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group_providers_into_json_array\n", + "\n", + "testbed_filename = \"src/testbed/v5_DoczyAI_all_test_bed_LIVE_4.29.25.xlsx\"\n", + "\n", + "df = pd.read_excel(testbed_filename)\n", + "\n", + "df_out = group_providers_into_json_array(df)" + ] + }, + { + "cell_type": "code", + "execution_count": 2, + "id": "1f6ab14d", + "metadata": {}, + "outputs": [ + { + "data": { + "application/vnd.microsoft.datawrangler.viewer.v0+json": { + "columns": [ + { + "name": "index", + "rawType": "int64", + "type": "integer" + }, + { + "name": "PROV_GROUP_TIN", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_GROUP_NPI", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_GROUP_NAME_FULL", + "rawType": "object", + "type": "string" + }, + { + "name": "PROV_OTHER_TIN", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_OTHER_NPI", + "rawType": "object", + "type": "unknown" + }, + { + "name": "PROV_OTHER_NAME_FULL", + "rawType": "object", + "type": "unknown" + 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"640908605", + "Central MS Diagnostic, LLC", + null, + null, + null, + null, + null, + "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2018-05-02 00:00:00", + "three years from the contract effective date", + "Y", + "one year", + "Central MS Diagnostic, LLC", + "Ancillary", + "M", + "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", + "41.0", + null, + null, + "MEDICARE", + "Medicare", + null, + null, + null, + null, + null, + "Covered Services where Payor is the only Payor for Medicare Covered Services", + "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on the Medicare payment rate in effect on the date of service", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "9", + "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", + "PARTICIPATING PROVIDER AGREEMENT", + null, + "Test-Client", + "Magnolia Health Plan, Inc.", + "00125443", + "640908605", + "Central MS Diagnostic, LLC", + null, + null, + null, + null, + null, + "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2018-05-02 00:00:00", + "three years from the contract effective date", + "Y", + "one year", + "Central MS Diagnostic, LLC", + "Ancillary", + "M", + "Attachment B: Medicare\nEXHIBIT 1\nCOMPENSATION SCHEDULE\nALL MEDICARE PRODUCT TYPES\nPROVIDER SERVICES\nCentral MS Diagnostic, LLC", + "41.0", + null, + null, + "MEDICARE", + "Medicare", + null, + null, + null, + null, + null, + "Covered Services where Payor is the only Payor for Medicare Covered Services", + "The Allowed Amount is the lesser of: (i) Allowable Charges; or (ii) Payor's maximum reimbursement schedule, which shall be the amount payable by Medicare, not including Cost-Sharing Amounts, as primary coverage based on the Medicare payment rate in effect on the date of service", + "Fee Schedule", + null, + "100", + "Medicare", + "CMS", + "current", + "Y", + "N", + "N", + null, + "Y", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + 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fee schedule.", + "Fee Schedule", + null, + "100", + "Payor's Medicare fee schedule", + "CMS", + "current", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "11", + "00-125434-Central MS Diagnostic, LLC-ICMProviderAgreement_78285.txt", + "PARTICIPATING PROVIDER AGREEMENT", + null, + "Test-Client", + "Magnolia Health Plan, Inc.", + "00125445", + "640908605", + "Central MS Diagnostic, LLC", + null, + null, + null, + null, + null, + "[{'TIN': '00125434', 'NPI': '640908605', 'NAME': 'Central MS Diagnostic, LLC', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2018-05-02 00:00:00", + "three years from the contract effective date", + "Y", + "one year", + "Central MS Diagnostic, LLC", + "Ancillary", + "M", + "Attachment C: Commercial-Exchange\nEXHIBIT I\nCOMPENSATION SCHEDULE\nANCILLARY SERVICES\nLABORATORY\nCentral MS Diagnostic, LLC", + "47.0", + null, + null, + "Marketplace", + "Commercial", + null, + null, + null, + null, + "Lab", + "laboratory Covered Services", + "the lesser of: (i) Allowable Charges; or (ii) one hundred percent (100%) of the Payor's Medicare fee schedule.", + "Billed Charges", + null, + "100", + null, + null, + 