Date/Time Patient Pt Status Age Sex DOB Location

5/2/2023 12:00 KATRINA EDWARDS Active 55 F 8/17/1967 Willowbrook Clinic

5/2/2023 16:30 AARON MARTINEZ Active 15 M 7/18/2007 Willowbrook Clinic
5/2/2023 16:45 ADDISON HIRSCHHAUSER Active 13 F 6/11/2009 Willowbrook Clinic
5/2/2023 11:15 ADEL BENSAOULA P+Active 22 M 1/12/2001 Memorial Clinic
5/2/2023 16:45 ADRIENE GOODWIN Active 35 F 2/26/1988 Willowbrook Clinic
5/2/2023 10:00 ALEXIS CRIADO Active 30 F 1/18/1993 Memorial Clinic
5/2/2023 13:45 ALISHA MILLS Active 48 F 7/10/1974 Willowbrook Clinic
5/2/2023 10:00 ALLEN MOORE Active 36 M 4/30/1987 Willowbrook Clinic
5/2/2023 13:00 AMADEO MONTERROZA Active 64 M 10/10/1958 Willowbrook Clinic
5/2/2023 11:00 AMANDA CLEMENS Active 34 F 12/8/1988 Kingwood Clinic
5/2/2023 10:30 ANDREW EVERIDGE Active 31 M 9/16/1991 Willowbrook Clinic
5/2/2023 10:45 ANGELA PEREZ Active 43 F 12/14/1979 Willowbrook Clinic
5/2/2023 10:15 ANGIE STRAUDER-PYE Active 48 F 5/24/1974 Willowbrook Clinic
5/2/2023 9:15 ANNESE HEARNS Active 46 F 7/9/1976 Kingwood Clinic
5/2/2023 10:00 ASHLEY GANTNER Active 29 F 9/4/1993 Kingwood Clinic
5/2/2023 14:00 ASHLIE HAWS P+Active 33 F 8/29/1989 Willowbrook Clinic
5/2/2023 11:15 AUSTIN DEMONEY Active 34 M 12/11/1988 Willowbrook Clinic
5/2/2023 11:15 BEATRICE BOXX Active 52 F 9/2/1970 Willowbrook Clinic
5/2/2023 11:30 BRITTANY DAVIS Active 34 F 5/8/1989 Memorial Clinic
5/2/2023 10:30 BRITTANY EVANS Active 27 F 6/5/1995 Willowbrook Clinic
5/2/2023 15:30 CADENCE JONES Active 15 M 7/19/2007 Willowbrook Clinic
5/2/2023 10:15 CARL BROWN Active 59 M 9/13/1963 Kingwood Clinic
5/2/2023 10:00 CARRIE CHAMPION Active 46 F 11/9/1976 Willowbrook Clinic
5/2/2023 13:00 CASSIE EKDAHL Active 35 F 5/30/1987 Willowbrook Clinic
5/2/2023 10:45 CATELYN BICKEL Active 17 F 1/3/2006 Willowbrook Clinic
5/2/2023 13:00 CHARLES FORD Active 54 M 2/25/1969 Kingwood Clinic
5/2/2023 9:30 CHELSEA LINDSEY Active 32 F 4/17/1991 Memorial Clinic
5/2/2023 15:15 CHIARA VAZQUEZ Active 22 F 7/24/2000 Kingwood Clinic
5/2/2023 9:45 CHRISTA PENNINGTON Active 28 F 10/8/1994 Willowbrook Clinic
5/2/2023 9:30 CHRISTIAN CANIZALES Active 32 M 1/29/1991 Willowbrook Clinic
5/2/2023 10:15 CLARISSA SWILLEY Active 35 F 2/10/1988 Willowbrook Clinic
5/2/2023 15:30 CORRIE MALPHUS Active 35 F 2/9/1988 Willowbrook Clinic
5/2/2023 8:45 CYNTHIA ALVAREZ Active 25 F 8/9/1997 Willowbrook Clinic
5/2/2023 8:30 DAVID RUDD Active 37 M 10/27/1985 Willowbrook Clinic
5/2/2023 10:30 DAVION BEATTY Active 22 M 4/8/2001 Kingwood Clinic
5/2/2023 9:15 DEBRA NICHOLSON Active 62 F 2/21/1961 Willowbrook Clinic
5/2/2023 12:15 DEORNELL MARSHALL P+Active 56 M 2/17/1967 Memorial Clinic
5/2/2023 9:45 DESJARE HUMPHREY P+Active 39 F 12/1/1983 Willowbrook Clinic
5/2/2023 12:00 DIANNA HOWELL Active 38 F 9/6/1984 Willowbrook Clinic
5/2/2023 9:00 DORIS ALEXANDER Active 61 F 1/6/1962 Willowbrook Clinic
5/2/2023 11:15 DUSTIN BROOKS Active 39 M 5/10/1984 Willowbrook Clinic
5/2/2023 12:30 EDWARD CANTU P+Active 29 M 11/27/1993 Willowbrook Clinic
5/2/2023 16:00 EMILY THORN Active 16 F 2/6/2007 Willowbrook Clinic
5/2/2023 10:45 ETTA ROBBINS Active 74 F 12/31/1948 Memorial Clinic
5/2/2023 13:45 EVAN RANSDELL Active 22 M 4/16/2001 Memorial Clinic
5/2/2023 13:00 FRASER TALBOT Active 51 M 7/6/1971 Kingwood Clinic
5/2/2023 15:00 FRED SCHMIDT Active 83 M 7/12/1939 Kingwood Clinic
5/2/2023 12:45 GENESSE MORENO Active 35 F 7/21/1987 Willowbrook Clinic
5/2/2023 10:30 GINA RAMSEY Active 58 F 11/11/1964 Willowbrook TMS
5/2/2023 13:45 GIOVANNI MAGO GONZALEZ Active 41 M 5/30/1981 Kingwood Clinic
5/2/2023 14:00 GLENDA CRUZ Active 50 F 9/21/1972 Willowbrook Clinic
5/2/2023 15:30 HAILEY COLLINS Active 15 F 12/17/2007 Memorial Clinic
5/2/2023 16:00 HECTOR SANTOYO Active 62 M 5/11/1961 Willowbrook Clinic
5/2/2023 12:00 ILEANA TORRES Active 20 F 11/3/2002 Willowbrook Clinic
5/2/2023 11:30 JADE HOLIDAY Active 20 F 12/31/2002 Willowbrook Clinic
5/2/2023 9:00 JAKARIS BAZRON Active 13 F 11/23/2009 Kingwood Clinic
