benes":"580","Tot_Suplr_Clms":"2706","Tot_Suplr_Srvcs":"128271","Avg_Suplr_Sbmtd_Chrg":"1.8884164776","Avg_Suplr_Mdcr_Alowd_Amt":"0.2157993623","Avg_Suplr_Mdcr_Pymt_Amt":"0.1585196966","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1585136937"},{"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":"354","Tot_Suplrs":"203","Tot_Suplr_Benes":"607","Tot_Suplr_Clms":"2322","Tot_Suplr_Srvcs":"114477","Avg_Suplr_Sbmtd_Chrg":"1.7519893079","Avg_Suplr_Mdcr_Alowd_Amt":"0.215909484","Avg_Suplr_Mdcr_Pymt_Amt":"0.1582363269","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1582291639"},{"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":"283","Tot_Suplrs":"153","Tot_Suplr_Benes":"423","Tot_Suplr_Clms":"1752","Tot_Suplr_Srvcs":"76838","Avg_Suplr_Sbmtd_Chrg":"1.533389729","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156625628","Avg_Suplr_Mdcr_Pymt_Amt":"0.157644655","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1576341133"},{"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":"872","Tot_Suplrs":"674","Tot_Suplr_Benes":"1590","Tot_Suplr_Clms":"5865","Tot_Suplr_Srvcs":"273610","Avg_Suplr_Sbmtd_Chrg":"2.2015000183","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155412814","Avg_Suplr_Mdcr_Pymt_Amt":"0.1598605314","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1598504441"},{"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":"249","Tot_Suplrs":"127","Tot_Suplr_Benes":"338","Tot_Suplr_Clms":"1318","Tot_Suplr_Srvcs":"64208","Avg_Suplr_Sbmtd_Chrg":"1.8995095627","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155497757","Avg_Suplr_Mdcr_Pymt_Amt":"0.1561106093","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1561014204"},{"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":"2706","Tot_Suplrs":"1728","Tot_Suplr_Benes":"3928","Tot_Suplr_Clms":"14255","Tot_Suplr_Srvcs":"637941","Avg_Suplr_Sbmtd_Chrg":"2.5961449413","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156012547","Avg_Suplr_Mdcr_Pymt_Amt":"0.1583916067","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1583838788"},{"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":"1909","Tot_Suplrs":"832","Tot_Suplr_Benes":"3134","Tot_Suplr_Clms":"13786","Tot_Suplr_Srvcs":"647317","Avg_Suplr_Sbmtd_Chrg":"1.6791632384","Avg_Suplr_Mdcr_Alowd_Amt":"0.215456631","Avg_Suplr_Mdcr_Pymt_Amt":"0.1594812279","Avg_Suplr_Mdcr_Stdzd_Amt":"0.159472376"},{"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":"137","Tot_Suplrs":"83","Tot_Suplr_Benes":"192","Tot_Suplr_Clms":"1019","Tot_Suplr_Srvcs":"48208","Avg_Suplr_Sbmtd_Chrg":"1.6702375124","Avg_Suplr_Mdcr_Alowd_Amt":"0.2157098407","Avg_Suplr_Mdcr_Pymt_Amt":"0.1594276884","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1594214653"},{"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":"1983","Tot_Suplrs":"1100","Tot_Suplr_Benes":"3340","Tot_Suplr_Clms":"14366","Tot_Suplr_Srvcs":"754222","Avg_Suplr_Sbmtd_Chrg":"1.6912838528","Avg_Suplr_Mdcr_Alowd_Amt":"0.2150992413","Avg_Suplr_Mdcr_Pymt_Amt":"0.1576757109","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1576691743"},{"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":"882","Tot_Suplrs":"369","Tot_Suplr_Benes":"1628","Tot_Suplr_Clms":"7019","Tot_Suplr_Srvcs":"340372","Avg_Suplr_Sbmtd_Chrg":"1.694186919","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155991386","Avg_Suplr_Mdcr_Pymt_Amt":"0.1580541878","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1580465491"},{"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":"364","Tot_Suplrs":"146","Tot_Suplr_Benes":"486","Tot_Suplr_Clms":"2393","Tot_Suplr_Srvcs":"109454","Avg_Suplr_Sbmtd_Chrg":"1.4633516363","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155395874","Avg_Suplr_Mdcr_Pymt_Amt":"0.1596721911","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1596631462"},{"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":"1394","Tot_Suplrs":"880","Tot_Suplr_Benes":"1937","Tot_Suplr_Clms":"8343","Tot_Suplr_Srvcs":"391376","Avg_Suplr_Sbmtd_Chrg":"1.9130039655","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155595387","Avg_Suplr_Mdcr_Pymt_Amt":"0.1586715844","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1586651966"},{"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":"79","Tot_Suplrs":"53","Tot_Suplr_Benes":"105","Tot_Suplr_Clms":"416","Tot_Suplr_Srvcs":"18225","Avg_Suplr_Sbmtd_Chrg":"1.4124159122","Avg_Suplr_Mdcr_Alowd_Amt":"0.2152647462","Avg_Suplr_Mdcr_Pymt_Amt":"0.1587851852","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1587758573"},{"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":"603","Tot_Suplrs":"309","Tot_Suplr_Benes":"1017","Tot_Suplr_Clms":"4350","Tot_Suplr_Srvcs":"209107","Avg_Suplr_Sbmtd_Chrg":"1.5480444461","Avg_Suplr_Mdcr_Alowd_Amt":"0.2153483145","Avg_Suplr_Mdcr_Pymt_Amt":"0.1580799304","Avg_Suplr_Mdcr_Stdzd_Amt":"0.158072231"},{"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":"186","Tot_Suplrs":"118","Tot_Suplr_Benes":"244","Tot_Suplr_Clms":"1305","Tot_Suplr_Srvcs":"58192","Avg_Suplr_Sbmtd_Chrg":"1.7782494157","Avg_Suplr_Mdcr_Alowd_Amt":"0.2148553066","Avg_Suplr_Mdcr_Pymt_Amt":"0.1571576849","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1571499519"},{"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":"1244","Tot_Suplrs":"714","Tot_Suplr_Benes":"2092","Tot_Suplr_Clms":"8235","Tot_Suplr_Srvcs":"423150","Avg_Suplr_Sbmtd_Chrg":"2.0018770885","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156521328","Avg_Suplr_Mdcr_Pymt_Amt":"0.1580984285","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1580921895"},{"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":"3303","Tot_Suplrs":"1743","Tot_Suplr_Benes":"6584","Tot_Suplr_Clms":"25860","Tot_Suplr_Srvcs":"1299146","Avg_Suplr_Sbmtd_Chrg":"1.6488667094","Avg_Suplr_Mdcr_Alowd_Amt":"0.2156646905","Avg_Suplr_Mdcr_Pymt_Amt":"0.159486709","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1594783958"},{"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":"138","Tot_Suplrs":"49","Tot_Suplr_Benes":"184","Tot_Suplr_Clms":"819","Tot_Suplr_Srvcs":"34226","Avg_Suplr_Sbmtd_Chrg":"1.3087004032","Avg_Suplr_Mdcr_Alowd_Amt":"0.2159215217","Avg_Suplr_Mdcr_Pymt_Amt":"0.1609545375","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1609358383"},{"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":"100","Tot_Suplrs":"62","Tot_Suplr_Benes":"108","Tot_Suplr_Clms":"486","Tot_Suplr_Srvcs":"20908","Avg_Suplr_Sbmtd_Chrg":"2.4530763344","Avg_Suplr_Mdcr_Alowd_Amt":"0.2160369237","Avg_Suplr_Mdcr_Pymt_Amt":"0.1539989478","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1539869906"},{"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":"1269","Tot_Suplrs":"698","Tot_Suplr_Benes":"2263","Tot_Suplr_Clms":"10122","Tot_Suplr_Srvcs":"470621","Avg_Suplr_Sbmtd_Chrg":"1.6708229552","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155001371","Avg_Suplr_Mdcr_Pymt_Amt":"0.1581378222","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1581272191"},{"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":"943","Tot_Suplrs":"452","Tot_Suplr_Benes":"1291","Tot_Suplr_Clms":"5410","Tot_Suplr_Srvcs":"249822","Avg_Suplr_Sbmtd_Chrg":"1.956879258","Avg_Suplr_Mdcr_Alowd_Amt":"0.2153471672","Avg_Suplr_Mdcr_Pymt_Amt":"0.1577005628","Avg_Suplr_Mdcr_Stdzd_Amt":"0.157691076"},{"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":"692","Tot_Suplrs":"382","Tot_Suplr_Benes":"1411","Tot_Suplr_Clms":"5891","Tot_Suplr_Srvcs":"299656","Avg_Suplr_Sbmtd_Chrg":"1.9871708225","Avg_Suplr_Mdcr_Alowd_Amt":"0.2155215981","Avg_Suplr_Mdcr_Pymt_Amt":"0.1553531716","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1553458966"},{"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":"739","Tot_Suplrs":"443","Tot_Suplr_Benes":"895","Tot_Suplr_Clms":"3814","Tot_Suplr_Srvcs":"186713","Avg_Suplr_Sbmtd_Chrg":"2.2873787578","Avg_Suplr_Mdcr_Alowd_Amt":"0.214986905","Avg_Suplr_Mdcr_Pymt_Amt":"0.157680665","Avg_Suplr_Mdcr_Stdzd_Amt":"0.157674238"},{"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":"101","Tot_Suplrs":"44","Tot_Suplr_Benes":"