{"reporting_entity_name":"Molina-Healthcare-of-NewMexico","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-23","version":"2.0.0","provider_references":[{"provider_group_id":214265,"network_name":["NM NETWORK"],"provider_groups":[{"npi":[1205878758],"tin":{"type":"ein","value":"850481490","business_name":"ALBUQUERQUE AMBULATORY EYE SURGERY CENTER"}},{"npi":[1255373676],"tin":{"type":"ein","value":"850478109","business_name":"EYE SURGERY CENTERS OF NM LLC DBA SURGERY CENTER OF SANTA FE"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Blood Storage and Processing - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0390","description":"Administration, Processing,& Storage Blood & Blood Component","negotiated_rates":[{"provider_references":[214265],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Pharmacy - General","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0250","description":"PHARMACY (ALSO SEE 063X, AN EXTENSION OF 025X)","negotiated_rates":[{"provider_references":[214265],"negotiated_prices":[{"setting":"outpatient","negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}