AMBSR|Medical-Amb Surg Ctr|10005|Y||I~02/000||MAXFEE|C01||106.18|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10007|Y||I~02/000||MAXFEE|C01||318.57|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10009|Y||I~02/000||MAXFEE|C01||318.57|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10011|Y||I~02/000||MAXFEE|C01||318.57|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10021|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10030|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10035|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10036|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10040|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10060|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10061|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10080|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10081|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10120|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10121|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10140|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10160|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|10180|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11001|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11010|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11011|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11012|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11042|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11043|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11044|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11045|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11046|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11047|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11055|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11056|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11057|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11102|Y||I~02/000||MAXFEE|C01||106.18|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11104|Y||I~02/000||MAXFEE|C01||106.18|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11106|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11201|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11300|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11301|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11302|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11303|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11305|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11306|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11307|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11308|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11310|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11311|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11312|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11313|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11400|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11401|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11402|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11403|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11404|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11406|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11420|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11421|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11422|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11423|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11424|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11426|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11440|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11441|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11442|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11443|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11444|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11446|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11450|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11451|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11462|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11463|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11470|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11471|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11601|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11602|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11603|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11604|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11606|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11620|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11621|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11622|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11623|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11624|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11626|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11640|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11641|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11642|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11643|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11644|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11646|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11719|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11720|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11721|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11730|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11732|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11740|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11750|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11755|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11760|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11762|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11765|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11770|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11771|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11772|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11900|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11901|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11950|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11951|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11952|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11954|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11960|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11970|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11971|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11980|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11981|Y||I~02/000||MAXFEE|C01||460.15|0.0||20240701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11982|Y||I~02/000||MAXFEE|C01||212.39|0.0||20240701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|11983|Y||I~02/000||MAXFEE|C01||460.15|0.0||20240701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12001|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12002|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12004|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12005|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12006|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12007|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12011|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12013|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12014|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12015|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12016|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12017|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12018|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12020|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12021|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12031|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12032|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12034|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12035|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12036|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12037|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12041|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12042|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12044|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12045|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12046|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12047|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12051|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12052|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12053|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12054|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12055|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12056|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|12057|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13100|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13101|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13102|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13120|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13121|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13122|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13131|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13132|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13133|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13151|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13152|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13153|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|13160|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14001|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14020|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14021|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14041|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14060|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14061|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14301|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14302|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|14350|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15002|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15003|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15004|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15005|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15050|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15100|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15101|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15111|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15115|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15116|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15121|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15130|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15131|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15135|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15136|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15150|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15151|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15152|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15156|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15157|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15200|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15201|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15220|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15221|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15240|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15241|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15260|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15261|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15271|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15272|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15273|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15274|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15275|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15276|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15277|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15278|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15570|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15572|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15574|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15576|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15610|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15620|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15630|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15650|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15730|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15731|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15733|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15740|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15760|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15769|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15771|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15773|Y||I~02/000||MAXFEE|C01||743.33|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15777|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15780|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15781|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15782|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15786|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15787|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15788|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15789|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15792|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15793|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15821|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15822|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15823|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15824|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15825|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15826|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15828|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15829|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15830|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15832|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15833|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15834|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15835|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15836|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15837|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15838|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15839|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15840|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15841|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15842|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15845|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15851|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15852|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15860|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15920|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15922|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15931|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15933|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15934|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15935|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15936|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15937|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15940|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15941|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15944|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15945|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15946|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15950|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15951|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15952|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15953|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15956|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15958|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|15999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|16000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|16020|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|16025|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|16030|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|16035|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17003|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17004|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17106|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17107|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17108|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17110|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17111|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17250|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17260|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17261|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17262|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17263|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17264|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17266|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17270|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17271|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17272|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17273|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17274|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17276|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17280|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17281|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17282|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17283|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17284|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17286|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17311|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17312|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17313|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17314|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17315|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17340|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17360|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|17999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|19000|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19001|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19020|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19030|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19081|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19082|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19083|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19084|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19085|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19086|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19100|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19101|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19112|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19120|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19125|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19126|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19281|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19282|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19283|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19284|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19285|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19286|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19287|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19288|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19294|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19296|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19297|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19298|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19300|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19301|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19302|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19303|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19316|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19318|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19325|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19328|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19340|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19342|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19350|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19355|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19357|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19370|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19371|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19380|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19396|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|19499|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|20103|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20200|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20205|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20206|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20220|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20225|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20240|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20245|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20251|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20501|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20520|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20525|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20526|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20527|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20550|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20551|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20552|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20553|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20604|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20605|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20606|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20610|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20611|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20612|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20615|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20660|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20662|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20663|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20665|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20670|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20680|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20690|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20694|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20696|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20697|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20822|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20900|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20902|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20910|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20912|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20920|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20922|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20924|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20950|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20972|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20973|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20975|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20979|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20982|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20983|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20985|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|20999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|21010|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21011|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21012|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21013|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21014|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21016|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21025|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21026|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21029|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21030|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21031|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21032|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21034|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21044|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21046|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21047|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21048|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21060|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21073|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21110|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21116|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21199|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21206|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21208|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21209|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21235|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21244|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21245|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21246|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21248|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21249|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21267|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21282|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21295|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21296|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21315|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21320|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21325|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21335|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21336|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21337|