Claim total
$14,992.68
base $93.83 · payer covered $11,994.14
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-10-01
- Stop
- 2022-10-01
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-ffb8-b968335a0d82