139","Tot_Suplr_Clms":"689","Tot_Suplr_Srvcs":"31687","Avg_Suplr_Sbmtd_Chrg":"1.3526136902","Avg_Suplr_Mdcr_Alowd_Amt":"0.215871493","Avg_Suplr_Mdcr_Pymt_Amt":"0.1590491369","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1590343043"},{"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":"178","Tot_Suplrs":"58","Tot_Suplr_Benes":"437","Tot_Suplr_Clms":"1293","Tot_Suplr_Srvcs":"63778","Avg_Suplr_Sbmtd_Chrg":"0.6140018502","Avg_Suplr_Mdcr_Alowd_Amt":"0.2145752454","Avg_Suplr_Mdcr_Pymt_Amt":"0.1626093637","Avg_Suplr_Mdcr_Stdzd_Amt":"0.1625918028"},{"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":"4146","Tot_Suplrs":"1545","Tot_Suplr_Benes":"5125","Tot_Suplr_Clms":"17011","Tot_Suplr_Srvcs":"912473","Avg_Suplr_Sbmtd_Chrg":"1.1276531799","Avg_Suplr_Mdcr_Alowd_Amt":"0.4450926219","Avg_Suplr_Mdcr_Pymt_Amt":"0.3397251426","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3744352764"},{"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":"21","Tot_Suplrs":"18","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"82","Tot_Suplr_Srvcs":"3343","Avg_Suplr_Sbmtd_Chrg":"1.3864403231","Avg_Suplr_Mdcr_Alowd_Amt":"0.4699491475","Avg_Suplr_Mdcr_Pymt_Amt":"0.3387915046","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3543134909"},{"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":"20","Tot_Suplrs":"10","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"2497","Avg_Suplr_Sbmtd_Chrg":"1.6183059672","Avg_Suplr_Mdcr_Alowd_Amt":"0.6364877853","Avg_Suplr_Mdcr_Pymt_Amt":"0.4953344013","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3804405286"},{"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":"92","Tot_Suplrs":"50","Tot_Suplr_Benes":"112","Tot_Suplr_Clms":"233","Tot_Suplr_Srvcs":"11974","Avg_Suplr_Sbmtd_Chrg":"0.8864489728","Avg_Suplr_Mdcr_Alowd_Amt":"0.3932069484","Avg_Suplr_Mdcr_Pymt_Amt":"0.2985251378","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3749966594"},{"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":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"10","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"4047","Avg_Suplr_Sbmtd_Chrg":"0.5220657277","Avg_Suplr_Mdcr_Alowd_Amt":"0.3750976032","Avg_Suplr_Mdcr_Pymt_Amt":"0.2726068693","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3532740301"},{"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":"462","Tot_Suplrs":"183","Tot_Suplr_Benes":"854","Tot_Suplr_Clms":"3640","Tot_Suplr_Srvcs":"112690","Avg_Suplr_Sbmtd_Chrg":"2.1932309877","Avg_Suplr_Mdcr_Alowd_Amt":"0.4830417073","Avg_Suplr_Mdcr_Pymt_Amt":"0.3719598012","Avg_Suplr_Mdcr_Stdzd_Amt":"0.376446801"},{"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":"67","Tot_Suplrs":"37","Tot_Suplr_Benes":"65","Tot_Suplr_Clms":"310","Tot_Suplr_Srvcs":"24191","Avg_Suplr_Sbmtd_Chrg":"1.2954520276","Avg_Suplr_Mdcr_Alowd_Amt":"0.4796672316","Avg_Suplr_Mdcr_Pymt_Amt":"0.3671414989","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3752974247"},{"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":"15","Tot_Suplrs":"15","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"52","Tot_Suplr_Srvcs":"2002","Avg_Suplr_Sbmtd_Chrg":"0.925959041","Avg_Suplr_Mdcr_Alowd_Amt":"0.4874525475","Avg_Suplr_Mdcr_Pymt_Amt":"0.3820879121","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3840909091"},{"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":"10","Tot_Suplrs":"9","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"35","Tot_Suplr_Srvcs":"2128","Avg_Suplr_Sbmtd_Chrg":"2.7770159774","Avg_Suplr_Mdcr_Alowd_Amt":"0.49","Avg_Suplr_Mdcr_Pymt_Amt":"0.3841165414","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3841212406"},{"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":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"45","Tot_Suplr_Srvcs":"2591","Avg_Suplr_Sbmtd_Chrg":"0.5753685836","Avg_Suplr_Mdcr_Alowd_Amt":"0.4744423003","Avg_Suplr_Mdcr_Pymt_Amt":"0.3719258973","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3841682748"},{"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":"108","Tot_Suplrs":"53","Tot_Suplr_Benes":"114","Tot_Suplr_Clms":"392","Tot_Suplr_Srvcs":"26142","Avg_Suplr_Sbmtd_Chrg":"1.0868717007","Avg_Suplr_Mdcr_Alowd_Amt":"0.4322783261","Avg_Suplr_Mdcr_Pymt_Amt":"0.3339358121","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3783700558"},{"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":"35","Tot_Suplrs":"25","Tot_Suplr_Benes":"37","Tot_Suplr_Clms":"150","Tot_Suplr_Srvcs":"10994","Avg_Suplr_Sbmtd_Chrg":"0.9252619611","Avg_Suplr_Mdcr_Alowd_Amt":"0.4885355649","Avg_Suplr_Mdcr_Pymt_Amt":"0.371896489","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3730452974"},{"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":"29","Tot_Suplrs":"19","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"109","Tot_Suplr_Srvcs":"4566","Avg_Suplr_Sbmtd_Chrg":"0.4970499343","Avg_Suplr_Mdcr_Alowd_Amt":"0.3512286465","Avg_Suplr_Mdcr_Pymt_Amt":"0.2694809461","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3785632939"},{"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":"185","Tot_Suplrs":"149","Tot_Suplr_Benes":"249","Tot_Suplr_Clms":"636","Tot_Suplr_Srvcs":"41097","Avg_Suplr_Sbmtd_Chrg":"1.01999854","Avg_Suplr_Mdcr_Alowd_Amt":"0.4231374553","Avg_Suplr_Mdcr_Pymt_Amt":"0.3238727888","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3763615349"},{"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":"109","Tot_Suplrs":"58","Tot_Suplr_Benes":"125","Tot_Suplr_Clms":"260","Tot_Suplr_Srvcs":"12121","Avg_Suplr_Sbmtd_Chrg":"1.1635327118","Avg_Suplr_Mdcr_Alowd_Amt":"0.4825534197","Avg_Suplr_Mdcr_Pymt_Amt":"0.3615460771","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3674416302"},{"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":"125","Tot_Suplrs":"73","Tot_Suplr_Benes":"184","Tot_Suplr_Clms":"485","Tot_Suplr_Srvcs":"19006","Avg_Suplr_Sbmtd_Chrg":"1.1558523624","Avg_Suplr_Mdcr_Alowd_Amt":"0.4815300431","Avg_Suplr_Mdcr_Pymt_Amt":"0.3626944123","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3693349469"},{"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":"55","Tot_Suplrs":"31","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"190","Tot_Suplr_Srvcs":"12897","Avg_Suplr_Sbmtd_Chrg":"1.5367899512","Avg_Suplr_Mdcr_Alowd_Amt":"0.4184259905","Avg_Suplr_Mdcr_Pymt_Amt":"0.3201318136","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3765643173"},{"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":"61","Tot_Suplrs":"52","Tot_Suplr_Benes":"69","Tot_Suplr_Clms":"205","Tot_Suplr_Srvcs":"9189","Avg_Suplr_Sbmtd_Chrg":"1.6885069104","Avg_Suplr_Mdcr_Alowd_Amt":"0.4391293938","Avg_Suplr_Mdcr_Pymt_Amt":"0.3323800196","Avg_Suplr_Mdcr_Stdzd_Amt":"0.370177386"},{"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":"17","Tot_Suplrs":"13","Tot_Suplr_Benes":"18","Tot_Suplr_Clms":"72","Tot_Suplr_Srvcs":"7952","Avg_Suplr_Sbmtd_Chrg":"1.2378797787","Avg_Suplr_Mdcr_Alowd_Amt":"0.4894668008","Avg_Suplr_Mdcr_Pymt_Amt":"0.365860161","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3662814386"},{"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":"83","Tot_Suplrs":"25","Tot_Suplr_Benes":"95","Tot_Suplr_Clms":"302","Tot_Suplr_Srvcs":"15352","Avg_Suplr_Sbmtd_Chrg":"1.3071860344","Avg_Suplr_Mdcr_Alowd_Amt":"0.4414310839","Avg_Suplr_Mdcr_Pymt_Amt":"0.3424517978","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3809549244"},{"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":"46","Tot_Suplrs":"33","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"125","Tot_Suplr_Srvcs":"6353","Avg_Suplr_Sbmtd_Chrg":"1.0145946797","Avg_Suplr_Mdcr_Alowd_Amt":"0.4853140249","Avg_Suplr_Mdcr_Pymt_Amt":"0.375369117","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3790461199"},{"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":"190","Tot_Suplrs":"66","Tot_Suplr_Benes":"199","Tot_Suplr_Clms":"633","Tot_Suplr_Srvcs":"30167","Avg_Suplr_Sbmtd_Chrg":"0.7868883217","Avg_Suplr_Mdcr_Alowd_Amt":"0.4687184672","Avg_Suplr_Mdcr_Pymt_Amt":"0.357975271","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