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21338|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21339|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21340|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21345|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21346|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21355|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21356|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21365|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21385|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21386|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21387|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21390|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21395|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21400|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21401|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21406|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21407|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21421|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21422|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21440|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21450|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21451|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21452|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21453|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21454|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21461|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21462|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21465|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21470|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21480|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21485|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21490|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21497|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21499|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|21501|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21502|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21550|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21552|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21554|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21555|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21556|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21557|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21558|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21610|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21720|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21725|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21820|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21825|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|21920|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21925|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21930|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21931|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21932|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21933|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21935|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|21936|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22102|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22310|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22315|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22505|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22510|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22511|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22551|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22552|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22554|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22558|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22585|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22600|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22612|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22630|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22840|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22842|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22845|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22853|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22854|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22859|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22860|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|22900|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22901|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22902|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22903|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22904|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22905|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|22999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|23000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23030|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23031|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23035|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23044|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23065|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23066|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23071|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23073|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23075|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23076|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23077|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23078|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23100|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23101|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23106|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23107|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23125|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23140|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23145|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23146|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23156|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23170|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23172|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23174|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23180|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23182|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23184|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23190|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23195|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23330|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23333|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23334|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23350|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23395|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23397|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23405|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23406|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23412|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23455|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23460|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23462|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23465|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23466|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23480|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23485|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23490|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23491|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23505|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23515|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23525|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23532|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23540|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23545|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23552|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23570|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23575|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23585|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23616|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23620|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23625|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23630|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23650|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23655|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23660|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23665|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23670|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23675|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23680|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23700|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23802|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23921|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23929|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|23930|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23931|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|23935|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24000|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24006|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24065|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24066|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24071|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24073|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24075|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24076|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24077|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24079|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24101|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24102|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24110|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24115|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24116|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24125|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24126|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24134|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24136|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24138|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24140|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24145|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24147|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24149|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24152|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24160|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24164|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24201|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24220|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24300|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24301|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24305|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24331|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24332|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24340|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24341|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24342|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24343|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24344|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24345|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24346|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24357|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24358|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24359|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24361|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24362|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24363|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24365|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24366|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24370|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24371|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24435|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24470|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24495|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24498|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24505|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24515|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24516|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24530|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24535|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24538|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24546|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24560|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24565|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24566|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24575|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24576|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24577|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24579|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24582|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24586|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24587|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24620|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24635|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24640|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24650|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24655|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24665|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24666|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24670|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24675|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24802|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24925|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|24999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|25000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25001|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25020|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25023|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25024|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25025|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25028|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25031|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25035|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25065|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25066|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25071|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25073|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25075|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25076|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25077|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25078|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25085|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25100|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25101|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25107|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25109|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25111|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25112|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25115|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25116|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25118|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25119|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25125|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25126|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25135|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25136|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25145|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25151|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25246|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25248|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25251|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25259|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25263|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25265|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25272|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25274|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25290|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25295|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25300|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25301|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25312|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25315|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25316|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25332|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25335|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25337|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25350|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25355|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25365|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25370|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25375|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25390|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25391|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25392|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25393|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25394|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25405|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25425|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25426|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25431|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25441|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25442|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25443|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25444|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25446|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25447|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25448|Y||I~02/000||MAXFEE|C01||743.33|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25449|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25455|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25490|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25491|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25492|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25505|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25515|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25525|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25526|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25530|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25535|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25560|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25565|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25574|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25575|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25606|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25607|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25608|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25609|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25622|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25624|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25628|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25630|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25635|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25645|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25650|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25651|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25652|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25660|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25670|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25671|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25675|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25676|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25680|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25690|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25695|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25805|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25810|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25825|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25830|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25907|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25922|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25929|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25931|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|25999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|26010|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26011|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26025|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26030|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26034|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26035|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26037|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26045|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26055|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26060|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26070|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26075|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26080|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26111|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26113|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26115|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26116|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26117|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26118|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26121|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26123|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26125|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26135|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26140|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26145|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26160|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26170|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26180|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26185|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26200|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26205|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26210|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26235|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26236|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26262|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26320|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26340|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26341|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26350|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26352|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26356|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26357|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26358|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26370|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26372|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26373|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26390|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26392|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26410|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26412|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26415|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26416|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26418|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26426|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26428|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26432|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26433|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26434|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26437|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26440|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26442|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26449|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26455|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26460|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26471|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26474|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26476|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26477|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26478|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26479|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26480|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26483|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26485|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26489|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26490|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26492|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26494|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26496|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26497|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26498|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26499|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26502|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26508|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26510|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26516|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26517|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26518|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26525|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26531|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26535|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26536|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26541|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26542|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26546|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26548|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26560|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26562|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26565|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26567