5/2/2023 9:00 JAKE KUHARICH Active 36 M 6/10/1986 Kingwood Clinic
5/2/2023 13:30 JAMES BECK Active 27 M 4/23/1996 Willowbrook Clinic
5/2/2023 11:00 JAYMES TODERO Active 48 M 6/18/1974 Willowbrook Clinic
5/2/2023 10:15 JEREMY ALLEN Active 28 M 8/31/1994 Memorial Clinic
5/2/2023 16:30 JERLINE OLIVARES Active 15 F 1/22/2008 Willowbrook Clinic
5/2/2023 11:00 JILL GILES Active 58 F 10/2/1964 Memorial Clinic
5/2/2023 16:15 JORGE SORTO Active 28 M 7/23/1994 Willowbrook Clinic
5/2/2023 13:00 JOYCE BOLINGER Active 79 F 12/24/1943 Willowbrook Clinic
5/2/2023 13:30 JUDY TURNER Active 66 F 8/4/1956 Willowbrook Clinic
5/2/2023 16:45 KAEDALYN KNOX Active 16 F 12/1/2006 Kingwood Clinic
5/2/2023 14:00 KALEIGH WEBB Active 19 F 2/9/2004 Willowbrook Clinic
5/2/2023 13:45 KAMILAH PRYOR Active 37 F 8/1/1985 Willowbrook Clinic
5/2/2023 14:45 KATHLEEN MOLINA Active 63 F 4/30/1960 Willowbrook Clinic
5/2/2023 15:15 KATHLEEN RILEY Active 64 F 3/28/1959 Willowbrook Clinic
5/2/2023 15:30 KIMBERLY GOLDEN Active 52 F 10/6/1970 Kingwood Clinic
5/2/2023 12:00 KRISTEN HEATH Active 34 F 12/3/1988 Willowbrook Clinic
5/2/2023 16:00 LARRY WILLIAMS Passive 70 M 3/20/1953 Willowbrook Clinic
5/2/2023 16:30 LATOYRA RANDLE Active 16 F 10/12/2006 Memorial Clinic
5/2/2023 15:00 LAURA HAMILTON Active 33 F 5/15/1990 Willowbrook Clinic
5/2/2023 16:00 LAUREN STEWART Active 17 F 4/29/2006 Willowbrook Clinic
5/2/2023 17:15 LAYLA MOYE Active 13 F 5/3/2010 Kingwood Clinic
5/2/2023 16:00 LEAH THORP P+Active 15 F 8/11/2007 Kingwood Clinic
5/2/2023 15:45 LEILA VELEZ Active 16 F 10/13/2006 Memorial Clinic
5/2/2023 10:00 LETICIA CANTON Active 43 F 7/29/1979 Willowbrook Clinic
5/2/2023 9:30 LILLY ANNE MCRAE Active 18 F 8/3/2004 Willowbrook Clinic
5/2/2023 9:15 LISA GANAME Active 35 F 2/22/1988 Memorial Clinic
5/2/2023 17:00 MADISON HAYDEN Active 15 F 10/5/2007 Memorial Clinic
5/2/2023 18:00 MAHREEN MALIK Active 26 F 10/14/1996 Willowbrook Clinic
5/2/2023 15:00 MARIA PINEDA Active 69 F 9/22/1953 Willowbrook Clinic
5/2/2023 14:00 MARY GROTE Active 72 F 3/12/1951 Memorial Clinic
5/2/2023 16:15 MASON MARTINEZ Active 16 M 5/4/2007 Willowbrook Clinic
5/2/2023 8:45 MATTHEW CHAVEZ Active 15 M 8/2/2007 Willowbrook Clinic
5/2/2023 10:30 MELISSA SYKES Active 52 F 1/7/1971 Kingwood Clinic
5/2/2023 16:30 MICHAEL MCMANUS Active 33 M 4/30/1990 Willowbrook Clinic
5/2/2023 11:00 MICHAEL LEHMANN Active 41 M 8/15/1981 Willowbrook Clinic
5/2/2023 12:00 MICHAEL PATTERSON Active 63 M 10/13/1959 Kingwood Clinic
5/2/2023 15:15 NIKKI PLUNKETT Active 35 F 6/6/1987 Willowbrook Clinic
5/2/2023 11:30 NORMA LOPEZ Active 60 F 7/5/1962 Willowbrook Clinic
5/2/2023 14:00 OMENA LUMBI Active 25 F 3/12/1998 Willowbrook Clinic
5/2/2023 9:00 PAMELA HAMMONS Active 65 F 11/1/1957 Memorial Clinic
5/2/2023 15:15 PAMELA BROWN P+Active 48 F 3/14/1975 Willowbrook Clinic
5/2/2023 9:00 PAMELA GROSSMAN Active 74 F 3/1/1949 Willowbrook Clinic
5/2/2023 14:30 PAUL GOTHARD Active 64 M 6/17/1958 Willowbrook Clinic
5/2/2023 16:15 RACHEL KANAK Active 18 F 3/1/2005 Willowbrook Clinic
5/2/2023 13:15 REBECCA DWYER Active 31 F 12/6/1991 Memorial Clinic
5/2/2023 12:00 RICHARD CASTILLO Active 38 M 5/17/1985 Willowbrook Clinic
5/2/2023 12:45 RITA LAWS Active 85 F 9/9/1937 Willowbrook Clinic
5/2/2023 15:00 ROBERT EASLEY Active 37 M 1/17/1986 Willowbrook Clinic
5/2/2023 13:00 ROGER WILLIFORD Active 77 M 9/19/1945 Willowbrook Clinic
5/2/2023 13:30 ROSE ALDRIDGE Active 79 F 11/25/1943 Willowbrook Clinic
5/2/2023 9:45 SARAH OCAMPO Active 32 F 8/11/1990 Willowbrook Clinic
5/2/2023 16:30 SARAH HOLLIS Active 41 F 10/8/1981 Willowbrook Clinic
5/2/2023 10:30 SAVANNAH LOFLAND Active 22 F 8/20/2000 Willowbrook Clinic
5/2/2023 16:00 SEAN CARROLL Active 13 M 1/4/2010 Willowbrook Clinic
5/2/2023 10:00 SELIA RUIZ Active 53 F 10/6/1969 Willowbrook TMS
5/2/2023 14:15 SERGIO CUMMINS Active 30 M 6/15/1992 Willowbrook Clinic
5/2/2023 10:30 SEVI MOURAD Active 29 F 11/7/1993 Memorial Clinic
