Claim total
$27,153.74
base $76.30 · payer covered $21,722.99
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2004-01-25
- Stop
- 2004-01-30
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-5659-025468383f60