|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26568|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26587|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26590|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26591|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26593|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26596|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26605|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26607|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26608|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26641|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26645|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26665|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26670|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26675|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26676|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26686|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26700|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26705|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26706|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26715|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26720|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26725|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26727|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26735|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26740|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26742|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26746|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26750|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26755|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26756|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26765|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26770|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26775|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26776|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26785|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26841|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26842|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26843|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26844|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26850|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26852|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26860|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26861|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26862|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26863|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26910|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26951|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26952|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26989|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|26990|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|26991|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27001|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27003|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27033|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27035|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27040|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27041|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27043|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27045|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27047|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27048|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27049|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27050|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27052|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27059|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27060|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27062|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27065|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27066|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27067|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27080|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27086|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27087|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27093|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27095|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27096|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27097|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27098|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27110|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27111|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27197|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27198|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27202|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27220|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27230|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27235|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27238|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27246|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27250|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27252|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27256|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27257|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27265|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27266|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27275|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27279|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27299|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|27301|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27305|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27306|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27307|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27323|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27324|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27325|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27326|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27327|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27328|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27329|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27331|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27332|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27333|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27334|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27335|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27337|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27339|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27340|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27345|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27347|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27350|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27355|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27356|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27357|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27358|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27364|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27372|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27380|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27381|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27385|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27386|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27390|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27391|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27392|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27393|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27394|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27395|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27396|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27397|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27403|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27405|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27407|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27409|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27416|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27418|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27422|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27424|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27425|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27427|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27428|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27429|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27435|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27437|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27438|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27441|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27442|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27443|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27446|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27457|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27475|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27477|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27479|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27496|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27497|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27498|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27499|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27501|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27502|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27503|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27508|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27509|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27510|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27516|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27517|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27520|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27524|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27530|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27532|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27535|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27536|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27538|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27540|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27550|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27552|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27560|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27562|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27566|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27570|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27594|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27599|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|27600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27601|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27602|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27603|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27604|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27606|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27607|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27610|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27612|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27613|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27614|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27615|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27616|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27618|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27619|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27620|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27625|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27626|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27630|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27632|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27634|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27635|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27637|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27638|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27640|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27641|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27647|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27648|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27652|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27654|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27656|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27658|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27659|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27664|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27665|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27675|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27676|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27680|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27681|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27686|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27687|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27690|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27691|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27692|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27695|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27696|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27698|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27704|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27705|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27707|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27709|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27720|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27724|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27726|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27730|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27732|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27734|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27740|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27742|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27745|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27750|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27752|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27756|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27758|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27759|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27760|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27762|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27766|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27767|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27768|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27769|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27780|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27781|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27784|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27786|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27788|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27792|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27808|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27810|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27814|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27816|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27818|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27822|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27823|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27824|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27825|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27826|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27827|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27828|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27829|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27830|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27831|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27832|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27840|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27842|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27846|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27848|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27860|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27870|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27871|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27884|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27886|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27889|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27892|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27893|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27894|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|27899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|28001|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28002|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28003|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28005|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28008|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28010|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28011|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28022|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28024|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28035|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28039|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28041|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28043|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28045|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28046|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28047|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28050|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28052|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28054|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28055|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28060|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28062|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28070|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28072|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28080|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28086|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28088|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28090|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28092|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28102|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28103|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28104|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28106|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28107|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28108|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28110|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28111|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28112|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28113|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28114|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28116|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28118|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28119|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28122|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28124|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28126|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28140|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28153|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28160|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28171|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28173|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28175|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28190|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28192|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28193|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28202|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28208|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28222|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28226|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28230|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28232|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28234|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28238|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28260|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28261|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28262|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28264|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28272|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28285|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28286|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28288|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28289|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28291|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28292|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28295|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28296|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28297|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28298|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28299|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28300|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28302|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28304|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28305|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28306|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28307|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28308|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28309|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28312|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28313|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28315|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28322|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28340|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28341|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28344|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28345|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28400|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28405|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28406|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28430|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28435|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28436|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28446|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28450|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28455|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28456|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28465|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28470|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28475|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28476|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28485|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28490|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28495|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28496|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28510|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28515|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28525|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28530|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28531|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28540|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28546|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28570|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28575|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28576|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28585|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28605|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28606|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28630|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28635|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28636|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28645|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28660|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28665|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28666|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28675|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28705|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28715|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28725|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28730|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28735|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28737|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28740|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28755|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28760|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28810|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28825|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|28899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|29000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29010|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29015|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29035|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29040|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29044|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29046|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29049|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29055|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29058|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29065|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29075|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29085|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29105|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29125|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29126|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29130|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29131|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29240|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29260|