Claim total
$291.66
base $155.66 · payer covered $141.66
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2025-02-20
- Stop
- 2025-02-20
The parties
- Patient
- patient Daron Cormier
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
061edbc8-fb70-a6fd-94ef-7eca4b138beb