{"reporting_entity_name":"Molina-Healthcare-of-Florida","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-07","version":"2.0.0","provider_references":[{"provider_group_id":216130,"network_name":["IN NETWORK"],"provider_groups":[{"npi":[1144426941,1427044825,1730140393],"tin":{"type":"ein","value":"453676951","business_name":"DR GS URGENT CARE LLC"}},{"npi":[1144426941,1427044825,1730140393],"tin":{"type":"ein","value":"","business_name":null}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE OUTPATIENT NEW 20 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":66.87,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE OUTPATIENT NEW 30 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":100.07,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE OUTPATIENT NEW 45 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":153.52,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT NEW 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE OUTPATIENT NEW 60 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":194.03,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE OUTPATIENT VISIT 10 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE OUTPATIENT VISIT 15 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":79.31,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE OUTPATIENT VISIT 25 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":114.82,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE OUTPATIENT VISIT 40 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":154.3,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE OUTPATIENT VISIT 5 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE OUTPATIENT VISIT 5 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99211","description":"OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":23.64,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":154.3,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99215","description":"OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":154.3,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":79.31,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99213","description":"OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":79.31,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":114.82,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99214","description":"OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":114.82,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99212","description":"OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":48.15,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":194.03,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99205","description":"OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":194.03,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":100.07,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99203","description":"OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":100.07,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":153.52,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99204","description":"OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":153.52,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":66.87,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99202","description":"OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[216130],"negotiated_prices":[{"setting":"both","negotiated_type":"fee schedule","negotiated_rate":66.87,"expiration_date":"9999-12-31","billing_class":"professional","service_code":["11"]}]}]}]}