5/2/2023 13:15 SHAUN HAILEY Active 36 M 3/13/1987 Willowbrook Clinic
5/2/2023 13:00 SHELVE SMITH Active 19 M 8/10/2003 Memorial Clinic
5/2/2023 16:00 SHENIKA SHAW Active 35 F 2/14/1988 Willowbrook Clinic
5/2/2023 13:15 SKYLER LANE Active 15 F 2/18/2008 Willowbrook Clinic
5/2/2023 12:30 STACY LAW Active 48 F 3/7/1975 Willowbrook Clinic
5/2/2023 13:15 STEFAN FOSTER Active 31 M 10/30/1991 Kingwood Clinic
5/2/2023 13:30 SYLVIA STEELE Active 58 F 5/28/1964 Willowbrook Clinic
5/2/2023 12:30 TARIQUE AYOOBKHAN Active 65 M 2/21/1958 Willowbrook Clinic
5/2/2023 14:30 TATIANA AMAYA Active 33 F 6/4/1989 Kingwood Clinic
5/2/2023 13:30 TERRY VILLARREAL Active 32 M 6/22/1990 Kingwood Clinic
5/2/2023 15:15 THOMAS WALLACE Active 18 M 11/14/2004 Willowbrook Clinic
5/2/2023 12:15 TREVOR MITCHELL Active 34 M 1/3/1989 Willowbrook Clinic
5/2/2023 16:15 TYRA GRIFFIN Active 24 F 10/22/1998 Willowbrook Clinic
5/2/2023 16:00 VALKYRIE LARA-VERA P+Active 13 F 7/9/2009 Willowbrook Clinic
5/2/2023 14:00 VANESSA PULIDO Active 22 F 3/15/2001 Willowbrook Clinic
5/2/2023 12:00 VANESSA SARGENT Active 38 F 11/29/1984 Willowbrook Clinic
5/2/2023 18:30 VICTORIA KNIGHTON Active 10 F 4/16/2013 Willowbrook Clinic
5/2/2023 15:45 VIVIAN DAVISON Active 69 F 2/11/1954 Willowbrook Clinic
5/2/2023 9:45 WILLIAM JOHNSON Active 16 M 8/21/2006 Kingwood Clinic
5/2/2023 14:30 WILLIAM LOTTERHOS JR Active 76 M 1/11/1947 Willowbrook Clinic
5/2/2023 16:30 WILLISAIHA ODEMS Active 39 F 2/2/1984 Willowbrook Clinic
 Provider Visit Type

SHAMARUKH KABIR, PA T - New Pt, Outpatient Office Visit

TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
CATHERINE CHANG, MD T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD New Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - New Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Transitional Care Mngt
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA New Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
 TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - New Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
MASOOD JILANI, MD TMS Visit
RANDI KATZ, NP New Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
AMANDA RAY, NP Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP New Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP New Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
CATHERINE CHANG, MD T - New Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - New Pt, Outpatient Office Visit
RANDI KATZ, NP New Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
MIRANDA TAING, MD T - New Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - New Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Transitional Care Mngt
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
 RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD New Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - New Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - New Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
CATHERINE CHANG, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP New Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD TMS Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
DANIEL LIAOU, MD T - New Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
MIRANDA TAING, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
DANIEL LIAOU, MD T - Est Pt, Outpatient Office Visit
 Primary/Secondary Scheduling Status Status Time Room Apt Veri Copay
Due
Checked-Out 5/2/2023 16:06 Pending $0.00
TXChildrenMedicaid / Checked-Out 5/3/2023 9:09 Auth Req $0.00
UHC/Optum-ChoicePlus / Amerigroup-Medicaid Checked-Out 5/2/2023 17:32 Yes $0.00
Cigna-OpenAccessPlus / Select insurance plan Checked-Out 5/2/2023 15:19 Yes $0.00
Gilsbar / Select insurance plan Checked-Out 5/3/2023 9:06 Yes $0.00
Ambetter-Marketplace / Checked-Out 5/2/2023 14:06 Yes $0.00
BCBS-PPO / Select insurance plan Checked-Out 5/2/2023 14:23 Yes $40.00
MedicareA&B / Checked-Out 5/2/2023 11:22 Yes $0.00