3746557497"},{"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":"351","Tot_Suplrs":"119","Tot_Suplr_Benes":"593","Tot_Suplr_Clms":"1616","Tot_Suplr_Srvcs":"93639","Avg_Suplr_Sbmtd_Chrg":"0.5944911842","Avg_Suplr_Mdcr_Alowd_Amt":"0.3990106686","Avg_Suplr_Mdcr_Pymt_Amt":"0.3010252139","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3724295432"},{"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":"30","Tot_Suplrs":"10","Tot_Suplr_Benes":"30","Tot_Suplr_Clms":"127","Tot_Suplr_Srvcs":"11338","Avg_Suplr_Sbmtd_Chrg":"1.6811254189","Avg_Suplr_Mdcr_Alowd_Amt":"0.476981831","Avg_Suplr_Mdcr_Pymt_Amt":"0.3616775445","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3718874581"},{"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":"109","Tot_Suplrs":"88","Tot_Suplr_Benes":"120","Tot_Suplr_Clms":"416","Tot_Suplr_Srvcs":"23101","Avg_Suplr_Sbmtd_Chrg":"1.2139413878","Avg_Suplr_Mdcr_Alowd_Amt":"0.4660070993","Avg_Suplr_Mdcr_Pymt_Amt":"0.3482403359","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3672269599"},{"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":"12","Tot_Suplrs":"7","Tot_Suplr_Benes":"12","Tot_Suplr_Clms":"39","Tot_Suplr_Srvcs":"2106","Avg_Suplr_Sbmtd_Chrg":"1.1054748338","Avg_Suplr_Mdcr_Alowd_Amt":"0.4653846154","Avg_Suplr_Mdcr_Pymt_Amt":"0.3438556505","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3631718898"},{"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":"53","Tot_Suplrs":"28","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"218","Tot_Suplr_Srvcs":"11047","Avg_Suplr_Sbmtd_Chrg":"0.9049307504","Avg_Suplr_Mdcr_Alowd_Amt":"0.4790522314","Avg_Suplr_Mdcr_Pymt_Amt":"0.3553263329","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3640400109"},{"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":"18","Tot_Suplrs":"14","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"61","Tot_Suplr_Srvcs":"3809","Avg_Suplr_Sbmtd_Chrg":"0.7984274088","Avg_Suplr_Mdcr_Alowd_Amt":"0.428697821","Avg_Suplr_Mdcr_Pymt_Amt":"0.3252165923","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3732790759"},{"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":"15","Tot_Suplrs":"8","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"2586","Avg_Suplr_Sbmtd_Chrg":"0.8364694509","Avg_Suplr_Mdcr_Alowd_Amt":"0.4718020108","Avg_Suplr_Mdcr_Pymt_Amt":"0.3698955916","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3841569992"},{"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":"176","Tot_Suplrs":"20","Tot_Suplr_Benes":"211","Tot_Suplr_Clms":"671","Tot_Suplr_Srvcs":"33859","Avg_Suplr_Sbmtd_Chrg":"1.2868640539","Avg_Suplr_Mdcr_Alowd_Amt":"0.4878791459","Avg_Suplr_Mdcr_Pymt_Amt":"0.378369119","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3800330784"},{"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":"A4216","HCPCS_Desc":"Sterile water, saline and\/or dextrose, diluent\/flush, 10 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"11","Tot_Suplrs":"7","Tot_Suplr_Benes":"11","Tot_Suplr_Clms":"24","Tot_Suplr_Srvcs":"2193","Avg_Suplr_Sbmtd_Chrg":"0.5437665299","Avg_Suplr_Mdcr_Alowd_Amt":"0.4898084815","Avg_Suplr_Mdcr_Pymt_Amt":"0.3840127679","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3841632467"},{"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":"222","Tot_Suplrs":"59","Tot_Suplr_Benes":"241","Tot_Suplr_Clms":"903","Tot_Suplr_Srvcs":"63348","Avg_Suplr_Sbmtd_Chrg":"0.6556472185","Avg_Suplr_Mdcr_Alowd_Amt":"0.4487930164","Avg_Suplr_Mdcr_Pymt_Amt":"0.3504101156","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3827015849"},{"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":"139","Tot_Suplrs":"45","Tot_Suplr_Benes":"163","Tot_Suplr_Clms":"566","Tot_Suplr_Srvcs":"34491","Avg_Suplr_Sbmtd_Chrg":"1.0896515033","Avg_Suplr_Mdcr_Alowd_Amt":"0.4398935954","Avg_Suplr_Mdcr_Pymt_Amt":"0.3334194428","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3714998115"},{"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":"23","Tot_Suplrs":"14","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"86","Tot_Suplr_Srvcs":"4188","Avg_Suplr_Sbmtd_Chrg":"0.968061127","Avg_Suplr_Mdcr_Alowd_Amt":"0.4790019102","Avg_Suplr_Mdcr_Pymt_Amt":"0.3634192932","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3721704871"},{"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":"207","Tot_Suplrs":"125","Tot_Suplr_Benes":"214","Tot_Suplr_Clms":"571","Tot_Suplr_Srvcs":"30743","Avg_Suplr_Sbmtd_Chrg":"0.9485928504","Avg_Suplr_Mdcr_Alowd_Amt":"0.4125082133","Avg_Suplr_Mdcr_Pymt_Amt":"0.3041245162","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3607575708"},{"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":"21","Tot_Suplrs":"16","Tot_Suplr_Benes":"23","Tot_Suplr_Clms":"70","Tot_Suplr_Srvcs":"5054","Avg_Suplr_Sbmtd_Chrg":"0.7849980214","Avg_Suplr_Mdcr_Alowd_Amt":"0.4106687772","Avg_Suplr_Mdcr_Pymt_Amt":"0.3172872972","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3796873763"},{"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":"66","Tot_Suplrs":"46","Tot_Suplr_Benes":"78","Tot_Suplr_Clms":"230","Tot_Suplr_Srvcs":"11849","Avg_Suplr_Sbmtd_Chrg":"0.8011646552","Avg_Suplr_Mdcr_Alowd_Amt":"0.4172875348","Avg_Suplr_Mdcr_Pymt_Amt":"0.3135100008","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3709772977"},{"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":"189","Tot_Suplrs":"59","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"532","Tot_Suplr_Srvcs":"32152","Avg_Suplr_Sbmtd_Chrg":"1.1858596666","Avg_Suplr_Mdcr_Alowd_Amt":"0.4809038318","Avg_Suplr_Mdcr_Pymt_Amt":"0.368626213","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3755567305"},{"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":"52","Tot_Suplrs":"19","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"155","Tot_Suplr_Srvcs":"7934","Avg_Suplr_Sbmtd_Chrg":"0.8432228384","Avg_Suplr_Mdcr_Alowd_Amt":"0.4544164356","Avg_Suplr_Mdcr_Pymt_Amt":"0.3463826569","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3730362995"},{"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":"31","Tot_Suplrs":"17","Tot_Suplr_Benes":"26","Tot_Suplr_Clms":"91","Tot_Suplr_Srvcs":"3090","Avg_Suplr_Sbmtd_Chrg":"1.3400226537","Avg_Suplr_Mdcr_Alowd_Amt":"0.4435307443","Avg_Suplr_Mdcr_Pymt_Amt":"0.3393009709","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3753754045"},{"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":"64","Tot_Suplrs":"23","Tot_Suplr_Benes":"66","Tot_Suplr_Clms":"275","Tot_Suplr_Srvcs":"26867","Avg_Suplr_Sbmtd_Chrg":"1.0492503815","Avg_Suplr_Mdcr_Alowd_Amt":"0.4365764693","Avg_Suplr_Mdcr_Pymt_Amt":"0.3285644099","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3703800201"},{"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":"210","Tot_Suplrs":"72","Tot_Suplr_Benes":"235","Tot_Suplr_Clms":"844","Tot_Suplr_Srvcs":"65878","Avg_Suplr_Sbmtd_Chrg":"0.8209522147","Avg_Suplr_Mdcr_Alowd_Amt":"0.4125439449","Avg_Suplr_Mdcr_Pymt_Amt":"0.3168960806","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3774958256"},{"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":"39","Tot_Suplrs":"17","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"6358","Avg_Suplr_Sbmtd_Chrg":"1.7020949984","Avg_Suplr_Mdcr_Alowd_Amt":"0.2951053791","Avg_Suplr_Mdcr_Pymt_Amt":"0.2275023592","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3813557723"},{"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":"74","Tot_Suplrs":"32","Tot_Suplr_Benes":"76","Tot_Suplr_Clms":"244","Tot_Suplr_Srvcs":"13833","Avg_Suplr_Sbmtd_Chrg":"1.1807872479","Avg_Suplr_Mdcr_Alowd_Amt":"0.4565943758","Avg_Suplr_Mdcr_Pymt_Amt":"0.3521267982","Avg_Suplr_Mdcr_Stdzd_Amt":"0.377926697"},{"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":"103","Tot_Suplrs":"66","Tot_Suplr_Benes":"120","Tot_Suplr_Clms":"485","Tot_Suplr_Srvcs":"29104","Avg_Suplr_Sbmtd_Chrg":"0.8435493403","Avg_Suplr_Mdcr_Alowd_Amt":"0.403523227","Avg_Suplr_Mdcr_Pymt_Amt":"0.305877199","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3722130979"},{"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":"