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  • Loop 2300

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    Samir Srivastava
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    The document contains a list of patient names, dates of service (DOS), and CPT codes along with corresponding amounts billed. There are a total of 86 entries spanning multiple patients from July 2011 through November 2011. The total amount billed for all entries is $5,962.82.

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    The document contains a list of patient names, dates of service (DOS), and CPT codes along with corresponding amounts billed. There are a total of 86 entries spanning multiple patients from July 2011 through November 2011. The total amount billed for all entries is $5,962.82.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views2 pages

    Loop 2300

    Uploaded by

    Samir Srivastava
    The document contains a list of patient names, dates of service (DOS), and CPT codes along with corresponding amounts billed. There are a total of 86 entries spanning multiple patients from July 2011 through November 2011. The total amount billed for all entries is $5,962.82.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Patient Name

    Jackson, Florence (PT00000493)


    Jones, Boncile (JONBO001)
    Jones, Boncile (JONBO001)
    Jones, Boncile (JONBO001)
    Jones, Boncile (JONBO001)
    Jones, Boncile (JONBO001)
    Patel, Champaben (PT00000697)
    Patel, Champaben (PT00000697)
    Levine, Marcia (LEVMA001)
    Levine, Marcia (LEVMA001)
    Levine, Marcia (LEVMA001)
    Levine, Marcia (LEVMA001)
    Cruz, Batis (CRUBA001)
    Cruz, Batis (CRUBA001)
    Bikkina, Adilakshmi (BIKAD001)
    Bikkina, Adilakshmi (BIKAD001)
    Singley, Anita (SINAN001)
    Singley, Anita (SINAN001)
    Thomas, Mary (THOMA004)
    Thomas, Mary (THOMA004)
    Thomas, Mary (THOMA004)
    Thomas, Mary (THOMA004)
    Thomas, Mary (THOMA004)
    Rodriguez, Elsa (202235)
    Rodriguez, Elsa (202235)
    Rodriguez, Elsa (202235)
    Rodriguez, Elsa (202235)
    Capaccio, Marietta (CAPMA001)
    Capaccio, Marietta (CAPMA001)
    Roman, Gladys (ROMGL001)
    Roman, Gladys (ROMGL001)
    Santiago, Leslie (SANLE001)
    Santiago, Leslie (SANLE001)
    Santiago, Leslie (SANLE001)
    Lumibao, Eugenia (LUMEU001)
    Lumibao, Eugenia (LUMEU001)
    Lumibao, Eugenia (LUMEU001)
    Azzinnari, Salvatore (AZZSA001)
    Azzinnari, Salvatore (AZZSA001)
    Azzinnari, Salvatore (AZZSA001)
    Hatcher, Nathaniel (200856)
    Hatcher, Nathaniel (200856)
    Hatcher, Nathaniel (200856)
    Hatcher, Nathaniel (200856)

    DOS
    7/7/2011
    9/6/2011
    9/6/2011
    9/6/2011
    9/6/2011
    9/6/2011
    9/27/2011
    9/27/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/8/2011
    9/7/2011
    9/7/2011
    9/8/2011
    9/8/2011
    9/8/2011
    9/8/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/7/2011
    9/13/2011
    9/13/2011
    9/13/2011
    9/13/2011
    7/14/2011
    7/14/2011
    8/4/2011
    8/4/2011
    8/6/2011
    8/6/2011
    8/6/2011
    8/16/2011
    8/16/2011
    8/16/2011
    8/17/2011
    8/17/2011
    8/17/2011
    2/23/2011
    2/23/2011
    9/7/2011
    9/7/2011

    CPT
    92083
    92014
    92134
    92020
    92225
    92225
    92012
    92020
    92020
    99214
    92133
    92083
    92020
    92012
    92012
    92020
    92012
    92020
    92014
    92134
    92020
    92225
    92225
    99214
    92015
    92134
    92020
    92020
    92012
    92012
    92020
    92020
    99214
    92134
    92020
    92014
    92134
    92014
    92020
    92134
    92012
    92020
    92012
    92020

    $5,962.82
    Amt
    109
    145
    56
    60
    60
    60
    100
    60
    60
    127
    60
    109
    60
    100
    100
    60
    100
    60
    145
    56
    60
    60
    60
    127
    110
    56
    60
    60
    100
    100
    60
    60
    127
    56
    60
    145
    56
    145
    60
    56
    100
    60
    100
    60

    Hatcher, Nathaniel (200856)


    Hatcher, Nathaniel (200856)
    Rue, Angel (PT00000562)
    Rue, Angel (PT00000562)
    Rue, Angel (PT00000562)
    Rue, Angel (PT00000562)
    Rue, Angel (PT00000562)
    Milton, Edgar (MILED001)
    Milton, Edgar (MILED001)
    Milton, Edgar (MILED001)
    Ducci, Caterina (DUCCA001)
    Ducci, Caterina (DUCCA001)
    Ducci, Caterina (DUCCA001)
    Ducci, Caterina (DUCCA001)
    Battista, Joseph (200718)
    Battista, Joseph (200718)
    De Marco, Dorothy (DEMDO001)
    De Marco, Dorothy (DEMDO001)
    Chitko, Jadwiga (CHIJA001)
    Chitko, Jadwiga (CHIJA001)
    Chitko, Jadwiga (CHIJA001)
    Chitko, Jadwiga (CHIJA001)
    Chitko, Jadwiga (CHIJA001)
    Feliciano, Gloria (FELGL001)
    Feliciano, Gloria (FELGL001)
    Feliciano, Gloria (FELGL001)
    Aquino, Adoracion (AQUAD001)
    Aquino, Adoracion (AQUAD001)
    Aquino, Adoracion (AQUAD001)
    Aquino, Adoracion (AQUAD001)
    Aquino, Adoracion (AQUAD001)

    9/14/2011
    9/14/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/7/2011
    7/13/2011
    7/13/2011
    7/13/2011
    11/7/2011
    11/7/2011
    7/20/2011
    7/20/2011
    7/21/2011
    7/21/2011
    7/22/2011
    7/22/2011
    8/24/2011
    8/24/2011
    8/24/2011
    8/24/2011
    8/24/2011
    8/25/2011
    8/25/2011
    10/19/2011
    9/6/2011
    9/6/2011
    9/6/2011
    9/6/2011
    9/6/2011

    99058
    92020
    92004
    92020
    92134
    92225
    92225
    92020
    92014
    92134
    92014
    92020
    92012
    92020
    92020
    92014
    92020
    92012
    92012
    92020
    92134
    92225
    92225
    92012
    92020

    0
    60
    175
    60
    56
    60
    60
    60
    145
    56
    145
    60
    100
    60
    60
    145
    60
    100
    100
    60
    56
    60
    60
    100
    60

    92014
    92020
    92225
    76511
    92225

    145
    60
    60
    54.82
    60

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