BCBS-HMO / Checked-Out 5/2/2023 13:50 Yes $0.00
BCBS-PPO / BCBS-PPO Checked-Out 5/2/2023 17:37 Yes $0.00
UHC/Optum / Checked-Out 5/2/2023 17:21 Yes $30.00
UHC/Optum-Medicaid / Scheduled 4/4/2023 10:56 Yes $0.00
CHC-Medicaid / Checked-Out 5/2/2023 11:50 Yes $0.00
CHC-Marketplace / Checked-Out 5/2/2023 16:54 Yes $0.00
Aetna-POS / Select insurance plan Checked-Out 5/2/2023 17:32 Yes $0.00
CHC-Marketplace / Checked-Out 5/2/2023 17:45 Auth Req $0.00
Tricare / Checked-Out 5/2/2023 14:28 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 11:59 Yes $0.00
UHC/Optum-Choice / Checked-Out 5/2/2023 15:20 Yes $0.00
UHC/Optum / Checked-Out 5/2/2023 11:55 Yes $0.00
Healthsmart / TXChildrenMedicaid Checked-Out 5/2/2023 16:46 Yes $10.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 17:26 Yes $35.00
Ambetter-Marketplace / Checked-Out 5/2/2023 11:25 Yes $0.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 16:17 Yes $0.00
TXChildrenMedicaid / Checked-Out 5/2/2023 11:57 Auth Req $0.00
MedicareA&B / Tricare Scheduled 5/2/2023 14:26 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 13:59 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 18:19 Yes $30.00
BCBS-PPO / Checked-Out 5/2/2023 13:16 Pending $0.00
BCBS-BlueEssential / Checked-Out 5/2/2023 13:12 Yes $15.00
Amerigroup-MedicareAdvantage / TexasMedicaid Checked-Out 5/2/2023 11:47 Yes $0.00
UMR / Checked-Out 5/2/2023 17:24 Yes $0.00
Aetna-PPO / Checked-Out 5/2/2023 12:56 Yes $25.00
BCBS-PPO / Checked-Out 5/2/2023 12:46 Pending $0.00
UHC/Optum-Medicaid / Scheduled 5/2/2023 10:39 Yes $150.00
BCBS-BlueAdvantageHMO / Checked-Out 5/2/2023 13:46 Yes $20.00
Cigna-Healthspring / Checked-Out 5/2/2023 16:09 Yes $15.00
BCBS-PPO / Checked-Out 5/2/2023 14:03 Yes $0.00
BCBS-HMO / Checked-Out 5/2/2023 13:18 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 11:05 Yes $30.00
CHC-Marketplace / Checked-Out 5/2/2023 14:33 Yes $150.00
BCBS-PPO / Checked-Out 5/2/2023 16:13 Yes $0.00
BCBS-HMO / Checked-Out 5/2/2023 16:35 Yes $0.00
 Devoted / Checked-Out 5/2/2023 14:21 Yes $0.00
Allegieance / Select insurance plan Checked-Out 5/2/2023 16:32 Yes $30.00
Cigna-OpenAccessPlus / Select insurance plan Checked-Out 5/2/2023 17:43 Yes $0.00
Cigna-Healthspring / Scheduled 5/2/2023 14:47 Yes $0.00
UHC/Optum-ChoicePlus / Checked-Out 5/2/2023 17:34 Yes $0.00
Humana-MedicareHMO / Checked-Out 5/2/2023 17:15 Yes $0.00
CHC-Marketplace / Checked-Out 5/2/2023 18:10 Auth Req $25.00
BCBS-PPO / Checked-Out 5/2/2023 14:52 Yes $0.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 16:58 Yes $0.00
Aetna-PPO / Checked-Out 5/2/2023 17:12 Yes $15.00
Cigna-OpenAccessPlus / TXChildrenMedicaid Checked-Out 5/2/2023 13:56 Yes $0.00
Amerigroup-Medicaid / Checked-Out 5/2/2023 15:54 Yes $0.00
Tricare / Checked-Out 5/2/2023 14:34 Yes $36.00
BCBS-HMO / Checked-Out 5/2/2023 13:55 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 14:03 Yes $30.00
Aetna-PPO / Checked-Out 5/2/2023 17:26 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 14:17 Yes $40.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 17:23 Yes $60.00
Ambetter-Marketplace / Checked-Out 5/2/2023 14:24 Yes $0.00
TexasMedicaid / Checked-Out 5/2/2023 17:19 Yes $0.00
MedicareA&B / Humana-MedicarePPO Checked-Out 5/2/2023 17:37 Yes $35.00
Amerigroup-MedicareAdvantage / Checked-Out 5/2/2023 14:17 Yes $0.00
Allegieance / Checked-Out 5/3/2023 9:01 Yes $0.00
TXChildrenMedicaid / Checked-Out 5/7/2023 20:46 Auth Req $0.00
Magellan / Checked-Out 5/2/2023 17:34 Yes $0.00
UHC/Optum-Medicare / Checked-Out 5/2/2023 17:52 Yes $10.00
MedicareA&B / TexasMedicaid Checked-Out 5/2/2023 15:55 Yes $0.00
Aetna-POS / Checked-Out 5/2/2023 18:23 Yes $0.00
TexasMedicaid / Confirmed-P 4/17/2023 14:34 Yes $0.00
TexasMedicaid / Scheduled 5/4/2023 7:23 Yes $0.00
CHC-Marketplace / Checked-Out 5/2/2023 17:29 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 15:51 Yes $25.00
BCBS-HMO / Checked-Out 5/2/2023 16:32 Yes $30.00