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"TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Frames", + "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Flat Rate", + "20.0", + null, + null, + null, + null, + "Y", + "N", + "Y", + null, + "N", + "V2020", + "Frames, purchases", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "13", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Frames", + "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "Y", + null, + "N", + "V2020", + "Frames, purchases", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "14", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Frames", + "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "15", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Frames", + "Standard Frames, code V2020, is reimbursed at a flat rate of $20.00 per frame. All other frames will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Fee Schedule", + null, + "100", + "DMAP fee schedule", + "STATE", + "year prior", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "16", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Healthcare Common Procedure Coding System (HCPCS) Covered Services", + "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", + "Cost", + null, + "100", + null, + null, + null, + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "17", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Healthcare Common Procedure Coding System (HCPCS) Covered Services", + "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "18", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Healthcare Common Procedure Coding System (HCPCS) Covered Services", + "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", + "Fee Schedule", + null, + "100", + "first published DMAP fee schedule for year prior", + "STATE", + "year prior", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "19", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Healthcare Common Procedure Coding System (HCPCS) Covered Services", + "The lesser of billed or allowable. Covered services with identifiable HCPCS codes will be paid at 100% of the first published DMAP fee schedule for year prior. In the absence of a DMAP price, HCPCS codes will be paid at 100% of the Medicare price. In the absence of a Medicare price, HCPCS codes will be paid at 100% of invoice.", + "Fee Schedule", + null, + "100", + "Medicare price", + "CMS", + "current", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "20", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Neuraxial labor analgesia/anesthesia code 01967", + "The lesser of billed or allowable. Will be paid at a flat rate per DMAP.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "Y", + null, + "N", + "01967", + "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "21", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Neuraxial labor analgesia/anesthesia code 01967", + "The lesser of billed or allowable. Will be paid at a flat rate per DMAP.", + "Fee Schedule", + null, + "100", + "DMAP fee schedule", + "CMS", + "current", + "Y", + "N", + "Y", + null, + "N", + "01967", + "Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "22", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "OB codes on Exhibit I", + "The lesser of billed or allowable. Will be paid with a conversion factor of $30.72.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "Y", + null, + "N", + "59000| 59020| 59025| 59200| 59320| 59400| 76802| 76815| 59409| 59410|59412| 59414| 59425| 59426| 76805| 76816| 59430| 59510| 59514| 59515| 59610| 59612| 76810| 76817| 59614| 59618| 59620| 59622| 59820| 76811| 76818| 59870| 59871| 76805| 76815| 76818| 76830| 76812| 76819", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "23", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "OB codes on Exhibit I", + "The lesser of billed or allowable. Will be paid with a conversion factor of $30.72.", + "Fee Schedule", + null, + null, + "CMS Transitional Facility/Non-Facility Relative Value Unit Scale", + "CMS", + "2013", + "Y", + "N", + "Y", + null, + "N", + "59000| 59020| 59025| 59200| 59320| 59400| 76802| 76815| 59409| 59410|59412| 59414| 59425| 59426| 76805| 76816| 59430| 59510| 59514| 59515| 59610| 59612| 76810| 76817| 59614| 59618| 59620| 59622| 59820| 76811| 76818| 59870| 59871| 76805| 76815| 76818| 76830| 76812| 