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29280|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29305|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29325|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29345|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29355|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29358|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29365|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29405|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29425|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29435|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29440|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29445|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29450|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29505|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29515|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29520|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29530|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29540|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29550|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29580|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29581|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29584|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29700|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29705|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29710|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29720|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29730|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29740|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29750|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29799|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|29800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29804|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29805|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29806|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29807|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29819|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29821|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29822|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29823|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29824|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29825|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29826|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29827|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29828|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29830|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29834|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29835|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29836|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29837|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29838|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29840|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29843|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29844|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29845|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29846|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29847|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29848|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29850|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29851|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29855|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29856|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29860|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29861|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29862|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29863|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29866|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29870|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29871|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29873|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29874|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29875|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29876|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29877|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29879|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29880|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29881|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29882|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29883|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29884|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29885|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29886|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29887|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29888|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29889|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29891|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29892|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29893|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29894|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29895|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29897|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29898|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29899|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29900|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29901|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29902|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29904|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29905|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29906|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29907|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29914|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29915|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29916|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|29999|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30020|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30100|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30110|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30115|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30117|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30118|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30120|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30124|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30125|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30130|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30140|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30160|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30210|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30220|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30300|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30310|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30320|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30435|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30460|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30462|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30465|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30560|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30620|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30630|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30801|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30802|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30901|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30903|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30905|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30906|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30915|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30920|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30930|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|30999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|31000|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31002|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31020|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31030|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31032|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31050|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31051|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31070|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31075|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31080|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31081|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31084|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31085|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31086|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31087|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31090|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31201|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31205|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31231|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31233|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31235|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31237|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31238|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31239|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31240|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31253|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31254|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31255|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31256|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31257|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31259|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31267|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31276|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31287|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31288|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31295|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31296|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31297|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31298|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31299|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|31300|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31502|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31505|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31510|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31511|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31512|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31513|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31515|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31520|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31525|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31526|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31527|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31528|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31529|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31530|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31531|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31535|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31536|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31541|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31546|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31551|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31552|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31553|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31554|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31560|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31571|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31572|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31573|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31574|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31575|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31576|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31577|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31578|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31579|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31590|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31591|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31592|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31599|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|31603|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31605|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31611|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31612|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31613|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31614|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31615|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31622|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31623|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31624|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31625|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31626|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31628|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31629|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31630|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31631|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31632|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31633|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31634|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31635|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31636|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31637|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31638|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31640|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31641|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31643|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31645|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31646|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31647|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31648|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31649|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31651|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31652|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31653|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31654|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31717|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31720|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31730|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31755|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31825|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31830|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|31899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|32400|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32408|Y||I~02/000||MAXFEE|C01||743.33|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32552|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32553|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32554|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32555|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32556|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32557|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32960|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32994|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32998|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|32999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|33016|Y||I~02/000||MAXFEE|C01||460.15|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33206|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33207|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33208|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33211|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33212|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33213|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33214|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33216|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33217|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33218|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33220|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33221|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33222|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33223|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33224|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33226|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33227|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33228|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33229|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33231|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33233|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33234|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33235|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33241|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33249|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33262|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33263|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33264|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33271|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33273|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33276|Y||I~02/000||MAXFEE|C01||460.15|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33277|Y||I~02/000||MAXFEE|C01||212.39|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33278|Y||I~02/000||MAXFEE|C01||460.15|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33279|Y||I~02/000||MAXFEE|C01||318.57|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33280|Y||I~02/000||MAXFEE|C01||212.39|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33281|Y||I~02/000||MAXFEE|C01||318.57|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33286|Y||I~02/000||MAXFEE|C01||318.57|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33287|Y||I~02/000||MAXFEE|C01||318.57|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33288|Y||I~02/000||MAXFEE|C01||460.15|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33900|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33901|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33902|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33903|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33904|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|33999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|34490|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35045|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35188|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35206|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35207|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35875|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|35876|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36002|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36005|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36010|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36011|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36012|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36013|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36014|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36015|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36140|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36160|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36215|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36216|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36217|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36218|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36245|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36246|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36247|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36248|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36251|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36252|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36253|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36254|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36261|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36262|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36299|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|36400|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36405|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36406|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36420|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36425|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36430|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36440|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36450|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36455|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36470|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36471|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36473|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36474|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36475|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36476|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36478|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36479|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36481|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36510|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36511|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36512|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36513|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36514|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36516|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36522|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36555|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36556|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36557|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36558|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36560|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36563|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36565|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36566|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36568|Y||I~02/000||MAXFEE|C01||416.15|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36569|Y||I~02/000||MAXFEE|C01||563.09|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36571|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36572|Y||I~02/000||MAXFEE|C01||460.15|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36573|Y||I~02/000||MAXFEE|C01||743.33|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36575|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36576|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36578|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36580|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36581|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36582|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36583|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36584|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36585|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36589|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36590|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36593|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36595|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36596|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36597|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36620|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36625|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36640|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36680|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36810|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36815|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36818|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36821|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36825|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36830|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36831|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36832|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36833|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36835|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36860|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36861|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36901|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36902|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36903|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36904|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36905|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36906|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36907|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36908|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|36909|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37197|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37211|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37212|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37236|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37237|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37238|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37239|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37246|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37247|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37248|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37249|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37252|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37253|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37501|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|37607|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37609|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37718|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37722|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37735|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37760|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37761|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37765|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37766|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37780|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37785|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37790|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|37799|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38129|