13","Tot_Suplrs":"12","Tot_Suplr_Benes":"15","Tot_Suplr_Clms":"43","Tot_Suplr_Srvcs":"2609","Avg_Suplr_Sbmtd_Chrg":"1.3362131085","Avg_Suplr_Mdcr_Alowd_Amt":"0.4675776159","Avg_Suplr_Mdcr_Pymt_Amt":"0.3569796857","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3747911077"},{"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":"148","Tot_Suplrs":"87","Tot_Suplr_Benes":"155","Tot_Suplr_Clms":"499","Tot_Suplr_Srvcs":"28266","Avg_Suplr_Sbmtd_Chrg":"0.9300364395","Avg_Suplr_Mdcr_Alowd_Amt":"0.444213189","Avg_Suplr_Mdcr_Pymt_Amt":"0.33846211","Avg_Suplr_Mdcr_Stdzd_Amt":"0.3718552324"},{"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":"6","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"18","Tot_Suplr_Srvcs":"858","Avg_Suplr_Sbmtd_Chrg":"1.5048834499","Avg_Suplr_Mdcr_Alowd_Amt":"0.49","Avg_Suplr_Mdcr_Pymt_Amt":"0.374965035","Avg_Suplr_Mdcr_Stdzd_Amt":"0.374965035"},{"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":"4328","Tot_Suplrs":"1074","Tot_Suplr_Benes":"5348","Tot_Suplr_Clms":"19320","Tot_Suplr_Srvcs":"401342","Avg_Suplr_Sbmtd_Chrg":"5.4169949071","Avg_Suplr_Mdcr_Alowd_Amt":"3.0538979972","Avg_Suplr_Mdcr_Pymt_Amt":"2.3373396256","Avg_Suplr_Mdcr_Stdzd_Amt":"2.630226515"},{"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":"25","Tot_Suplrs":"20","Tot_Suplr_Benes":"28","Tot_Suplr_Clms":"156","Tot_Suplr_Srvcs":"2641","Avg_Suplr_Sbmtd_Chrg":"6.2032374101","Avg_Suplr_Mdcr_Alowd_Amt":"2.9093790231","Avg_Suplr_Mdcr_Pymt_Amt":"2.1879666793","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6315410829"},{"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":"17","Tot_Suplrs":"5","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"49","Tot_Suplr_Srvcs":"2195","Avg_Suplr_Sbmtd_Chrg":"3.3684464692","Avg_Suplr_Mdcr_Alowd_Amt":"1.7","Avg_Suplr_Mdcr_Pymt_Amt":"1.2532482916","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5738496583"},{"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":"51","Tot_Suplrs":"26","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"181","Tot_Suplr_Srvcs":"3717","Avg_Suplr_Sbmtd_Chrg":"5.2343341404","Avg_Suplr_Mdcr_Alowd_Amt":"3.1713962873","Avg_Suplr_Mdcr_Pymt_Amt":"2.3988969599","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6330616088"},{"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":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"20","Tot_Suplrs":"14","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"54","Tot_Suplr_Srvcs":"605","Avg_Suplr_Sbmtd_Chrg":"4.5396528926","Avg_Suplr_Mdcr_Alowd_Amt":"3.4508264463","Avg_Suplr_Mdcr_Pymt_Amt":"2.6963140496","Avg_Suplr_Mdcr_Stdzd_Amt":"2.711322314"},{"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":"304","Tot_Suplrs":"68","Tot_Suplr_Benes":"1268","Tot_Suplr_Clms":"1883","Tot_Suplr_Srvcs":"15554","Avg_Suplr_Sbmtd_Chrg":"13.418816382","Avg_Suplr_Mdcr_Alowd_Amt":"2.3982718272","Avg_Suplr_Mdcr_Pymt_Amt":"1.8599112768","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6116143757"},{"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":"70","Tot_Suplrs":"31","Tot_Suplr_Benes":"65","Tot_Suplr_Clms":"307","Tot_Suplr_Srvcs":"6438","Avg_Suplr_Sbmtd_Chrg":"6.4594377136","Avg_Suplr_Mdcr_Alowd_Amt":"3.3890711401","Avg_Suplr_Mdcr_Pymt_Amt":"2.5261851507","Avg_Suplr_Mdcr_Stdzd_Amt":"2.589731283"},{"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":"128","Tot_Suplrs":"26","Tot_Suplr_Benes":"136","Tot_Suplr_Clms":"359","Tot_Suplr_Srvcs":"4099","Avg_Suplr_Sbmtd_Chrg":"5.0559526714","Avg_Suplr_Mdcr_Alowd_Amt":"3.4471041717","Avg_Suplr_Mdcr_Pymt_Amt":"2.6353622835","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6533252013"},{"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":"37","Tot_Suplrs":"13","Tot_Suplr_Benes":"31","Tot_Suplr_Clms":"173","Tot_Suplr_Srvcs":"2837","Avg_Suplr_Sbmtd_Chrg":"8.2496721889","Avg_Suplr_Mdcr_Alowd_Amt":"3.4694501234","Avg_Suplr_Mdcr_Pymt_Amt":"2.7181142051","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7185442369"},{"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":"18","Tot_Suplrs":"13","Tot_Suplr_Benes":"21","Tot_Suplr_Clms":"58","Tot_Suplr_Srvcs":"622","Avg_Suplr_Sbmtd_Chrg":"3.6008038585","Avg_Suplr_Mdcr_Alowd_Amt":"3.228681672","Avg_Suplr_Mdcr_Pymt_Amt":"2.531221865","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7203054662"},{"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":"96","Tot_Suplrs":"43","Tot_Suplr_Benes":"89","Tot_Suplr_Clms":"365","Tot_Suplr_Srvcs":"7798","Avg_Suplr_Sbmtd_Chrg":"4.7024570403","Avg_Suplr_Mdcr_Alowd_Amt":"3.3546024622","Avg_Suplr_Mdcr_Pymt_Amt":"2.5871531162","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6776378559"},{"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":"18","Tot_Suplrs":"15","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"101","Tot_Suplr_Srvcs":"1300","Avg_Suplr_Sbmtd_Chrg":"6.9212153846","Avg_Suplr_Mdcr_Alowd_Amt":"3.3226615385","Avg_Suplr_Mdcr_Pymt_Amt":"2.4964615385","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6119153846"},{"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":"16","Tot_Suplrs":"4","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"993","Avg_Suplr_Sbmtd_Chrg":"2.3301913394","Avg_Suplr_Mdcr_Alowd_Amt":"2.1466163142","Avg_Suplr_Mdcr_Pymt_Amt":"1.551570997","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6225176234"},{"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":"57","Tot_Suplrs":"25","Tot_Suplr_Benes":"60","Tot_Suplr_Clms":"301","Tot_Suplr_Srvcs":"4976","Avg_Suplr_Sbmtd_Chrg":"3.3411153537","Avg_Suplr_Mdcr_Alowd_Amt":"2.6195558682","Avg_Suplr_Mdcr_Pymt_Amt":"1.9123392283","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5735771704"},{"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":"70","Tot_Suplrs":"35","Tot_Suplr_Benes":"70","Tot_Suplr_Clms":"324","Tot_Suplr_Srvcs":"5215","Avg_Suplr_Sbmtd_Chrg":"7.2249568552","Avg_Suplr_Mdcr_Alowd_Amt":"3.2878638543","Avg_Suplr_Mdcr_Pymt_Amt":"2.502084372","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6476471716"},{"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":"63","Tot_Suplrs":"27","Tot_Suplr_Benes":"59","Tot_Suplr_Clms":"198","Tot_Suplr_Srvcs":"2219","Avg_Suplr_Sbmtd_Chrg":"6.715488959","Avg_Suplr_Mdcr_Alowd_Amt":"3.3125281658","Avg_Suplr_Mdcr_Pymt_Amt":"2.5577467328","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6811762055"},{"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":"73","Tot_Suplrs":"32","Tot_Suplr_Benes":"72","Tot_Suplr_Clms":"225","Tot_Suplr_Srvcs":"3100","Avg_Suplr_Sbmtd_Chrg":"5.7856870968","Avg_Suplr_Mdcr_Alowd_Amt":"3.3629870968","Avg_Suplr_Mdcr_Pymt_Amt":"2.4087322581","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4867032258"},{"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":"59","Tot_Suplrs":"25","Tot_Suplr_Benes":"55","Tot_Suplr_Clms":"212","Tot_Suplr_Srvcs":"5964","Avg_Suplr_Sbmtd_Chrg":"7.9553772636","Avg_Suplr_Mdcr_Alowd_Amt":"2.8205717639","Avg_Suplr_Mdcr_Pymt_Amt":"2.1829644534","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6513128773"},{"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":"37","Tot_Suplrs":"24","Tot_Suplr_Benes":"35","Tot_Suplr_Clms":"153","Tot_Suplr_Srvcs":"2429","Avg_Suplr_Sbmtd_Chrg":"5.4420872787","Avg_Suplr_Mdcr_Alowd_Amt":"3.0382667765","Avg_Suplr_Mdcr_Pymt_Amt":"2.3572334294","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6968834911"},{"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":"20","Tot_Suplrs":"15","Tot_Suplr_Benes":"19","Tot_Suplr_Clms":"62","Tot_Suplr_Srvcs":"947","Avg_Suplr_Sbmtd_Chrg":"7.7481626188","Avg_Suplr_Mdcr_Alowd_Amt":"3.1274973601","Avg_Suplr_Mdcr_Pymt_Amt":"2.2352270327","Avg_Suplr_Mdcr_Stdzd_Amt":"2.2388278775"},{"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":"26","Tot_Suplrs":"12","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"75","Tot_Suplr_Srvcs":"1983","Avg_Suplr_Sbmtd_Chrg":"6.7564750378","Avg_Suplr_Mdcr_Alowd_Amt":"2.9048361069","Avg_Suplr_Mdcr_Pymt_Amt":"2.2394704992","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6901765003"},{"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