76819", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "30.72", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "24", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Other Professional Services and Supplies", + "Services or supplies lacking an RVU or an established price not identified in this document will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Fee Schedule", + null, + "100", + "DMAP fee schedule", + "CMS", + "current", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "25", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Other Professional Services and Supplies", + "Services or supplies lacking an RVU or an established price not identified in this document will be paid at 100% of the first published DMAP fee schedule for year prior.", + "Fee Schedule", + null, + "100", + "DMAP fee schedule", + "STATE", + "year prior", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "26", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Professional Services - Ancillary Provider Services", + "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", + "Billed Charges", + null, + "100", + null, + null, + null, + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "Per ASA Unit", + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "27", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Professional Services - Ancillary Provider Services", + "The lesser of billed or allowable. The Professional Services fee schedule for the Medicaid line of business is based primarily on the CMS Transitional Facility/Non-Facility Relative Value Unit Scale (\"RVU\") and methodology as defined and instructed by the Federal Register in print as of December 31, 2013. Covered services will be calculated using the conversion factors below. Ancillary Provider Services $26.00 Conversion Factor*. Anesthesia $21.20 Conversion Factor**.", + "Fee Schedule", + null, + null, + "CMS Transitional Facility/Non-Facility Relative Value Unit Scale", + "CMS", + "2013", + "Y", + "N", + "N", + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "26.0", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "Per ASA Unit", + null, + "9999-12-31 00:00:00", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + "N", + null, + null, + null, + null, + null, + null, + null, + null, + null, + null, + null + ], + [ + "28", + "02-0677066-Eyemasters-ICMProviderAgreement_64220_2.txt", + "ANCILLARY PROVIDER AGREEMENT EXHIBITS", + null, + "Test-Client", + "TRILLIUM COMMUNITY HEALTH PLAN, INC.", + null, + null, + "Eyemasters", + null, + null, + null, + null, + null, + "[{'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'Eyemasters', 'IS_GROUP': True}, {'TIN': 'N/A', 'NPI': 'N/A', 'NAME': 'N/A', 'IS_GROUP': False}]", + "2015-01-01 00:00:00", + "2015-12-31 00:00:00", + "Y", + "one year", + null, + "Ancillary", + "M", + null, + "2.0", + null, + null, + "MEDICAID", + "Medicaid", + null, + null, + null, + null, + "Ancillary", + "Professional Services - Anesthesia", + "The lesser of billed or allowable. 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FILE_NAMECONTRACT_TITLECONTRACT_AMENDMENT_NUMCLIENT_NAMEPAYER_NAMEPROV_GROUP_TINPROV_GROUP_NPIPROV_GROUP_NAME_FULLPROV_OTHER_TINPROV_OTHER_NPI...CONTRACT_SIDCONTRACT_CLASSAARETE_DERIVED_CONTRACT_CLASSNUM_AVAILABLE_SIGNATORY_LINE_COUNTNUM_SIGNED_SIGNATORY_LINE_COUNTAARETE_DERIVED_SIGNATORY_COMPLETE_INDAARETE_DERIVED_ADDITION_RATE_CHANGE_TIMELINEFEE_SCHEDULEFEE_SCHEDULE_VERSIONOUTLIER_TERMS
000-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125434640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
100-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125435640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
200-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125436640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
300-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125437640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
400-125434-Central MS Diagnostic, LLC-ICMProvid...PARTICIPATING PROVIDER AGREEMENTNaNTest-ClientMagnolia Health Plan, Inc.00125438640908605Central MS Diagnostic, LLCNaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
..................................................................