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|38200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38220|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38221|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38222|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38225|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38226|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38227|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38228|Y||I~02/000||MAXFEE|C01||318.57|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38232|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38243|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38300|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38305|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38308|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38500|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38505|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38510|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38525|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38530|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38542|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38550|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38571|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38572|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38573|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38589|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|38700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38720|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38740|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38745|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38760|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38790|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38792|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38794|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38900|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|38999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|39499|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|39599|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|40490|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40500|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40510|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40525|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40527|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40530|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40650|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40652|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40654|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40701|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40702|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40720|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40761|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40799|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|40800|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40801|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40804|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40805|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40806|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40808|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40810|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40812|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40814|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40816|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40818|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40819|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40820|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40830|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40831|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40840|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40842|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40843|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40844|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40845|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|40899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|41000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41005|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41006|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41007|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41008|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41009|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41010|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41015|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41016|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41017|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41018|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41100|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41105|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41108|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41110|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41112|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41113|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41114|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41115|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41116|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41250|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41251|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41252|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41510|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41530|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41599|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|41800|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41805|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41806|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41821|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41822|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41823|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41825|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41826|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41827|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41828|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41830|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41850|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41870|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41872|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41874|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|41899|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42104|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42106|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42107|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42140|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42145|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42160|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42180|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42182|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42205|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42220|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42226|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42227|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42235|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42280|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42281|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42299|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|42300|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42305|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42310|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42320|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42330|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42335|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42340|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42400|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42405|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42408|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42409|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42425|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42507|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42509|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42510|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42550|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42600|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42650|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42660|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42665|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42699|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|42700|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42720|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42725|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42800|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42804|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42806|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42808|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42809|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42810|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42815|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42821|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42825|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42826|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42830|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42831|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42835|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42836|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42860|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42870|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42890|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42892|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42900|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42950|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42955|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42960|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42962|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42970|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42972|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42975|Y||I~02/000||MAXFEE|C01||212.39|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|42999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|43030|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43180|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43191|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43192|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43193|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43194|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43195|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43196|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43197|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43198|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43200|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43201|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43202|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43204|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43205|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43206|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43211|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43212|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43213|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43214|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43215|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43216|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43217|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43220|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43226|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43227|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43229|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43231|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43232|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43233|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43235|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43236|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43237|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43238|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43239|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43241|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43242|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43243|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43244|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43245|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43246|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43247|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43248|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43249|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43250|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43251|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43252|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43253|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43254|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43255|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43257|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43259|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43261|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43262|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43263|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43264|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43265|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43266|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43270|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43273|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43274|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43276|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43277|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43278|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43289|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|43450|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43453|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43499|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|43653|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43659|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|43752|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43753|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43754|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43755|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43756|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43757|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43761|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43762|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43763|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43870|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43886|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43887|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43888|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|43999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|44100|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44238|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|44312|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44340|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44360|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44361|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44363|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44364|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44365|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44366|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44369|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44370|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44372|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44373|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44376|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44377|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44378|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44379|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44380|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44381|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44382|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44384|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44385|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44386|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44388|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44389|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44390|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44391|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44392|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44394|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44401|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44402|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44403|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44404|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44405|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44406|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44407|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44408|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44500|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44640|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44701|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|44799|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|44899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|44979|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|45000|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45005|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45108|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45150|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45160|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45171|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45172|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45190|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45300|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45303|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45305|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45307|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45308|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45309|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45315|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45317|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45321|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45327|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45330|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45331|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45332|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45333|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45334|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45335|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45337|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45338|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45340|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45341|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45342|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45346|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45347|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45349|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45350|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45378|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45379|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45380|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45381|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45382|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45384|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45385|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45386|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45388|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45389|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45390|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45391|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45392|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45393|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45398|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45520|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45541|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45560|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45900|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45905|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45910|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45915|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|45999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|46020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46030|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46045|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46050|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46060|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46070|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46080|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46083|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46220|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46221|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46255|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46257|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46258|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46261|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46262|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46285|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46288|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46320|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46500|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46604|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46606|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46608|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46610|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46611|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46612|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46614|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46706|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46707|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46753|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46754|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46760|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46761|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46900|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46910|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46916|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46917|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46922|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46924|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46930|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46940|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46942|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46945|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46946|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46947|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46948|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|46999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|47000|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47001|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47370|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47371|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47379|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|47382|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47383|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47399|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|47531|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47532|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47533|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47534|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47535|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47536|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47537|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47538|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47539|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47541|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47542|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47543|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47544|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47552|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47553|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47554|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47556|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47562|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47563|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47564|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|47579|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|47999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|48102|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|48999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|49000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49082|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49083|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49084|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49180|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49321|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49322|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49324|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49325|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49326|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49327|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49329|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|49400|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49402|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49407|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49411|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49418|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