MEDICARE CLAIMS HISTORY FOR RAINA NARULA BETWEEN 09/10/2020 AND 09/01/2021

GPO Box 9822

In your capital city
Enquires
132 011
www.servicesaustralia.gov.au

PATIENT'S NAME RAINA NARULA

MEDICARE CARD NUMBER 6266046024
INDIVIDUAL REFERENCE NUMBER 2
Date of Birth 12/01/1983

MEDICAL SERVICES

Services provided by: DR JOHANNES CONRADIE

Date of Item Brief Item Description Total Cost Benefit Paid by Cost to Payment Method Reason
Service Number of Services Government Claimant Codes
16/12/2020 74995 Bulk Bill Incentive (BBI) for item 73899, 73900, $3.40 $3.40 $0.00 Bulk Bill
73928, 73930 or 73936.
16/12/2020 73928 Initiation of a patient episode by collection of a $5.10 $5.10 $0.00 Bulk Bill
specimen for 1 or more
services
16/12/2020 66750 Quantitation, in pregnancy, $33.80 $33.80 $0.00 Bulk Bill
08/12/2020 74995 Bulk Bill Incentive (BBI) for item 73899, 73900, $3.40 $3.40 $0.00 Bulk Bill
73928, 73930 or 73936.

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Services provided by: DR JOHANNES CONRADIE
Date of Item Brief Item Description Total Cost Benefit Paid by Cost to Payment Method Reason
Service Number of Services Government Claimant Codes
08/12/2020 73928 Initiation of a patient episode by collection of a $5.10 $5.10 $0.00 Bulk Bill
specimen for 1 or more
services
08/12/2020 69413 Microbiological serology $47.35 $47.35 $0.00 Bulk Bill
08/12/2020 66596 Iron studies $27.70 $27.70 $0.00 Bulk Bill
08/12/2020 65096 Blood group & examination of serum $34.85 $34.85 $0.00 Bulk Bill

Total: $160.70 $160.70 $0.00

Services provided by: DR HARSHI WEERASEKERA
Date of Item Brief Item Description Total Cost Benefit Paid by Cost to Payment Method Reason
Service Number of Services Government Claimant Codes
18/12/2020 16500 Antenatal attendance. $41.35 $41.35 $0.00 Bulk Bill
08/12/2020 00023 CONSULTATION AT CONSULTING ROOMS - $38.75 $38.75 $0.00 Bulk Bill
LEVEL 'B'.

Total: $80.10 $80.10 $0.00

Services provided by: DR RADIKA KARUNARATHNE
Date of Item Brief Item Description Total Cost Benefit Paid by Cost to Payment Method Reason
Service Number of Services Government Claimant Codes
16/12/2020 55700 PELVIS OR ABDOMEN, Pregnancy related or $57.90 $57.90 $0.00 Bulk Bill
pregnancy complication, Ultrasound
scan

Total: $57.90 $57.90 $0.00

Services provided by: DR MUHAMMAD KHAN
Date of Item Brief Item Description Total Cost Benefit Paid by Cost to Payment Method Reason
Service Number of Services Government Claimant Codes
29/12/2020 00023 CONSULTATION AT CONSULTING ROOMS - $38.75 $38.75 $0.00 Bulk Bill
LEVEL 'B'.

Total: $38.75 $38.75 $0.00

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 End Of Report

Important information for you to know

Claiming information may not appear on your Medicare Claims History Statement for up to 48 hours.
This Medicare Claims History Statement cannot be used for the purpose of the Compensation Recovery Program or for claiming from Private Health Funds.
Services Australia does not hold information about services that may have been provided to public patients at public hospitals.
The accuracy of Medicare records depends on public patients being identified to Services Australia by their correct Medicare number and practitioners being
identified by their correct Medicare provider number, on claims for payment.
This Medicare Claims History Statement was printed by RAINA NARULA at 4:23 PM on 09 Jan 2021.

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