Claim total
$1,450.55
base $93.39 · payer covered $1,160.43
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-07-22
- Stop
- 2026-07-22
The parties
- Patient
- patient Saul Little
- Provider
- provider Robby Gusikowski
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0205c336-938f-d85a-7bb9-858a710abfbd