31732014-01-01 COMM PPO - PeaceHealth Multi TIN - ...ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A...NaNTest-ClientODS Health Plan, Inc.9303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
31742014-01-01 COMM PPO - PeaceHealth Multi TIN - ...ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A...NaNTest-ClientODS Health Plan, Inc.9303955831346237971PeaceHealth261871008| 930975147| 910564987| 931173927| 93...1083888515| 1578552402| 1225019011| 1215918719......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3175AMD - IV - HSA eff 2017 (amd 4) - Broward MU.txtFOURTH AMENDMENT TO THE MOLINA HEALTHCARE OF F...4.0Test-ClientMolina Healthcare of Florida, Inc.5960120651285662239North Broward Hospital District DBA Broward He...NaN1578761995| 1174551147| 1265460232| 1568490506......NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3176CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE...AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE...1.0Test-ClientMolina Healthcare of Texas, Inc.746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
3177CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE...AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE...1.0Test-ClientMolina Healthcare of Texas, Inc.746000756NaNEl Paso County Hospital District, DBA, Univers...NaNNaN...NaNNaNNaNNaNNaNNaNNaNNaNNaNNaN
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" + ], + "text/plain": [ + " FILE_NAME \\\n", + "0 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", + "1 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", + "2 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", + "3 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", + "4 00-125434-Central MS Diagnostic, LLC-ICMProvid... \n", + "... ... \n", + "3173 2014-01-01 COMM PPO - PeaceHealth Multi TIN - ... \n", + "3174 2014-01-01 COMM PPO - PeaceHealth Multi TIN - ... \n", + "3175 AMD - IV - HSA eff 2017 (amd 4) - Broward MU.txt \n", + "3176 CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE... \n", + "3177 CustomFac_AMD - AMD - UNIVERSITY MEDICAL CENTE... \n", + "\n", + " CONTRACT_TITLE \\\n", + "0 PARTICIPATING PROVIDER AGREEMENT \n", + "1 PARTICIPATING PROVIDER AGREEMENT \n", + "2 PARTICIPATING PROVIDER AGREEMENT \n", + "3 PARTICIPATING PROVIDER AGREEMENT \n", + "4 PARTICIPATING PROVIDER AGREEMENT \n", + "... ... \n", + "3173 ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A... \n", + "3174 ODS HEALTH PLAN, INC. PARTICIPATING PROVIDER A... \n", + "3175 FOURTH AMENDMENT TO THE MOLINA HEALTHCARE OF F... \n", + "3176 AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE... \n", + "3177 AMENDMENT NUMBER001 TO MOLINA HEALTHCARE OF TE... \n", + "\n", + " CONTRACT_AMENDMENT_NUM CLIENT_NAME PAYER_NAME \\\n", + "0 NaN Test-Client Magnolia Health Plan, Inc. \n", + "1 NaN Test-Client Magnolia Health Plan, Inc. \n", + "2 NaN Test-Client Magnolia Health Plan, Inc. \n", + "3 NaN Test-Client Magnolia Health Plan, Inc. \n", + "4 NaN Test-Client Magnolia Health Plan, Inc. \n", + "... ... ... ... \n", + "3173 NaN Test-Client ODS Health Plan, Inc. \n", + "3174 NaN Test-Client ODS Health Plan, Inc. \n", + "3175 4.0 Test-Client Molina Healthcare of Florida, Inc. \n", + "3176 1.0 Test-Client Molina Healthcare of Texas, Inc. \n", + "3177 1.0 Test-Client Molina Healthcare of Texas, Inc. \n", + "\n", + " PROV_GROUP_TIN PROV_GROUP_NPI \\\n", + "0 00125434 640908605 \n", + "1 00125435 640908605 \n", + "2 00125436 640908605 \n", + "3 00125437 640908605 \n", + "4 00125438 640908605 \n", + "... ... ... \n", + "3173 930395583 1346237971 \n", + "3174 930395583 1346237971 \n", + "3175 596012065 1285662239 \n", + "3176 746000756 NaN \n", + "3177 746000756 NaN \n", + "\n", + " PROV_GROUP_NAME_FULL \\\n", + "0 Central MS Diagnostic, LLC \n", + "1 Central MS Diagnostic, LLC \n", + "2 Central MS Diagnostic, LLC \n", + "3 Central MS Diagnostic, LLC \n", + "4 Central MS Diagnostic, LLC \n", + "... ... \n", + "3173 PeaceHealth \n", + "3174 PeaceHealth \n", + "3175 North Broward Hospital District DBA Broward He... \n", + "3176 El Paso County Hospital District, DBA, Univers... \n", + "3177 El Paso County Hospital District, DBA, Univers... \n", + "\n", + " PROV_OTHER_TIN \\\n", + "0 NaN \n", + "1 NaN \n", + "2 NaN \n", + "3 NaN \n", + "4 NaN \n", + "... ... \n", + "3173 261871008| 930975147| 910564987| 931173927| 93... \n", + "3174 261871008| 930975147| 910564987| 931173927| 93... \n", + "3175 NaN \n", + "3176 NaN \n", + "3177 NaN \n", + "\n", + " PROV_OTHER_NPI ... 