":"95","Tot_Suplrs":"39","Tot_Suplr_Benes":"93","Tot_Suplr_Clms":"294","Tot_Suplr_Srvcs":"3695","Avg_Suplr_Sbmtd_Chrg":"5.8357916103","Avg_Suplr_Mdcr_Alowd_Amt":"3.4091826793","Avg_Suplr_Mdcr_Pymt_Amt":"2.6333721245","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6811285521"},{"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":"162","Tot_Suplrs":"53","Tot_Suplr_Benes":"171","Tot_Suplr_Clms":"685","Tot_Suplr_Srvcs":"10549","Avg_Suplr_Sbmtd_Chrg":"5.2089743104","Avg_Suplr_Mdcr_Alowd_Amt":"2.9271997346","Avg_Suplr_Mdcr_Pymt_Amt":"2.2263854394","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6463958669"},{"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":"62","Tot_Suplrs":"31","Tot_Suplr_Benes":"56","Tot_Suplr_Clms":"231","Tot_Suplr_Srvcs":"7585","Avg_Suplr_Sbmtd_Chrg":"2.5869716546","Avg_Suplr_Mdcr_Alowd_Amt":"2.0200171391","Avg_Suplr_Mdcr_Pymt_Amt":"1.5294317732","Avg_Suplr_Mdcr_Stdzd_Amt":"1.6785603164"},{"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":"244","Tot_Suplrs":"40","Tot_Suplr_Benes":"278","Tot_Suplr_Clms":"1321","Tot_Suplr_Srvcs":"29249","Avg_Suplr_Sbmtd_Chrg":"4.7911125167","Avg_Suplr_Mdcr_Alowd_Amt":"3.4508130192","Avg_Suplr_Mdcr_Pymt_Amt":"2.6572057164","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6723231563"},{"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":"45","Tot_Suplrs":"22","Tot_Suplr_Benes":"46","Tot_Suplr_Clms":"231","Tot_Suplr_Srvcs":"3776","Avg_Suplr_Sbmtd_Chrg":"4.7196398305","Avg_Suplr_Mdcr_Alowd_Amt":"3.0826880297","Avg_Suplr_Mdcr_Pymt_Amt":"2.3596027542","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6631170551"},{"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":"108","Tot_Suplrs":"50","Tot_Suplr_Benes":"105","Tot_Suplr_Clms":"398","Tot_Suplr_Srvcs":"7319","Avg_Suplr_Sbmtd_Chrg":"4.9734485585","Avg_Suplr_Mdcr_Alowd_Amt":"2.9347670447","Avg_Suplr_Mdcr_Pymt_Amt":"2.1788809947","Avg_Suplr_Mdcr_Stdzd_Amt":"2.5841686023"},{"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":"25","Tot_Suplrs":"13","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"1883","Avg_Suplr_Sbmtd_Chrg":"4.3555655868","Avg_Suplr_Mdcr_Alowd_Amt":"2.640488582","Avg_Suplr_Mdcr_Pymt_Amt":"2.004747743","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6669888476"},{"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":"29","Tot_Suplrs":"12","Tot_Suplr_Benes":"27","Tot_Suplr_Clms":"116","Tot_Suplr_Srvcs":"5089","Avg_Suplr_Sbmtd_Chrg":"4.1901355866","Avg_Suplr_Mdcr_Alowd_Amt":"2.8763706033","Avg_Suplr_Mdcr_Pymt_Amt":"2.2295224995","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6949302417"},{"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":"26","Tot_Suplrs":"15","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"155","Tot_Suplr_Srvcs":"2981","Avg_Suplr_Sbmtd_Chrg":"3.8905467964","Avg_Suplr_Mdcr_Alowd_Amt":"2.9382086548","Avg_Suplr_Mdcr_Pymt_Amt":"2.2813485408","Avg_Suplr_Mdcr_Stdzd_Amt":"2.697601476"},{"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":"31","Tot_Suplrs":"14","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"99","Tot_Suplr_Srvcs":"2607","Avg_Suplr_Sbmtd_Chrg":"3.4816263905","Avg_Suplr_Mdcr_Alowd_Amt":"2.8705868815","Avg_Suplr_Mdcr_Pymt_Amt":"2.1544188723","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6111622555"},{"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":"161","Tot_Suplrs":"51","Tot_Suplr_Benes":"171","Tot_Suplr_Clms":"656","Tot_Suplr_Srvcs":"16041","Avg_Suplr_Sbmtd_Chrg":"4.3508634125","Avg_Suplr_Mdcr_Alowd_Amt":"3.3733844523","Avg_Suplr_Mdcr_Pymt_Amt":"2.6321513621","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7087376099"},{"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":"9","Tot_Suplrs":"5","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"28","Tot_Suplr_Srvcs":"1217","Avg_Suplr_Sbmtd_Chrg":"7.233590797","Avg_Suplr_Mdcr_Alowd_Amt":"3.4608216927","Avg_Suplr_Mdcr_Pymt_Amt":"2.7132785538","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7204683648"},{"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":"609","Tot_Suplrs":"119","Tot_Suplr_Benes":"661","Tot_Suplr_Clms":"3006","Tot_Suplr_Srvcs":"70685","Avg_Suplr_Sbmtd_Chrg":"4.1931636132","Avg_Suplr_Mdcr_Alowd_Amt":"2.9514587253","Avg_Suplr_Mdcr_Pymt_Amt":"2.2933827545","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7005043503"},{"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":"215","Tot_Suplrs":"66","Tot_Suplr_Benes":"235","Tot_Suplr_Clms":"1183","Tot_Suplr_Srvcs":"41516","Avg_Suplr_Sbmtd_Chrg":"6.6659413238","Avg_Suplr_Mdcr_Alowd_Amt":"2.8885480297","Avg_Suplr_Mdcr_Pymt_Amt":"2.2119484054","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6639461894"},{"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":"38","Tot_Suplrs":"8","Tot_Suplr_Benes":"39","Tot_Suplr_Clms":"143","Tot_Suplr_Srvcs":"2036","Avg_Suplr_Sbmtd_Chrg":"2.9783791749","Avg_Suplr_Mdcr_Alowd_Amt":"2.5298133595","Avg_Suplr_Mdcr_Pymt_Amt":"1.8367337917","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4763261297"},{"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":"156","Tot_Suplrs":"65","Tot_Suplr_Benes":"147","Tot_Suplr_Clms":"647","Tot_Suplr_Srvcs":"13362","Avg_Suplr_Sbmtd_Chrg":"5.0223304894","Avg_Suplr_Mdcr_Alowd_Amt":"3.4066314923","Avg_Suplr_Mdcr_Pymt_Amt":"2.5680728933","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6192501123"},{"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":"A4217","HCPCS_Desc":"Sterile water\/saline, 500 ml","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"32","Tot_Suplrs":"15","Tot_Suplr_Benes":"33","Tot_Suplr_Clms":"153","Tot_Suplr_Srvcs":"1387","Avg_Suplr_Sbmtd_Chrg":"5.4682335977","Avg_Suplr_Mdcr_Alowd_Amt":"2.8237490988","Avg_Suplr_Mdcr_Pymt_Amt":"1.8834679164","Avg_Suplr_Mdcr_Stdzd_Amt":"2.2940447008"},{"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":"72","Tot_Suplrs":"30","Tot_Suplr_Benes":"83","Tot_Suplr_Clms":"298","Tot_Suplr_Srvcs":"7014","Avg_Suplr_Sbmtd_Chrg":"3.9577559167","Avg_Suplr_Mdcr_Alowd_Amt":"3.4025491873","Avg_Suplr_Mdcr_Pymt_Amt":"2.6469988594","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6999215854"},{"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":"167","Tot_Suplrs":"76","Tot_Suplr_Benes":"170","Tot_Suplr_Clms":"589","Tot_Suplr_Srvcs":"10946","Avg_Suplr_Sbmtd_Chrg":"4.9214005116","Avg_Suplr_Mdcr_Alowd_Amt":"3.0570655947","Avg_Suplr_Mdcr_Pymt_Amt":"2.31712315","Avg_Suplr_Mdcr_Stdzd_Amt":"2.4079197881"},{"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":"16","Tot_Suplrs":"3","Tot_Suplr_Benes":"16","Tot_Suplr_Clms":"65","Tot_Suplr_Srvcs":"1522","Avg_Suplr_Sbmtd_Chrg":"2.9169908016","Avg_Suplr_Mdcr_Alowd_Amt":"2.9017477004","Avg_Suplr_Mdcr_Pymt_Amt":"2.2749145861","Avg_Suplr_Mdcr_Stdzd_Amt":"2.720413929"},{"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":"52","Tot_Suplrs":"27","Tot_Suplr_Benes":"65","Tot_Suplr_Clms":"238","Tot_Suplr_Srvcs":"2861","Avg_Suplr_Sbmtd_Chrg":"4.9024257253","Avg_Suplr_Mdcr_Alowd_Amt":"3.107042992","Avg_Suplr_Mdcr_Pymt_Amt":"2.4202132122","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7037154841"},{"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":"26","Tot_Suplrs":"10","Tot_Suplr_Benes":"22","Tot_Suplr_Clms":"80","Tot_Suplr_Srvcs":"1434","Avg_Suplr_Sbmtd_Chrg":"4.1021059972","Avg_Suplr_Mdcr_Alowd_Amt":"3.4265969317","Avg_Suplr_Mdcr_Pymt_Amt":"2.6827196653","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7167991632"},{"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":"50","Tot_Suplrs":"28","Tot_Suplr_Benes":"58","Tot_Suplr_Clms":"268","Tot_Suplr_Srvcs":"4992","Avg_Suplr_Sbmtd_Chrg":"5.9314583333","Avg_Suplr_Mdcr_Alowd_Amt":"2.9026442308","Avg_Suplr_Mdcr_Pymt_Amt":"2.2360917468","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6567528045"},{"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":"131","Tot_Suplrs":"65","Tot_Suplr_Benes":"141","Tot_Suplr_Clms":"537","Tot_Suplr_Srvcs":"7179","Avg_Suplr_Sbmtd_Chrg":"5.2570302271","Avg_Suplr_Mdcr_Alowd_Amt":"3.1509012397","Avg_Suplr_Mdcr_Pymt_Amt":"2.3636258532","