Cigna-Healthspring / Checked-Out 5/3/2023 9:48 Yes $30.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 18:26 Yes $30.00
CHC-Medicaid / Checked-Out 5/2/2023 17:09 Yes $0.00
Wellcare-UXR-Medicaid/Medicare / Checked-Out 5/2/2023 17:02 Yes $0.00
Tricare / Checked-Out 5/2/2023 11:07 Yes $36.00
BCBS-POS / Checked-Out 5/2/2023 13:58 Yes $20.00
Checked-Out 5/2/2023 17:39 Pending $0.00
River Oaks Accident Comp / Checked-Out 5/3/2023 8:46 Yes $0.00
Molina-Medicaid / Checked-Out 5/2/2023 16:49 Yes $0.00
Humana-MedicareHMO / Checked-Out 5/2/2023 16:34 Yes $0.00
TXChildrenMedicaid / Checked-Out 5/2/2023 16:58 Auth Req $0.00
Allied / Checked-Out 5/2/2023 11:03 Yes $0.00
 UHC/Optum / Checked-Out 5/2/2023 18:03 Yes $25.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 17:26 Yes $0.00
Aetna-PPO / Aetna-PPO Checked-Out 5/4/2023 12:16 Yes $0.00
MedicareA&B / UHC/Optum-Medicaid Checked-Out 5/4/2023 10:20 Yes $0.00
Cigna-OpenAccess / Checked-Out 5/2/2023 16:16 Yes $0.00
Allegieance / Checked-Out 5/2/2023 17:31 Yes $0.00
Ambetter-Marketplace / Checked-Out 3/31/2023 15:26 Yes $30.00
UHC/Optum / Checked-Out 5/2/2023 13:41 Yes $25.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 16:24 Yes $25.00
UHC/Optum-Wellmed / Checked-Out 5/2/2023 12:59 Yes $0.00
BCBS-HMO / Checked-Out 5/2/2023 17:50 Yes $30.00
Tricare / Select insurance plan Checked-Out 5/3/2023 8:53 Yes $36.00
Amerigroup-Medicaid / Checked-Out 5/2/2023 16:28 Yes $0.00
Ambetter-Marketplace / Checked-Out 5/2/2023 17:24 Auth Req $0.00
BCBS-PPO / Checked-Out 5/2/2023 13:48 Yes $0.00
Cigna-OpenAccessPlus / Checked-Out 5/2/2023 17:57 Yes $20.00
Cigna-Healthspring / Select insurance plan Checked-Out 5/4/2023 10:23 Yes $0.00
Devoted / Checked-Out 5/2/2023 16:30 Yes $15.00
Amerigroup-Medicaid / Checked-Out 5/2/2023 11:19 Yes $0.00
BCBS-PPO / Checked-Out 5/3/2023 9:41 Yes $30.00
CHC-Marketplace / TexasMedicaid Checked-Out 5/7/2023 21:10 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 16:38 Yes $20.00
BCBS-PPO / Checked-Out 5/2/2023 17:14 Yes $0.00
BCBS-HMO / Select insurance plan Checked-Out 5/2/2023 16:45 Yes $25.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 14:21 Yes $0.00
BCBS-PPO / Checked-Out 5/4/2023 10:30 Yes $0.00
CHC-Medicaid / Select insurance plan Checked-Out 5/2/2023 16:20 Yes $0.00
River Oaks Accident Comp / Scheduled 5/1/2023 15:12 Yes $0.00
BCBS-PPO / Checked-Out 5/2/2023 13:52 Yes $10.00
BCBS-PPO / Checked-Out 5/2/2023 13:46 Yes $35.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 18:05 Yes $0.00
Humana-MedicareHMO / Checked-Out 5/2/2023 17:39 Yes $35.00
UHC/Optum-Medicare / MedicareA&B Checked-Out 5/2/2023 17:33 Yes $25.00
Cigna-OpenAccess / Checked-Out 5/2/2023 18:14 Yes $15.00
Triwest / Checked-Out 5/2/2023 18:08 Pending $0.00
CHC-Medicaid / Checked-Out 5/2/2023 16:18 Yes $0.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 13:33 Yes $0.00
UHC/Optum-Medicaid / Checked-Out 5/2/2023 16:47 Yes $0.00
UHC/Optum-ChoicePlus / Checked-Out 5/2/2023 10:39 Yes $25.00
Amerigroup-Medicaid / Checked-Out 5/2/2023 16:38 Yes $0.00
Cigna-OpenAccess / Checked-Out 5/2/2023 13:05 Yes $0.00
BCBS-PPO / Select insurance plan Checked-Out 5/3/2023 8:45 Yes $20.00
Cigna-OpenAccess / MedicareA&B Checked-Out 5/2/2023 16:53 Yes $0.00
Tricare / Checked-Out 5/2/2023 16:59 Yes $36.00
MedicareA&B / Checked-Out 5/2/2023 14:35 Yes $0.00
UHC/Optum / Checked-Out 5/3/2023 9:31 Yes $0.00
 CoIns Balance Sign Balance in
Action
Paid Due Paid Due Paid CMD
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $375.00 Signed $375.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $25.00 Signed $25.00
$0.00 $26.03 $0.00 $66.00 Signed $0.00
$0.00 $0.00 $0.00 $120.00 Signed $80.00
$0.00 $0.00 $0.00 $0.00 Signed $26.32
$0.00 $0.00 $0.00 ($5.00) Signed ($4.75)
$0.00 $0.00 $0.00 $60.00 Signed $110.79
$0.00 $0.00 $0.00 $10.00 Signed ($20.00)
$0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $5,530.00 Signed $5,530.00
