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Visit

Hospital admission

One dated clinical visit by one patient.

Neighborhood Provenance
Claim total
$28,594.33
base $127.17 · payer covered $28,544.33

The visit

Class
Inpatient
Code
32485007
Reason
diagnosis concept Acute non-ST segment elevation myocardial infarction401314000
Start
2001-11-14
Stop
2001-11-15

The parties

Patient
patient Stacy Herzog
Provider
provider Vicente Kilback
Care site
care site ALLINA HEALTH SYSTEM
Payer
payer Medicaid
Record id 070c7867-fbf2-7941-d062-e755e3c5b51a