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6138556902"},{"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":"41","Tot_Suplrs":"17","Tot_Suplr_Benes":"38","Tot_Suplr_Clms":"146","Tot_Suplr_Srvcs":"1622","Avg_Suplr_Sbmtd_Chrg":"5.4469667078","Avg_Suplr_Mdcr_Alowd_Amt":"2.9064241677","Avg_Suplr_Mdcr_Pymt_Amt":"2.2113563502","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6550739827"},{"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":"17","Tot_Suplrs":"9","Tot_Suplr_Benes":"17","Tot_Suplr_Clms":"106","Tot_Suplr_Srvcs":"3519","Avg_Suplr_Sbmtd_Chrg":"5.1096504689","Avg_Suplr_Mdcr_Alowd_Amt":"3.159940324","Avg_Suplr_Mdcr_Pymt_Amt":"2.3680193237","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6120005683"},{"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":"167","Tot_Suplrs":"49","Tot_Suplr_Benes":"162","Tot_Suplr_Clms":"743","Tot_Suplr_Srvcs":"20973","Avg_Suplr_Sbmtd_Chrg":"5.9637395699","Avg_Suplr_Mdcr_Alowd_Amt":"3.1214394698","Avg_Suplr_Mdcr_Pymt_Amt":"2.3685991513","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6375654413"},{"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":"143","Tot_Suplrs":"61","Tot_Suplr_Benes":"148","Tot_Suplr_Clms":"607","Tot_Suplr_Srvcs":"15937","Avg_Suplr_Sbmtd_Chrg":"4.9286597227","Avg_Suplr_Mdcr_Alowd_Amt":"3.1793900985","Avg_Suplr_Mdcr_Pymt_Amt":"2.4192288386","Avg_Suplr_Mdcr_Stdzd_Amt":"2.651198469"},{"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":"21","Tot_Suplrs":"12","Tot_Suplr_Benes":"20","Tot_Suplr_Clms":"95","Tot_Suplr_Srvcs":"1982","Avg_Suplr_Sbmtd_Chrg":"7.6695862765","Avg_Suplr_Mdcr_Alowd_Amt":"3.47","Avg_Suplr_Mdcr_Pymt_Amt":"2.6808779011","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6808779011"},{"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":"166","Tot_Suplrs":"53","Tot_Suplr_Benes":"149","Tot_Suplr_Clms":"735","Tot_Suplr_Srvcs":"24445","Avg_Suplr_Sbmtd_Chrg":"4.9607891184","Avg_Suplr_Mdcr_Alowd_Amt":"3.2401399059","Avg_Suplr_Mdcr_Pymt_Amt":"2.4757038249","Avg_Suplr_Mdcr_Stdzd_Amt":"2.6345187155"},{"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":"4","Tot_Suplrs":"3","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"11","Tot_Suplr_Srvcs":"89","Avg_Suplr_Sbmtd_Chrg":"8.2519101124","Avg_Suplr_Mdcr_Alowd_Amt":"3.47","Avg_Suplr_Mdcr_Pymt_Amt":"2.7206741573","Avg_Suplr_Mdcr_Stdzd_Amt":"2.7206741573"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"23649","Tot_Suplrs":"943","Tot_Suplr_Benes":"78866","Tot_Suplr_Clms":"336750","Tot_Suplr_Srvcs":"2375721","Avg_Suplr_Sbmtd_Chrg":"74.992040378","Avg_Suplr_Mdcr_Alowd_Amt":"21.762280234","Avg_Suplr_Mdcr_Pymt_Amt":"16.629799833","Avg_Suplr_Mdcr_Stdzd_Amt":"16.822001098"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"435","Tot_Suplrs":"82","Tot_Suplr_Benes":"2056","Tot_Suplr_Clms":"7705","Tot_Suplr_Srvcs":"64479","Avg_Suplr_Sbmtd_Chrg":"69.793559919","Avg_Suplr_Mdcr_Alowd_Amt":"22.053854123","Avg_Suplr_Mdcr_Pymt_Amt":"16.73683804","Avg_Suplr_Mdcr_Stdzd_Amt":"16.756777245"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"72","Tot_Suplrs":"16","Tot_Suplr_Benes":"161","Tot_Suplr_Clms":"564","Tot_Suplr_Srvcs":"4016","Avg_Suplr_Sbmtd_Chrg":"48.019882968","Avg_Suplr_Mdcr_Alowd_Amt":"21.926157869","Avg_Suplr_Mdcr_Pymt_Amt":"16.738481076","Avg_Suplr_Mdcr_Stdzd_Amt":"16.813782371"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"489","Tot_Suplrs":"67","Tot_Suplr_Benes":"1502","Tot_Suplr_Clms":"5633","Tot_Suplr_Srvcs":"46148","Avg_Suplr_Sbmtd_Chrg":"59.4760514","Avg_Suplr_Mdcr_Alowd_Amt":"21.767100849","Avg_Suplr_Mdcr_Pymt_Amt":"16.688301335","Avg_Suplr_Mdcr_Stdzd_Amt":"16.880288853"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"322","Tot_Suplrs":"45","Tot_Suplr_Benes":"1200","Tot_Suplr_Clms":"4802","Tot_Suplr_Srvcs":"34294","Avg_Suplr_Sbmtd_Chrg":"73.990649676","Avg_Suplr_Mdcr_Alowd_Amt":"22.005619934","Avg_Suplr_Mdcr_Pymt_Amt":"16.72481921","Avg_Suplr_Mdcr_Stdzd_Amt":"16.732828775"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1578","Tot_Suplrs":"141","Tot_Suplr_Benes":"4502","Tot_Suplr_Clms":"18355","Tot_Suplr_Srvcs":"134818","Avg_Suplr_Sbmtd_Chrg":"70.402846207","Avg_Suplr_Mdcr_Alowd_Amt":"21.388593289","Avg_Suplr_Mdcr_Pymt_Amt":"16.360987034","Avg_Suplr_Mdcr_Stdzd_Amt":"16.834102568"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"414","Tot_Suplrs":"52","Tot_Suplr_Benes":"1128","Tot_Suplr_Clms":"4130","Tot_Suplr_Srvcs":"34574","Avg_Suplr_Sbmtd_Chrg":"67.644208365","Avg_Suplr_Mdcr_Alowd_Amt":"21.988568578","Avg_Suplr_Mdcr_Pymt_Amt":"16.700352288","Avg_Suplr_Mdcr_Stdzd_Amt":"16.7219049"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"272","Tot_Suplrs":"43","Tot_Suplr_Benes":"758","Tot_Suplr_Clms":"3476","Tot_Suplr_Srvcs":"22873","Avg_Suplr_Sbmtd_Chrg":"100.06557863","Avg_Suplr_Mdcr_Alowd_Amt":"21.904848949","Avg_Suplr_Mdcr_Pymt_Amt":"16.753519871","Avg_Suplr_Mdcr_Stdzd_Amt":"16.821798627"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"88","Tot_Suplrs":"35","Tot_Suplr_Benes":"411","Tot_Suplr_Clms":"2061","Tot_Suplr_Srvcs":"9461","Avg_Suplr_Sbmtd_Chrg":"89.578118592","Avg_Suplr_Mdcr_Alowd_Amt":"21.470841349","Avg_Suplr_Mdcr_Pymt_Amt":"16.627601733","Avg_Suplr_Mdcr_Stdzd_Amt":"16.892755523"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"74","Tot_Suplrs":"27","Tot_Suplr_Benes":"231","Tot_Suplr_Clms":"1453","Tot_Suplr_Srvcs":"4237","Avg_Suplr_Sbmtd_Chrg":"73.279006372","Avg_Suplr_Mdcr_Alowd_Amt":"21.678513099","Avg_Suplr_Mdcr_Pymt_Amt":"16.672383762","Avg_Suplr_Mdcr_Stdzd_Amt":"16.702964362"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1364","Tot_Suplrs":"147","Tot_Suplr_Benes":"5859","Tot_Suplr_Clms":"25085","Tot_Suplr_Srvcs":"185777","Avg_Suplr_Sbmtd_Chrg":"86.426351863","Avg_Suplr_Mdcr_Alowd_Amt":"21.689803582","Avg_Suplr_Mdcr_Pymt_Amt":"16.735520759","Avg_Suplr_Mdcr_Stdzd_Amt":"16.979902518"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"744","Tot_Suplrs":"93","Tot_Suplr_Benes":"2974","Tot_Suplr_Clms":"12058","Tot_Suplr_Srvcs":"88781","Avg_Suplr_Sbmtd_Chrg":"74.433649542","Avg_Suplr_Mdcr_Alowd_Amt":"22.011737759","Avg_Suplr_Mdcr_Pymt_Amt":"16.714301146","Avg_Suplr_Mdcr_Stdzd_Amt":"16.729712213"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"36","Tot_Suplrs":"13","Tot_Suplr_Benes":"50","Tot_Suplr_Clms":"241","Tot_Suplr_Srvcs":"1405","Avg_Suplr_Sbmtd_Chrg":"89.771679715","Avg_Suplr_Mdcr_Alowd_Amt":"22.624825623","Avg_Suplr_Mdcr_Pymt_Amt":"17.073081851","Avg_Suplr_Mdcr_Stdzd_Amt":"16.591701068"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"145","Tot_Suplrs":"33","Tot_Suplr_Benes":"375","Tot_Suplr_Clms":"1162","Tot_Suplr_Srvcs":"11832","Avg_Suplr_Sbmtd_Chrg":"66.982581136","Avg_Suplr_Mdcr_Alowd_Amt":"21.842131508","Avg_Suplr_Mdcr_Pymt_Amt":"16.740057471","Avg_Suplr_Mdcr_Stdzd_Amt":"16.873171062"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"948","Tot_Suplrs":"82","Tot_Suplr_Benes":"2981","Tot_Suplr_Clms":"11299","Tot_Suplr_Srvcs":"85178","Avg_Suplr_Sbmtd_Chrg":"71.446955082","Avg_Suplr_Mdcr_Alowd_Amt":"21.953022377","Avg_Suplr_Mdcr_Pymt_Amt":"16.732127545","Avg_Suplr_Mdcr_Stdzd_Amt":"16.766028435"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"475","Tot_Suplrs":"75","Tot_Suplr_Benes":"2248","Tot_Suplr_Clms":"8124","Tot_Suplr_Srvcs":"66454","Avg_Suplr_Sbmtd_Chrg":"80.199107352","Avg_Suplr_Mdcr_Alowd_Amt":"21.941657086","Avg_Suplr_Mdcr_Pymt_Amt":"16.617322057","Avg_Suplr_Mdcr_Stdzd_Amt":"16.679894363"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"311","Tot_Suplrs":"46","Tot_Suplr_Benes":"856","Tot_Suplr_Clms":"3041","Tot_Suplr_Srvcs":"26080","Avg_Suplr_Sbmtd_Chrg":"59.260836656","Avg_Suplr_Mdcr_Alowd_Amt":"21.924065951","Avg_Suplr_Mdcr_Pymt_Amt":"16.673314417","Avg_Suplr_Mdcr_Stdzd_Amt":"16.83333704"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"271","Tot_Suplrs":"53","Tot_Suplr_Benes":"939","Tot_Suplr_Clms":"3569","Tot_Suplr_Srvcs":"28398","Avg_Suplr_Sbmtd_Chrg":"82.996300796","Avg_Suplr_Mdcr_Alowd_Amt":"20.60509719","Avg_Suplr_Mdcr_Pymt_Amt":"15.721919149","Avg_Suplr_Mdcr_Stdzd_Amt":"16.84081872"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"454","Tot_Suplrs":"69","Tot_Suplr_Benes":"1553","Tot_Suplr_Clms":"5657","Tot_Suplr_Srvcs":"44222","Avg_Suplr_Sbmtd_Chrg":"66.023026774","Avg_Suplr_Mdcr_Alowd_Amt":"21.728128081","Avg_Suplr_Mdcr_Pymt_Amt":"16.54319072","Avg_Suplr_Mdcr_Stdzd_Amt":"16.765427841"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"377","Tot_Suplrs":"52","Tot_Suplr_Benes":"1202","Tot_Suplr_Clms":"6091","Tot_Suplr_Srvcs":"37264","Avg_Suplr_Sbmtd_Chrg":"74.365906505","Avg_Suplr_Mdcr_Alowd_Amt":"21.93633158","Avg_Suplr_Mdcr_Pymt_Amt":"16.932851277","Avg_Suplr_Mdcr_Stdzd_Amt":"16.978553832"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"172","Tot_Suplrs":"30","Tot_Suplr_Benes":"545","Tot_Suplr_Clms":"1920","Tot_Suplr_Srvcs":"17118","Avg_Suplr_Sbmtd_Chrg":"67.105678818","Avg_Suplr_Mdcr_Alowd_Amt":"22.075844141","Avg_Suplr_Mdcr_Pymt_Amt":"16.9556093","Avg_Suplr_Mdcr_Stdzd_Amt":"16.966518869"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"448","Tot_Suplrs":"74","Tot_Suplr_Benes":"1619","Tot_Suplr_Clms":"6661","Tot_Suplr_Srvcs":"46924","Avg_Suplr_Sbmtd_Chrg":"58.196850439","Avg_Suplr_Mdcr_Alowd_Amt":"21.839837397","Avg_Suplr_Mdcr_Pymt_Amt":"16.789366849","Avg_Suplr_Mdcr_Stdzd_Amt":"16.846746441"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"578","Tot_Suplrs":"63","Tot_Suplr_Benes":"1865","Tot_Suplr_Clms":"7876","Tot_Suplr_Srvcs":"54635","Avg_Suplr_Sbmtd_Chrg":"95.70145383","Avg_Suplr_Mdcr_Alowd_Amt":"22.047153839","Avg_Suplr_Mdcr_Pymt_Amt":"16.913966688","Avg_Suplr_Mdcr_Stdzd_Amt":"16.927735518"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"753","Tot_Suplrs":"89","Tot_Suplr_Benes":"2575","Tot_Suplr_Clms":"9995","Tot_Suplr_Srvcs":"80233","Avg_Suplr_Sbmtd_Chrg":"80.881070632","Avg_Suplr_Mdcr_Alowd_Amt":"21.954287887","Avg_Suplr_Mdcr_Pymt_Amt":"16.8162488","Avg_Suplr_Mdcr_Stdzd_Amt":"16.853657847"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"648","Tot_Suplrs":"78","Tot_Suplr_Benes":"1391","Tot_Suplr_Clms":"5793","Tot_Suplr_Srvcs":"36086","Avg_Suplr_Sbmtd_Chrg":"92.132136008","Avg_Suplr_Mdcr_Alowd_Amt":"21.94415452","Avg_Suplr_Mdcr_Pymt_Amt":"16.668480297","Avg_Suplr_Mdcr_Stdzd_Amt":"16.698860777"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"254","Tot_Suplrs":"49","Tot_Suplr_Benes":"1123","Tot_Suplr_Clms":"4547","Tot_Suplr_Srvcs":"35253","Avg_Suplr_Sbmtd_Chrg":"90.231081043","Avg_Suplr_Mdcr_Alowd_Amt":"22.028153349","Avg_Suplr_Mdcr_Pymt_Amt":"16.812398094","Avg_Suplr_Mdcr_Stdzd_Amt":"16.843044847"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"566","Tot_Suplrs":"82","Tot_Suplr_Benes":"2524","Tot_Suplr_Clms":"11158","Tot_Suplr_Srvcs":"74636","Avg_Suplr_Sbmtd_Chrg":"83.090257249","Avg_Suplr_Mdcr_Alowd_Amt":"21.240936411","Avg_Suplr_Mdcr_Pymt_Amt":"16.183913125","Avg_Suplr_Mdcr_Stdzd_Amt":"16.771498741"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"101","Tot_Suplrs":"27","Tot_Suplr_Benes":"323","Tot_Suplr_Clms":"1011","Tot_Suplr_Srvcs":"9743","Avg_Suplr_Sbmtd_Chrg":"52.44790311","Avg_Suplr_Mdcr_Alowd_Amt":"21.883650826","Avg_Suplr_Mdcr_Pymt_Amt":"16.767510007","Avg_Suplr_Mdcr_Stdzd_Amt":"16.919460125"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"238","Tot_Suplrs":"48","Tot_Suplr_Benes":"684","Tot_Suplr_Clms":"3235","Tot_Suplr_Srvcs":"20395","Avg_Suplr_Sbmtd_Chrg":"98.974789899","Avg_Suplr_Mdcr_Alowd_Amt":"21.73190684","Avg_Suplr_Mdcr_Pymt_Amt":"16.743299338","Avg_Suplr_Mdcr_Stdzd_Amt":"16.911588625"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"145","Tot_Suplrs":"41","Tot_Suplr_Benes":"458","Tot_Suplr_Clms":"1718","Tot_Suplr_Srvcs":"13670","Avg_Suplr_Sbmtd_Chrg":"93.766886613","Avg_Suplr_Mdcr_Alowd_Amt":"21.866473299","Avg_Suplr_Mdcr_Pymt_Amt":"16.72951207","Avg_Suplr_Mdcr_Stdzd_Amt":"16.884254572"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"139","Tot_Suplrs":"31","Tot_Suplr_Benes":"466","Tot_Suplr_Clms":"1706","Tot_Suplr_Srvcs":"13014","Avg_Suplr_Sbmtd_Chrg":"64.184847088","Avg_Suplr_Mdcr_Alowd_Amt":"22.077193791","Avg_Suplr_Mdcr_Pymt_Amt":"16.854257722","Avg_Suplr_Mdcr_Stdzd_Amt":"16.892647149"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"600","Tot_Suplrs":"84","Tot_Suplr_Benes":"2259","Tot_Suplr_Clms":"13990","Tot_Suplr_Srvcs":"54928","Avg_Suplr_Sbmtd_Chrg":"70.259420514","Avg_Suplr_Mdcr_Alowd_Amt":"21.83276289","Avg_Suplr_Mdcr_Pymt_Amt":"16.775383775","Avg_Suplr_Mdcr_Stdzd_Amt":"16.805689448"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"144","Tot_Suplrs":"25","Tot_Suplr_Benes":"354","Tot_Suplr_Clms":"1121","Tot_Suplr_Srvcs":"11466","Avg_Suplr_Sbmtd_Chrg":"58.980156986","Avg_Suplr_Mdcr_Alowd_Amt":"21.955673295","Avg_Suplr_Mdcr_Pymt_Amt":"16.600310483","Avg_Suplr_Mdcr_Stdzd_Amt":"16.648497296"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1318","Tot_Suplrs":"122","Tot_Suplr_Benes":"4043","Tot_Suplr_Clms":"17181","Tot_Suplr_Srvcs":"114295","Avg_Suplr_Sbmtd_Chrg":"84.806791198","Avg_Suplr_Mdcr_Alowd_Amt":"21.975757207","Avg_Suplr_Mdcr_Pymt_Amt":"16.942686819","Avg_Suplr_Mdcr_Stdzd_Amt":"16.971050002"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"811","Tot_Suplrs":"96","Tot_Suplr_Benes":"3168","Tot_Suplr_Clms":"14361","Tot_Suplr_Srvcs":"95378","Avg_Suplr_Sbmtd_Chrg":"85.964777831","Avg_Suplr_Mdcr_Alowd_Amt":"21.728500073","Avg_Suplr_Mdcr_Pymt_Amt":"16.694396192","Avg_Suplr_Mdcr_Stdzd_Amt":"16.904786114"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"96","Tot_Suplrs":"17","Tot_Suplr_Benes":"242","Tot_Suplr_Clms":"916","Tot_Suplr_Srvcs":"7415","Avg_Suplr_Sbmtd_Chrg":"58.495660148","Avg_Suplr_Mdcr_Alowd_Amt":"21.918871207","Avg_Suplr_Mdcr_Pymt_Amt":"16.791560351","Avg_Suplr_Mdcr_Stdzd_Amt":"16.930299393"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"876","Tot_Suplrs":"118","Tot_Suplr_Benes":"3017","Tot_Suplr_Clms":"11927","Tot_Suplr_Srvcs":"81414","Avg_Suplr_Sbmtd_Chrg":"64.897350701","Avg_Suplr_Mdcr_Alowd_Amt":"20.747177512","Avg_Suplr_Mdcr_Pymt_Amt":"15.815708355","Avg_Suplr_Mdcr_Stdzd_Amt":"16.761969686"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"359","Tot_Suplrs":"52","Tot_Suplr_Benes":"1006","Tot_Suplr_Clms":"3665","Tot_Suplr_Srvcs":"30315","Avg_Suplr_Sbmtd_Chrg":"63.969732146","Avg_Suplr_Mdcr_Alowd_Amt":"22.022470724","Avg_Suplr_Mdcr_Pymt_Amt":"16.747167079","Avg_Suplr_Mdcr_Stdzd_Amt":"16.767473858"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"249","Tot_Suplrs":"41","Tot_Suplr_Benes":"710","Tot_Suplr_Clms":"2513","Tot_Suplr_Srvcs":"22751","Avg_Suplr_Sbmtd_Chrg":"72.529996923","Avg_Suplr_Mdcr_Alowd_Amt":"21.762370885","Avg_Suplr_Mdcr_Pymt_Amt":"16.538346446","Avg_Suplr_Mdcr_Stdzd_Amt":"16.747982067"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1290","Tot_Suplrs":"129","Tot_Suplr_Benes":"4226","Tot_Suplr_Clms":"19595","Tot_Suplr_Srvcs":"110963","Avg_Suplr_Sbmtd_Chrg":"63.908695511","Avg_Suplr_Mdcr_Alowd_Amt":"21.841949118","Avg_Suplr_Mdcr_Pymt_Amt":"16.803871561","Avg_Suplr_Mdcr_Stdzd_Amt":"16.915505168"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"67","Tot_Suplrs":"21","Tot_Suplr_Benes":"226","Tot_Suplr_Clms":"883","Tot_Suplr_Srvcs":"6887","Avg_Suplr_Sbmtd_Chrg":"55.633294613","Avg_Suplr_Mdcr_Alowd_Amt":"21.720763758","Avg_Suplr_Mdcr_Pymt_Amt":"16.672278205","Avg_Suplr_Mdcr_Stdzd_Amt":"16.781405547"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"470","Tot_Suplrs":"60","Tot_Suplr_Benes":"1782","Tot_Suplr_Clms":"7142","Tot_Suplr_Srvcs":"52044","Avg_Suplr_Sbmtd_Chrg":"103.60965529","Avg_Suplr_Mdcr_Alowd_Amt":"21.97060641","Avg_Suplr_Mdcr_Pymt_Amt":"16.669924295","Avg_Suplr_Mdcr_Stdzd_Amt":"16.718798324"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"71","Tot_Suplrs":"25","Tot_Suplr_Benes":"295","Tot_Suplr_Clms":"1118","Tot_Suplr_Srvcs":"10349","Avg_Suplr_Sbmtd_Chrg":"97.271337327","Avg_Suplr_Mdcr_Alowd_Amt":"21.853082423","Avg_Suplr_Mdcr_Pymt_Amt":"16.473213837","Avg_Suplr_Mdcr_Stdzd_Amt":"16.619169968"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"809","Tot_Suplrs":"108","Tot_Suplr_Benes":"3114","Tot_Suplr_Clms":"11661","Tot_Suplr_Srvcs":"95902","Avg_Suplr_Sbmtd_Chrg":"68.705226273","Avg_Suplr_Mdcr_Alowd_Amt":"22.031711017","Avg_Suplr_Mdcr_Pymt_Amt":"16.673647891","Avg_Suplr_Mdcr_Stdzd_Amt":"16.68907541"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1401","Tot_Suplrs":"149","Tot_Suplr_Benes":"4754","Tot_Suplr_Clms":"22634","Tot_Suplr_Srvcs":"148340","Avg_Suplr_Sbmtd_Chrg":"62.66570844","Avg_Suplr_Mdcr_Alowd_Amt":"21.393095996","Avg_Suplr_Mdcr_Pymt_Amt":"16.296200351","Avg_Suplr_Mdcr_Stdzd_Amt":"16.797342457"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"221","Tot_Suplrs":"40","Tot_Suplr_Benes":"640","Tot_Suplr_Clms":"2615","Tot_Suplr_Srvcs":"16503","Avg_Suplr_Sbmtd_Chrg":"76.62495728","Avg_Suplr_Mdcr_Alowd_Amt":"21.645271769","Avg_Suplr_Mdcr_Pymt_Amt":"16.505543235","Avg_Suplr_Mdcr_Stdzd_Amt":"16.618426953"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"45","Tot_Suplrs":"19","Tot_Suplr_Benes":"207","Tot_Suplr_Clms":"717","Tot_Suplr_Srvcs":"6968","Avg_Suplr_Sbmtd_Chrg":"51.738097015","Avg_Suplr_Mdcr_Alowd_Amt":"22.026215557","Avg_Suplr_Mdcr_Pymt_Amt":"16.768325201","Avg_Suplr_Mdcr_Stdzd_Amt":"16.773767222"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"655","Tot_Suplrs":"86","Tot_Suplr_Benes":"2280","Tot_Suplr_Clms":"9581","Tot_Suplr_Srvcs":"62368","Avg_Suplr_Sbmtd_Chrg":"62.7578505","Avg_Suplr_Mdcr_Alowd_Amt":"22.01590447","Avg_Suplr_Mdcr_Pymt_Amt":"16.808035852","Avg_Suplr_Mdcr_Stdzd_Amt":"16.827248429"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"476","Tot_Suplrs":"61","Tot_Suplr_Benes":"1730","Tot_Suplr_Clms":"6363","Tot_Suplr_Srvcs":"51163","Avg_Suplr_Sbmtd_Chrg":"71.852854993","Avg_Suplr_Mdcr_Alowd_Amt":"21.83588218","Avg_Suplr_Mdcr_Pymt_Amt":"16.591090241","Avg_Suplr_Mdcr_Stdzd_Amt":"16.738760823"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"181","Tot_Suplrs":"42","Tot_Suplr_Benes":"694","Tot_Suplr_Clms":"2905","Tot_Suplr_Srvcs":"18353","Avg_Suplr_Sbmtd_Chrg":"66.806956356","Avg_Suplr_Mdcr_Alowd_Amt":"21.933068708","Avg_Suplr_Mdcr_Pymt_Amt":"16.593065984","Avg_Suplr_Mdcr_Stdzd_Amt":"16.612759767"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"497","Tot_Suplrs":"83","Tot_Suplr_Benes":"1383","Tot_Suplr_Clms":"5241","Tot_Suplr_Srvcs":"41037","Avg_Suplr_Sbmtd_Chrg":"71.74875527","Avg_Suplr_Mdcr_Alowd_Amt":"21.901623657","Avg_Suplr_Mdcr_Pymt_Amt":"16.659807491","Avg_Suplr_Mdcr_Stdzd_Amt":"16.721152375"},{"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":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"70","Tot_Suplrs":"20","Tot_Suplr_Benes":"117","Tot_Suplr_Clms":"366","Tot_Suplr_Srvcs":"3818","Avg_Suplr_Sbmtd_Chrg":"100.32957831","Avg_Suplr_Mdcr_Alowd_Amt":"21.94091671","Avg_Suplr_Mdcr_Pymt_Amt":"16.775091671","Avg_Suplr_Mdcr_Stdzd_Amt":"16.923991619"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"72","Rfrg_Prvdr_Geo_Desc":"Puerto Rico","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"29","Tot_Suplrs":"6","Tot_Suplr_Benes":"36","Tot_Suplr_Clms":"112","Tot_Suplr_Srvcs":"866","Avg_Suplr_Sbmtd_Chrg":"107.9936836","Avg_Suplr_Mdcr_Alowd_Amt":"23.969549654","Avg_Suplr_Mdcr_Pymt_Amt":"18.776893764","Avg_Suplr_Mdcr_Stdzd_Amt":"17.241893764"},{"Rfrg_Prvdr_Geo_Lvl":"State","Rfrg_Prvdr_Geo_Cd":"9B","Rfrg_Prvdr_Geo_Desc":"Armed Forces Europe","RBCS_Lvl":"Durable Medical Equipment","RBCS_Id":"DA000N","RBCS_Desc":"DME-Medical\/Surgical Supplies","HCPCS_Cd":"A4221","HCPCS_Desc":"Supplies for maintenance of drug infusion catheter, per week (list drug separately)","Suplr_Rentl_Ind":"N","Tot_Rfrg_Prvdrs":"1","Tot_Suplrs":"4","Tot_Suplr_Benes":"","Tot_Suplr_Clms":"13","Tot_Suplr_Srvcs":"148","Avg_Suplr_Sbmtd_Chrg":"47.872094595","Avg_Suplr_Mdcr_Alowd_Amt":"21.384864865","Avg_Suplr_Mdcr_Pymt_Amt":"16.765337838","Avg_Suplr_Mdcr_Stdzd_Amt":"16.885743243"},{"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":"11096","Tot_Suplrs":"946","Tot_Suplr_Benes":"32791","Tot_Suplr_Clms":"213997","Tot_Suplr_Srvcs":"742123","Avg_Suplr_Sbmtd_Chrg":"173.10191022","Avg_Suplr_Mdcr_Alowd_Amt":"39.166402429","Avg_Suplr_Mdcr_Pymt_Amt":"30.437979028","Avg_Suplr_Mdcr_Stdzd_Amt":"31.023844188"},{"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":"260","Tot_Suplrs":"57","Tot_Suplr_Benes":"780","Tot_Suplr_Clms":"4736","Tot_Suplr_Srvcs":"18357","Avg_Suplr_Sbmtd_Chrg":"140.19273955","Avg_Suplr_Mdcr_Alowd_Amt":"40.507374299","Avg_Suplr_Mdcr_Pymt_Amt":"31.23946233","Avg_Suplr_Mdcr_Stdzd_Amt":"31.412102195"},{"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":"24","Tot_Suplrs":"6","Tot_Suplr_Benes":"49","Tot_Suplr_Clms":"443","Tot_Suplr_Srvcs":"1065","Avg_Suplr_Sbmtd_Chrg":"70.950422535","Avg_Suplr_Mdcr_Alowd_Amt":"31.638244131","Avg_Suplr_Mdcr_Pymt_Amt":"24.771511737","Avg_Suplr_Mdcr_Stdzd_Amt":"25.109051643"},{"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":"200","Tot_Suplrs":"44","Tot_Suplr_Benes":"574","Tot_Suplr_Clms":"2808","Tot_Suplr_Srvcs":"8876","Avg_Suplr_Sbmtd_Chrg":"151.94735128","Avg_Suplr_Mdcr_Alowd_Amt":"39.150485579","Avg_Suplr_Mdcr_Pymt_Amt":"30.484173051","Avg_Suplr_Mdcr_Stdzd_Amt":"31.924331906"},{"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":"94","Tot_Suplrs":"25","Tot_Suplr_Benes":"418","Tot_Suplr_Clms":"2348","Tot_Suplr_Srvcs":"4094","Avg_Suplr_Sbmtd_Chrg":"122.85244016","Avg_Suplr_Mdcr_Alowd_Amt":"38.287393747","Avg_Suplr_Mdcr_Pymt_Amt":"29.487630679","Avg_Suplr_Mdcr_Stdzd_Amt":"30.826697606"},{"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":"772","Tot_Suplrs":"115","Tot_Suplr_Benes":"2044","Tot_Suplr_Clms":"11912","Tot_Suplr_Srvcs":"48890","Avg_Suplr_Sbmtd_Chrg":"167.96671078","Avg_Suplr_Mdcr_Alowd_Amt":"37.563459194","Avg_Suplr_Mdcr_Pymt_Amt":"29.269050726","Avg_Suplr_Mdcr_Stdzd_Amt":"30.203094293"},{"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":"154","Tot_Suplrs":"31","Tot_Suplr_Benes":"381","Tot_Suplr_Clms":"2128","Tot_Suplr_Srvcs":"13675","Avg_Suplr_Sbmtd_Chrg":"150.4702691","Avg_Suplr_Mdcr_Alowd_Amt":"40.657848629","Avg_Suplr_Mdcr_Pymt_Amt":"31.578563071","Avg_Suplr_Mdcr_Stdzd_Amt":"31.758160878"},{"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":"172","Tot_Suplrs":"22","Tot_Suplr_Benes":"502","Tot_Suplr_Clms":"3139","Tot_Suplr_Srvcs":"9095","Avg_Suplr_Sbmtd_Chrg":"193.20407916","Avg_Suplr_Mdcr_Alowd_Amt":"38.884050577","Avg_Suplr_Mdcr_Pymt_Amt":"30.236371633","Avg_Suplr_Mdcr_Stdzd_Amt":"30.500380429"},{"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":"44","Tot_Suplrs":"20","Tot_Suplr_Benes":"206","Tot_Suplr_Clms":"1554","Tot_Suplr_Srvcs":"2896","Avg_Suplr_Sbmtd_Chrg":"234.70663329","Avg_Suplr_Mdcr_Alowd_Amt":"39.778073204","Avg_Suplr_Mdcr_Pymt_Amt":"30.817168508","Avg_Suplr_Mdcr_Stdzd_Amt":"31.21406768"},{"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":"43","Tot_Suplrs":"19","Tot_Suplr_Benes":"167","Tot_Suplr_Clms":"1350","Tot_Suplr_Srvcs":"4533","Avg_Suplr_Sbmtd_Chrg":"165.71811824","Avg_Suplr_Mdcr_Alowd_Amt":"37.72493051","Avg_Suplr_Mdcr_Pymt_Amt":"29.488976395","Avg_Suplr_Mdcr_Stdzd_Amt":"29.932477388"},{"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":"777","Tot_Suplrs":"127","Tot_Suplr_Benes":"2654","Tot_Suplr_Clms":"16595","Tot_Suplr_Srvcs":"56194","Avg_Suplr_Sbmtd_Chrg":"208.65962665","Avg_Suplr_Mdcr_Alowd_Amt":"38.758634552","Avg_Suplr_Mdcr_Pymt_Amt":"30.033296081","Avg_Suplr_Mdcr_Stdzd_Amt":"31.053467096"},{"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":"309","Tot_Suplrs":"61","Tot_Suplr_Benes":"1027","Tot_Suplr_Clms":"6878","Tot_Suplr_Srvcs":"21110","Avg_Suplr_Sbmtd_Chrg":"253.31131454","Avg_Suplr_Mdcr_Alowd_Amt":"40.395840834","Avg_Suplr_Mdcr_Pymt_Amt":"31.222656087","Avg_Suplr_Mdcr_Stdzd_Amt":"31.454526291"},{"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":"27","Tot_Suplrs":"8","Tot_Suplr_Benes":"63","Tot_Suplr_Clms":"346","Tot_Suplr_Srvcs":"992","Avg_Suplr_Sbmtd_Chrg":"240.00759073","Avg_Suplr_Mdcr_Alowd_Amt":"41.344778226","Avg_Suplr_Mdcr_Pymt_Amt":"32.095141129","Avg_Suplr_Mdcr_Stdzd_Amt":"31.99108871"},{"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":"15","Tot_Suplrs":"8","Tot_Suplr_Benes":"45","Tot_Suplr_Clms":"225","Tot_Suplr_Srvcs":"397","Avg_Suplr_Sbmtd_Chrg":"363.86518892","Avg_Suplr_Mdcr_Alowd_Amt":"41.276523929","Avg_Suplr_Mdcr_Pymt_Amt":"31.753853904","Avg_Suplr_Mdcr_Stdzd_Amt":"32.485969773"}]