$0.00 $22.51 $0.00 $79.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed ($75.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $43.00 Signed ($107.24)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $50.00 Signed $0.00
$0.00 $0.00 $0.00 ($35.00) Signed ($70.00)
$0.00 $0.00 $0.00 ($10.00) Signed ($10.00)
$0.00 $16.88 $0.00 ($181.00) Signed ($198.12)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 ($70.00) Signed ($70.00)
$0.00 $0.00 $0.00 $30.00 Signed ($0.02)
$0.00 $0.00 $0.00 $1,130.00 Signed $1,250.00
$0.00 $0.00 $0.00 $0.00 Signed ($30.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $241.00 Signed $240.76
$0.00 $0.00 $0.00 $112.00 Signed $87.44
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $150.00 Signed $0.00
$0.00 $0.00 $0.00 $218.00 Signed $198.24
$0.00 $0.00 $0.00 $30.00 Signed $15.00
$0.00 $0.00 $0.00 $404.00 Signed $518.97
$0.00 $32.40 $0.00 $65.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed ($30.00)
$0.00 $0.00 $0.00 $510.00 Signed $360.00
$0.00 $32.21 $0.00 $32.00 Signed ($21.29)
$0.00 $0.00 $0.00 $72.00 Signed $0.00
 $0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $30.00 Signed ($30.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 ($10.00) Signed ($40.00)
$0.00 $0.00 $0.00 $260.00 Signed $184.52
$0.00 $0.00 $0.00 $712.00 Signed $723.29
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $45.00 Signed $30.00
$0.00 $21.10 $0.00 $32.20 Signed ($10.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $145.00 Signed ($35.00)
$0.00 $32.40 $0.00 $33.00 Signed $0.20
$0.00 $0.00 $0.00 $60.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $40.00 Signed $40.00
$0.00 $0.00 $0.00 $120.00 Signed $60.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $40.00 Signed ($30.00)
$0.00 $0.00 $0.00 $27.00 Signed $26.64
$0.00 $0.00 $0.00 $169.00 Signed $168.78
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $32.40 $0.00 $32.00 Signed $0.00
$10.00 $0.00 $0.00 $20.00 Signed $10.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $34.03 $0.00 $34.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $75.00 Signed $50.00
$0.00 $0.00 $0.00 $0.00 Signed ($30.00)
$0.00 $0.00 $0.00 $30.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed ($30.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $25.00 Signed $25.00
$0.00 $0.00 $0.00 $144.00 Signed $108.00
$0.00 $0.00 $0.00 $40.00 Signed $20.00
$0.00 $0.00 $0.00 $250.00 Signed $250.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 ($35.00) Signed ($35.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
 $0.00 $0.00 $0.00 $75.00 Signed ($25.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $22.51 $0.00 $57.00 Signed $27.49
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $85.00 Signed $84.39
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 ($6.00) Signed ($36.00)
$0.00 $0.00 $0.00 $25.00 Signed $0.00
$25.00 $0.00 $0.00 $75.00 Signed $25.00
$0.00 $12.45 $0.00 $12.00 Signed $0.00
$0.00 $0.00 $0.00 $218.00 Signed $158.14
$36.00 $0.00 $0.00 $108.00 Signed $36.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $47.88 $0.00 $48.00 Signed $0.00
$0.00 $0.00 $0.00 ($60.00) Signed ($60.00)
$0.00 $0.00 $0.00 $20.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $185.00 Signed $170.43
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $60.00 Signed ($30.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $120.00 Signed $30.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $25.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $155.00 Signed $145.00
$0.00 $0.00 $0.00 $0.00 Signed ($35.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $35.00 Signed ($35.00)
$0.00 $0.00 $0.00 $60.00 Signed $10.00
$0.00 $0.00 $0.00 $60.00 Signed $15.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $150.00 Signed $150.00
$0.00 $0.00 $0.00 $100.00 Signed $25.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $20.00 Signed ($20.00)
$0.00 $0.00 $0.00 $0.00 Signed $0.00