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The JSON array includes details about the group provider and other + associated providers. The resulting JSON array is added as a new column, "PROV_INFO_JSON", to the DataFrame. + + Args: + df (pandas.DataFrame): The input DataFrame containing the following columns: + - "FILE_NAME": Identifier for grouping rows. + - "PROV_GROUP_TIN": Tax Identification Number (TIN) of the group provider. + - "PROV_GROUP_NPI": National Provider Identifier (NPI) of the group provider. + - "PROV_GROUP_NAME_FULL": Full name of the group provider. + - "PROV_OTHER_TIN": Pipe-separated TINs of other providers. + - "PROV_OTHER_NPI": Pipe-separated NPIs of other providers. + - "PROV_OTHER_NAME_FULL": Pipe-separated full names of other providers. + + Returns: + pandas.DataFrame: A modified DataFrame with an additional column "PROV_INFO_JSON", + which contains a JSON array for each "FILE_NAME" group. Each JSON array includes: + - "TIN": TIN of the provider (or "N/A" if not available). + - "NPI": NPI of the provider (or "N/A" if not available). + - "NAME": Full name of the provider (or "N/A" if not available). + - "IS_GROUP": Boolean indicating whether the provider is the group provider (True) + or an associated provider (False). + + Notes: + - Missing or NaN values in the input DataFrame are replaced with "N/A" in the JSON output. + - If the lengths of "PROV_OTHER_TIN", "PROV_OTHER_NPI", and "PROV_OTHER_NAME_FULL" are not equal, + missing values are filled with "N/A" using itertools.zip_longest. + - If the OTHER columns are misaligned with one another, the function will NOT + be able to correct them. It will simply fill in the gaps with "N/A". + """ + + df = df.copy() + # Create a dictionary to hold provider data in JSON array format for each file + group_providers_dict = {} + + for group, grouped_df in df.groupby("FILE_NAME"): + json_dict_list = [] + + # Get the first row of the grouped DataFrame + first_row = grouped_df.iloc[0] + + + # Extract TIN/NPI/NAME for group provider. + group_tin = str(first_row["PROV_GROUP_TIN"]).replace("nan", "N/A") + group_npi = str(first_row["PROV_GROUP_NPI"]).replace("nan", "N/A") + group_name_full = str(first_row["PROV_GROUP_NAME_FULL"]) + + # Append the group provider's TIN/NPI/NAME to the list. + json_dict_list.append({ + "TIN": group_tin, + "NPI": group_npi, + "NAME": group_name_full, "IS_GROUP": True}) + + # Create lists of TIN/NPI/NAME for other providers. + # Split on pipe, then strip whitespace. + other_tins = str(first_row["PROV_OTHER_TIN"]).split("|") + other_npis = str(first_row["PROV_OTHER_NPI"]).split("|") + other_names = str(first_row["PROV_OTHER_NAME_FULL"]).split("|") + other_tins = [tin.strip().replace("nan", "N/A") for tin in other_tins] + other_npis = [npi.strip().replace("nan", "N/A") for npi in other_npis] + other_names = [name.strip().replace("nan", "N/A") for name in other_names] + + # Append each other provider's TIN/NPI/NAME to the list. + # Use zip to iterate over the three lists in parallel. + # IF the lengths of the lists are not equal, use itertools.zip_longest to fill in the gaps with N/A. + for tin, npi, name in itertools.zip_longest(other_tins, other_npis, other_names, fillvalue="N/A"): + json_dict_list.append({ + "TIN": tin, + "NPI": npi, + "NAME": name, + "IS_GROUP": False + }) + + group_providers_dict[group] = json_dict_list + + # Add JSON data back to original DataFrame + df["PROV_INFO_JSON"] = df["FILE_NAME"].map(group_providers_dict) + + + ## Reorder columns to place PROV_INFO_JSON right after PROV_OTHER_NAME_FULL + cols = list(df.columns) + # Find the position of PROV_OTHER_NAME_FULL + prov_other_name_full_pos = cols.index("PROV_OTHER_NAME_FULL") + # Remove PROV_INFO_JSON from its current position + cols.remove("PROV_INFO_JSON") + # Insert it after PROV_OTHER_NAME_FULL + cols.insert(prov_other_name_full_pos + 1, "PROV_INFO_JSON") + # Reorder the DataFrame + df = df[cols] + + return df def calculate_field_metrics(testbed_df, results_df, field): """Calculate precision, recall, and accuracy for a single field.