49419|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49421|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49422|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49423|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49424|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49426|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49427|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49429|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49435|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|49436|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49440|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49441|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49446|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49450|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49451|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49452|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49460|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49495|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49496|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49501|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49507|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49521|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49525|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49553|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49557|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49591|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49592|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49593|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49594|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49595|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49596|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49613|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49614|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49616|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49617|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49618|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49621|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49622|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49623|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49651|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|49659|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|49999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|50081|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50200|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50385|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50386|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50390|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50391|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50396|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50430|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50431|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50432|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50433|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50434|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50435|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50436|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50437|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50549|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|50551|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50553|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50557|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50562|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50570|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50572|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50574|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50575|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50576|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50590|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50606|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50684|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50686|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50688|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50690|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50693|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50694|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50695|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50705|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50706|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50727|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50947|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50948|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50949|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|50951|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50953|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50955|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50957|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50961|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50970|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50972|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50974|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50976|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|50980|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51040|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51045|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51050|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51065|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51080|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51101|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51102|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51520|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51535|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51605|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51610|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51700|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51701|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51702|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51703|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51705|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51710|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51715|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51720|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51725|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51726|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51727|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51728|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51729|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51736|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51741|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51784|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51785|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51792|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51797|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51798|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51845|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51880|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51990|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51992|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|51999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|52000|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52001|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52005|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52007|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52010|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52204|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52214|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52224|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52234|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52235|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52260|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52265|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52270|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52275|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52276|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52277|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52281|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52282|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52283|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52284|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|52285|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52287|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52290|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52300|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52301|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52305|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52310|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52315|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52317|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52318|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52325|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52327|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52332|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52334|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52341|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52342|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52343|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52344|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52345|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52346|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52351|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52352|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52353|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52354|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52355|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52356|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52400|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52402|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52601|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52630|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52640|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52648|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|52700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53010|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53020|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53025|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53060|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53080|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53085|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53220|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53235|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53260|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53265|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53270|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53275|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53405|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53425|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53431|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53442|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53444|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53446|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53447|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53448|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53449|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53450|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53460|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53502|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53510|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53515|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53600|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53601|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53620|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53621|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53660|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53661|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53665|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53850|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53852|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53855|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53860|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53865|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53866|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|53899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|54000|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54001|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54015|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54050|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54055|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54056|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54057|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54060|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54065|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54100|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54105|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54110|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54111|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54112|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54115|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54150|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54160|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54161|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54162|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54163|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54164|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54205|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54220|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54230|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54300|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54304|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54308|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54312|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54316|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54318|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54322|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54324|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54326|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54328|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54332|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54340|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54344|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54348|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54352|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54380|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54385|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54406|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54416|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54417|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54420|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54435|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54437|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54450|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54500|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54512|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54522|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54560|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54620|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54640|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54670|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54680|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54690|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54692|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54699|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|54700|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54800|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54830|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54840|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54860|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54861|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54865|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54900|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|54901|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55041|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55060|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55100|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55120|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55175|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55180|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55200|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55300|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55535|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55540|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55559|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|55600|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55680|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55705|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55706|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55720|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55725|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55842|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55860|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55873|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55875|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55876|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|55899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|55920|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56405|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56420|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56441|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56442|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56501|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56515|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56605|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56606|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56620|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56625|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56740|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56810|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56820|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|56821|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57000|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57010|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57022|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57023|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57061|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57065|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57100|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57135|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57150|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57156|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57160|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57180|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57220|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57250|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57265|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57267|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57268|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57287|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57288|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57289|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57291|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57300|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57410|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57415|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57420|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57421|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57426|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57452|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57454|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57455|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57456|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57460|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57461|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57500|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57505|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57510|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57511|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57513|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57522|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57556|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57558|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57720|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|57800|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58100|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58145|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58260|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58301|Y||I~02/000||MAXFEE|C01||212.39|0.0||20240701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58340|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58346|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58353|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58356|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58541|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58542|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58543|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58544|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58545|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58552|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58558|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58559|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58560|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58562|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58563|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58565|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58571|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58578|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58579|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|58580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20240101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58615|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58660|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58661|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58662|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58670|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58671|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58673|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58674|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58679|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|58700|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58740|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58800|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58805|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58900|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58925|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|58999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|59000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59001|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59012|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59015|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59020|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59025|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59070|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59072|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59074|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59076|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59100|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59151|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59160|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59300|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59412|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59812|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59821|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59830|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59840|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59841|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59850|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59851|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59870|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59871|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|59897|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|59898|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|59899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|60000|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60200|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60210|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60212|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60220|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60240|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60281|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|60659|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|60699|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|61000|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61001|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61020|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61026|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61050|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61055|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61070|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61215|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61330|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61770|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61781|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61782|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61783|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61