Claim total
$1,218.87
base $93.83 · payer covered $1,218.87
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-08-23
- Stop
- 2025-08-23
The parties
- Patient
- patient Sacha Sharita Hodkiewicz
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
3428133e-e709-f6fe-f1ab-953ca429d31b