Claim total
$6,252.47
base $93.83 · payer covered $5,001.98
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-10-18
- Stop
- 2025-10-18
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Len Gottlieb
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-f3b5-2d87cfb1aa61