790|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61791|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61880|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61885|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61886|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61888|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61889|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20241001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61891|Y||I~02/000||MAXFEE|C01||460.15|0.0||20241001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|61892|Y||I~02/000||MAXFEE|C01||743.33|0.0||20241001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62194|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62230|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62252|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62263|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62264|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62267|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62268|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62269|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62270|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62272|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62273|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62280|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62281|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62282|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62284|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62287|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62290|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62291|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62292|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62294|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62320|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62321|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62322|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62323|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62324|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62325|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62326|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62327|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62328|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62329|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62350|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62355|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62361|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62362|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62365|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62367|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62368|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62369|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|62370|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63001|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63003|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63005|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63020|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63030|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63042|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63045|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63047|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63048|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63052|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63053|Y||I~02/000||MAXFEE|C01||106.18|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63056|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63075|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63076|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63600|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63610|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63650|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63655|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63661|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63662|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63663|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63664|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63685|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63688|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63741|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63744|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|63746|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64400|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64405|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64408|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64415|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64416|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64417|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64418|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64420|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64421|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64425|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64430|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64435|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64445|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64446|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64447|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64448|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64449|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64450|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64451|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64454|Y||I~02/000||MAXFEE|C01||106.18|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64455|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64461|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64462|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64463|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64466|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64467|Y||I~02/000||MAXFEE|C01||212.39|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64468|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64469|Y||I~02/000||MAXFEE|C01||318.57|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64473|Y||I~02/000||MAXFEE|C01||106.18|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64474|Y||I~02/000||MAXFEE|C01||212.39|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64479|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64480|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64483|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64484|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64490|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64491|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64492|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64493|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64494|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64495|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64505|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64510|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64517|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64520|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64530|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64553|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64555|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64561|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64566|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64568|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64569|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64575|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64580|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64581|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64585|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64590|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64595|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64596|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|64597|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|64598|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|64600|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64610|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64611|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64612|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64615|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64616|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64617|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64620|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64624|Y||I~02/000||MAXFEE|C01||318.57|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64630|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64632|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64633|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64634|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64635|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64636|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64640|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64642|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64643|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64644|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64645|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64646|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64647|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64680|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64681|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64702|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64704|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64708|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64712|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64713|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64714|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64716|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64718|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64719|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64721|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64722|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64726|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64727|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64732|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64734|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64736|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64738|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64740|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64742|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64744|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64746|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64763|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64766|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64771|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64772|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64774|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64776|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64778|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64782|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64783|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64784|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64786|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64787|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64788|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64790|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64792|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64795|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64802|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64821|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64822|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64823|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64831|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64832|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64834|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64835|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64836|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64837|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64840|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64856|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64857|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64858|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64859|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64861|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64862|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64864|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64865|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64872|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64874|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64876|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64885|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64886|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64890|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64891|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64892|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64893|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64895|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64896|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64897|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64898|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64901|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64902|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64905|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64907|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64910|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|64999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|65091|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65093|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65101|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65103|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65105|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65110|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65112|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65114|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65125|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65130|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65135|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65140|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65175|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65205|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65210|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65220|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65222|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65235|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65260|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65265|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65270|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65272|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65275|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65280|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65285|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65286|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65290|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65400|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65410|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65420|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65426|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65430|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65435|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65436|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65450|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65600|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65710|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65730|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65755|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65756|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65757|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65770|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65772|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65775|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65778|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65779|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65780|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65781|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65782|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65785|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65800|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65810|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65815|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65820|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65850|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65855|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65860|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65865|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65870|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65875|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65880|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65900|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65920|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|65930|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66020|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66030|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66130|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66155|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66160|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66170|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66172|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66174|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66175|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66179|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66180|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66183|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66184|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66185|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66225|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66500|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66505|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66600|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66605|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66625|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66630|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66635|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66680|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66682|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66683|Y||I~02/000||MAXFEE|C01||743.33|0.0||20250101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66700|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66710|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66711|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66720|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66740|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66761|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66762|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66770|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66820|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66821|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66825|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66830|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66840|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66850|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66852|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66920|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66930|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66940|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66982|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66983|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66984|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66985|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66986|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66987|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66988|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66989|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66990|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66991|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|66999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|67005|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67010|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67015|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67025|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67027|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67028|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67030|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67031|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67036|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67039|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67040|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67041|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67042|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67043|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67101|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67105|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67107|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67108|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67110|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67113|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67115|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67120|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67121|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67141|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67145|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67208|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67210|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67218|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67221|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67225|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67227|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67228|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67229|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67250|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67255|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67299|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|67311|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67312|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67314|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67316|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67318|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67320|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67331|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67332|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67334|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67335|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67340|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67343|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67345|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67346|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67399|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|67400|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67405|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67412|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67413|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67414|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67415|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67420|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67430|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67440|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67445|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67500|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67505|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67515|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67560|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67570|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67599|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|67700|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67710|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67715|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67800|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67801|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67805|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67808|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67810|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67820|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67825|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67830|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67835|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67840|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67850|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67875|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67880|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67882|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67900|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67901|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67902|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67903|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67904|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67906|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67908|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67909|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67911|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67912|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67914|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67915|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67916|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67917|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67921|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67922|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67923|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67924|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