Empire Medical 08/11/2021 2:27PM EDT

Payment due

Amount due: $669.61

for 15 open bills

Your Bills

Summary

Original cost (15 bills) $10,065.00

Insurance discount -$7,309.70
Insurance paid -$1,994.26
You previously paid -$91.43
Amount due $669.61

Your 15 open bills

Showing oldest to newest
In collections

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 06/08/2018 Amount due:
3 services in this claim $85.23
DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STD
ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL TIME WITH IMAGE DOCUMENTATION,
INCLUDED M-MODE RECORDING
DUP-SCAN XTR VEINS COMPL BI STD

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 In collections

Bill for Samuel Richardson Jr's visit with Peter Pasley, MD on 08/03/2018 Amount due: $5.00
1 service in this claim
OFFICE VISIT EST. LEVEL 3

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In collections

Bill for Samuel Richardson Jr's visit with Vincent Ayako, NP on 04/08/2020 Amount due: $3.57
1 service in this claim
OFFICE VISIT EST. LEVEL 3

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In collections

Bill for Samuel Richardson Jr's visit with Nader Moaven, MD on 04/11/2020 Amount due: $5.00
1 service in this claim
OFFICE VISIT EST. LEVEL 3

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In collections

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 04/28/2020 Amount due: $20.00
1 service in this claim
OFFICE VISIT EST. LEVEL 4

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In collections

Bill for Samuel Richardson Jr's visit with Heather Sabol PA-C on Amount due:
06/04/2020 $13.57
2 services in this claim
OFFICE VISIT EST. LEVEL 4
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R

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In collections

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 06/18/2020 Amount due:
2 services in this claim $155.00
ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL TIME WITH IMAGE DOCUMENTATION,
INCLUDED M-MODE RECORDING
DUP-SCAN XTRC ART COMPL BI STD

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In collections

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 07/09/2020 Amount due: $155.00
1 service in this claim
TEE R-T IMG 2D +-M-MODE REC COMPL

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285 days past due

Bill for Samuel Richardson Jr's visit with VANESSA AHEARN, PA on Amount due:
10/07/2020 $38.57
2 services in this claim
OFFICE VISIT EST. LEVEL 4
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R

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212 days past due

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 01/08/2021 Amount due: $5.00
1 service in this claim
OFFICE VISIT EST. LEVEL 4

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 160 days past due

Bill for Samuel Richardson Jr's visit with Jeffrey Jacobs, DPM on 03/04/2021 Amount due: $5.00
1 service in this claim
OFFICE VISIT NEW LEVEL 3

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121 days past due

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 04/09/2021 Amount due: $5.00
1 service in this claim
OFFICE VISIT EST. LEVEL 4

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Due now

Bill for Samuel Richardson Jr's visit with Samara Levin, PA-C on 06/03/2021 Amount due:
2 services in this claim $13.67
TRANSITIONAL CARE MANAGEMENT SERVICES WITH THE FOLLOWING REQUIRED
ELEMENTS
ECG ROUTINE ECG W/LEAST 12 LDS W/I&R

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Due now

Bill for Samuel Richardson Jr's visit with Brian Feehan, DO on 06/12/2021 Amount due:
1 service in this claim $155.00
ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL TIME WITH IMAGE DOCUMENTATION,
INCLUDED M-MODE RECORDING

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Due now

Bill for Samuel Richardson Jr's visit with Vincent Ayako, NP on 07/16/2021 Amount
4 services in this claim due:
INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA);SEVERE ACUTE RESPIRATORY$5.00
SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]), AMPLIFIED
PROBE TECHNIQUE
SPMTRY W/VC EXPIRATORY FLO +-MXML VOL VNTJ
PR GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL
PR DIFFUSING CAPACITY

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