67930|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67935|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67938|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67950|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67961|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67966|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67971|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67973|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67974|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67975|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|67999|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|68020|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68040|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68110|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68115|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68130|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68135|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68320|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68325|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68326|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68328|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68330|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68335|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68340|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68360|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68362|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68371|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68399|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|68400|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68420|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68440|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68500|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68510|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68520|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68525|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68530|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68540|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68700|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68705|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68720|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68745|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68750|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68760|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68761|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68770|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68801|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68810|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68811|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68815|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68816|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68840|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68841|Y||I~02/000||MAXFEE|C01||318.57|0.0||20220101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68850|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|68899|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|69000|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69005|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69020|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69100|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69105|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69110|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69120|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69140|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69145|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69150|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69200|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69205|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69210|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69220|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69222|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69300|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69310|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69320|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69399|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|69420|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69421|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69424|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69433|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69436|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69440|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69450|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69501|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69502|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69505|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69511|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69530|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69540|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69550|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69552|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69601|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69602|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69603|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69604|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69610|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69620|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69631|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69632|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69633|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69635|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69636|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69637|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69641|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69642|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69643|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69644|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69645|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69646|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69650|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69660|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69661|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69662|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69666|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69667|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69670|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69676|Y||I~02/000||MAXFEE|C01||743.33|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69700|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69711|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69714|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69716|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20221001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69717|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69719|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20221001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69720|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69726|Y||I~02/000||MAXFEE|C01||588.97|0.0||20221001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69727|Y||I~02/000||MAXFEE|C01||514.86|0.0||20221001|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69728|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69729|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69730|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69740|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69745|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69799|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|69801|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69805|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69806|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69905|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69910|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69915|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69930|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|69949|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|69979|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|77767|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|77768|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|77770|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|77771|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|77772|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|77778|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|78012|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|78013|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|78014|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|78071|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|78072|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|88302|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|88304|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|88305|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|88307|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|88309|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|91035|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|92018|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|92019|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|92973|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|92974|Y||I~02/000||MAXFEE|C01||460.15|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93025|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93590|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93591|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93592|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93613|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|93701|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|95990|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|96450|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|99070|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0120|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0140|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0150|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0160|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0170|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0210|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0230|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0240|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0250|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0251|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0270|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0272|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0273|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0274|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0330|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0340|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0350|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0372|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0373|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0374|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0387|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0388|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0389|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0391|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0470|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0486|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0701|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0702|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0703|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0705|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0706|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0707|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0708|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0709|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D0999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1110|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1120|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1206|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1351|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1354|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190401|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1510|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1516|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1517|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1551|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1552|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1553|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1556|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1557|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1558|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D1999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2140|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2150|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2160|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2161|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2330|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2331|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2332|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2335|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2390|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2391|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2392|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2393|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2394|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2791|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2910|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2915|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2920|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2921|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2928|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2930|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2931|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2932|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2933|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2934|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2940|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2951|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2952|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2954|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2971|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D2999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3221|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3222|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3310|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3320|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3330|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3351|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3410|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D3430|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4210|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4211|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4341|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4342|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4355|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4910|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D4999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5110|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5120|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5211|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5212|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5213|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5214|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5225|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5226|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5227|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5228|Y||I~02/000||MAXFEE|C01||212.39|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5511|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5512|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5520|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5611|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5612|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5621|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5622|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5630|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5640|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5650|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5660|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5670|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5671|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5750|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5751|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5760|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5761|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5922|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5923|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5924|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5925|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5926|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5927|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5928|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5929|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5932|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5936|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5955|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5958|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5959|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5960|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5991|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D5999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6040|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6050|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6090|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6100|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6211|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6241|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6545|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6751|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6791|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6930|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6940|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6980|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D6985|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7111|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7140|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7210|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7230|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7240|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7250|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7260|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7261|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7270|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7280|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7282|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7283|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7284|Y||I~02/000||SYSMAN|DEF|||||||I~24|
AMBSR|Medical-Amb Surg Ctr|D7285|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7286|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7287|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7288|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7310|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7311|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7320|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7321|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7410|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7411|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7412|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7413|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7414|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7415|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7440|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7441|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7450|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7451|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7460|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7461|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7471|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7472|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7473|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7485|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7490|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7509|Y||I~02/000||MAXFEE|C01||1097.28|0.0||20230101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7510|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7511|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7520|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7521|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7530|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7540|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7550|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7560|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7610|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7620|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7630|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7640|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7650|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7660|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7670|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7671|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7680|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7710|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7720|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7730|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7740|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7750|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7760|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7770|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7771|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7780|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7810|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7820|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7830|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7840|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7850|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7852|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7854|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7856|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7858|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7860|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7865|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7871|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7872|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7873|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7874|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7875|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7876|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7877|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7910|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7911|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7912|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7940|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7950|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7951|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7961|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7962|Y||I~02/000||MAXFEE|C01||212.39|0.0||20210101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7970|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7972|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7979|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7980|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7991|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7997|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D7999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8010|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8020|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8030|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8040|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8070|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8080|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8090|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8210|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8220|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8660|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8670|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8680|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8695|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8698|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8699|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8703|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D8704|Y||I~02/000||MAXFEE|C01||212.39|0.0||20200101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9110|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9230|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9420|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9610|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9612|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9613|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9910|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9944|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9945|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9946|Y||I~02/000||MAXFEE|C01||212.39|0.0||20190101|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|D9999|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0104|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0105|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0121|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0186|Y||I~02/000||MAXFEE|C01||212.39|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0269|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0289|Y||I~02/000||MAXFEE|C01||106.18|0.0||20180701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|G0330|Y||I~02/000||MAXFEE|C01||1500.00|0.0||20240701|22991231|I~24|
AMBSR|Medical-Amb Surg Ctr|S2115|Y||I~02/000||MAXFEE|C01||318.57|0.0||20180701|22991231|I~24|