$0.00 $0.00 $0.00 $12.00 Signed ($24.00)
$0.00 $20.05 $0.00 $109.00 Signed $48.66
$0.00 $0.00 $0.00 $0.00 Signed $0.00
 Resource Name Patient ID Appt Facility ID Appt Resource ID
AMANDA RAY 37635742 10254997 10181064
AMANDA RAY 38592958 10254997 10181064
AMANDA RAY 38611621 10254997 10181064
AMANDA RAY 38945262 10254997 10181064
AMANDA RAY 39628306 10254997 10181064
AMANDA RAY 40496912 10254997 10181064
AMANDA RAY 40804958 10254997 10181064
AMANDA RAY 41505380 10254997 10181064
AMANDA RAY 41518320 10254997 10181064
AMANDA RAY 41810041 10254997 10181064
AMANDA RAY 41838086 10254997 10181064
AMANDA RAY 42193340 10254997 10181064
AMANDA RAY 42906891 10254997 10181064
AMANDA RAY 45643504 10254997 10181064
AMANDA RAY 45739544 10254997 10181064
AMANDA RAY 46084678 10254997 10181064
AMANDA RAY 46235836 10254997 10181064
AMANDA RAY 47585481 10254997 10181064
AMANDA RAY 50618093 10254997 10181064
AMANDA RAY 51532146 10254997 10181064
AMANDA RAY 52441029 10254997 10181064
AMANDA RAY 53853003 10254997 10181064
AMANDA RAY 53939124 10254997 10181064
AMANDA RAY 54125170 10254997 10181064
AMANDA RAY 54159275 10254997 10181064
AMANDA RAY Totals
AMY VARGHESE 50392003 10254997 10189435
AMY VARGHESE 50558942 10254997 10189435
AMY VARGHESE 50618727 10254997 10189435
AMY VARGHESE 50934266 10254997 10189435
AMY VARGHESE 54273218 10254997 10189435
AMY VARGHESE Totals
APRIL LEWIS 38499914 10254997 10189974
APRIL LEWIS 48709935 10254997 10189974
APRIL LEWIS 49007860 10254997 10189974
APRIL LEWIS 49286269 10254997 10189974
APRIL LEWIS 50843153 10254997 10189974
APRIL LEWIS 52876140 10254997 10189974
APRIL LEWIS 53342772 10254997 10189974
APRIL LEWIS Totals
CATHERINE CHANG, MD 53780440 10254997 10189968
CATHERINE CHANG, MD 53878837 10254997 10189968
CATHERINE CHANG, MD 53940281 10254997 10189968
CATHERINE CHANG, MD 54172728 10254997 10189968
 CATHERINE CHANG, MD 54225944 10254997 10189968
CATHERINE CHANG, MD Totals
DANIEL LIAOU, MD 53658455 10254997 10189990
DANIEL LIAOU, MD 54237431 10254997 10189990
DANIEL LIAOU, MD 54256617 10254997 10189990
DANIEL LIAOU, MD Totals
DR. MASOOD JILANI 42633823 10254997 10189626
DR. MASOOD JILANI 43197420 10254997 10189626
DR. MASOOD JILANI 48828097 10254997 10189626
DR. MASOOD JILANI 49598723 10254997 10189626
DR. MASOOD JILANI 51241576 10254997 10189626
DR. MASOOD JILANI 51264096 10254997 10189626
DR. MASOOD JILANI 51427472 10254997 10189626
DR. MASOOD JILANI 51711852 10254997 10189626
DR. MASOOD JILANI 52971572 10254997 10189626
DR. MASOOD JILANI 53395894 10254997 10189626
DR. MASOOD JILANI 53546388 10254997 10189626
DR. MASOOD JILANI 53658644 10254997 10189626
DR. MASOOD JILANI 53816222 10254997 10189626
DR. MASOOD JILANI 53855456 10254997 10189626
DR. MASOOD JILANI 53855941 10254997 10189626
DR. MASOOD JILANI 53922938 10254997 10189626
DR. MASOOD JILANI 54261193 10254997 10189626
DR. MASOOD JILANI 54263619 10254997 10189626
DR. MASOOD JILANI 54264267 10254997 10189626
DR. MASOOD JILANI 54267403 10254997 10189626
DR. MASOOD JILANI Totals
MIRANDA TAING 54133808 10254997 10189777
MIRANDA TAING 54209639 10254997 10189777
MIRANDA TAING Totals
RANDI KATZ 40660715 10254997 10189766
RANDI KATZ 44983626 10254997 10189766
RANDI KATZ 45952222 10254997 10189766
RANDI KATZ 47020056 10254997 10189766
RANDI KATZ 47207554 10254997 10189766
RANDI KATZ 51397359 10254997 10189766
RANDI KATZ 51749215 10254997 10189766
RANDI KATZ 51852186 10254997 10189766
RANDI KATZ 52128856 10254997 10189766
RANDI KATZ 52253570 10254997 10189766
RANDI KATZ 52405901 10254997 10189766
RANDI KATZ 52405992 10254997 10189766
RANDI KATZ 52493952 10254997 10189766
RANDI KATZ 52605258 10254997 10189766
RANDI KATZ 52651120 10254997 10189766
 RANDI KATZ 53050214 10254997 10189766
RANDI KATZ 53212564 10254997 10189766
RANDI KATZ 53320080 10254997 10189766
RANDI KATZ 53558298 10254997 10189766
RANDI KATZ 53796638 10254997 10189766
RANDI KATZ 53907004 10254997 10189766
RANDI KATZ 53921343 10254997 10189766
RANDI KATZ 54064707 10254997 10189766
RANDI KATZ 54202996 10254997 10189766
RANDI KATZ 54210831 10254997 10189766
RANDI KATZ 54238322 10254997 10189766
RANDI KATZ 54272783 10254997 10189766
RANDI KATZ Totals
SHAMARUKH KABIR 38247397 10254997 10189318
SHAMARUKH KABIR 42354585 10254997 10189318
SHAMARUKH KABIR 49093763 10254997 10189318
SHAMARUKH KABIR 49277993 10254997 10189318
SHAMARUKH KABIR 49411719 10254997 10189318
SHAMARUKH KABIR 49434194 10254997 10189318
SHAMARUKH KABIR 49543380 10254997 10189318
SHAMARUKH KABIR 50093540 10254997 10189318
SHAMARUKH KABIR 50238504 10254997 10189318
SHAMARUKH KABIR 50588444 10254997 10189318
SHAMARUKH KABIR 50696946 10254997 10189318
SHAMARUKH KABIR 50720808 10254997 10189318
SHAMARUKH KABIR 51064584 10254997 10189318
SHAMARUKH KABIR 51428628 10254997 10189318
SHAMARUKH KABIR 51999575 10254997 10189318
SHAMARUKH KABIR 52850762 10254997 10189318
SHAMARUKH KABIR 52964214 10254997 10189318
SHAMARUKH KABIR 53395495 10254997 10189318
SHAMARUKH KABIR 53572799 10254997 10189318
SHAMARUKH KABIR 53734036 10254997 10189318
SHAMARUKH KABIR 54173662 10254997 10189318
SHAMARUKH KABIR 54263539 10254997 10189318
SHAMARUKH KABIR 54271317 10254997 10189318
SHAMARUKH KABIR Totals
TAI JOHNSON, NP 41045484 10254997 10189991
TAI JOHNSON, NP 46314463 10254997 10189991
TAI JOHNSON, NP 49411183 10254997 10189991
TAI JOHNSON, NP 50309812 10254997 10189991
TAI JOHNSON, NP 50587054 10254997 10189991
TAI JOHNSON, NP 51301878 10254997 10189991
TAI JOHNSON, NP 51912945 10254997 10189991
TAI JOHNSON, NP 52284998 10254997 10189991
 TAI JOHNSON, NP 52582042 10254997 10189991
TAI JOHNSON, NP 52601795 10254997 10189991
TAI JOHNSON, NP 53409406 10254997 10189991
TAI JOHNSON, NP 53581484 10254997 10189991
TAI JOHNSON, NP 53590524 10254997 10189991
TAI JOHNSON, NP 53593882 10254997 10189991
TAI JOHNSON, NP 53769341 10254997 10189991
TAI JOHNSON, NP 53782145 10254997 10189991
TAI JOHNSON, NP 53940619 10254997 10189991
TAI JOHNSON, NP 54021334 10254997 10189991
TAI JOHNSON, NP 54052063 10254997 10189991
TAI JOHNSON, NP 54053462 10254997 10189991
TAI JOHNSON, NP 54065028 10254997 10189991
TAI JOHNSON, NP 54091988 10254997 10189991
TAI JOHNSON, NP 54256259 10254997 10189991
TAI JOHNSON, NP 54263893 10254997 10189991
TAI JOHNSON, NP Totals
TRISHA LINDERMAN, NP 53067963 10254997 10189976
TRISHA LINDERMAN, NP 53785855 10254997 10189976
TRISHA LINDERMAN, NP 53818342 10254997 10189976
TRISHA LINDERMAN, NP 53868715 10254997 10189976
TRISHA LINDERMAN, NP 53905331 10254997 10189976
TRISHA LINDERMAN, NP 53940090 10254997 10189976
TRISHA LINDERMAN, NP 53966820 10254997 10189976
TRISHA LINDERMAN, NP 53985211 10254997 10189976
TRISHA LINDERMAN, NP 54007766 10254997 10189976
TRISHA LINDERMAN, NP 54048411 10254997 10189976
TRISHA LINDERMAN, NP Totals
WILLICIA TORAN 41852802 10254997 10189767
WILLICIA TORAN 42146360 10254997 10189767
WILLICIA TORAN 48778462 10254997 10189767
WILLICIA TORAN 50086661 10254997 10189767
WILLICIA TORAN 51954325 10254997 10189767
WILLICIA TORAN 52160159 10254997 10189767
WILLICIA TORAN 52431988 10254997 10189767
WILLICIA TORAN 52870884 10254997 10189767
WILLICIA TORAN 52930076 10254997 10189767
WILLICIA TORAN 53057185 10254997 10189767
WILLICIA TORAN 53411502 10254997 10189767
WILLICIA TORAN 53543812 10254997 10189767
WILLICIA TORAN 53645722 10254997 10189767
WILLICIA TORAN 53713765 10254997 10189767
WILLICIA TORAN 53715107 10254997 10189767
WILLICIA TORAN 53796575 10254997 10189767
WILLICIA TORAN 53944301 10254997 10189767
 WILLICIA TORAN 54062482 10254997 10189767
WILLICIA TORAN 54227561 10254997 10189767
WILLICIA TORAN 54263740 10254997 10189767
WILLICIA TORAN Totals
 Resource Name Appointment Date Appointment Date Patient First Name
AMANDA RAY 05/02/2023 May 2023 KATHLEEN
AMANDA RAY 05/02/2023 May 2023 CYNTHIA
AMANDA RAY 05/02/2023 May 2023 FARRUKH
AMANDA RAY 05/02/2023 May 2023 STACY
AMANDA RAY 05/02/2023 May 2023 MARY
AMANDA RAY 05/02/2023 May 2023 WILLIAM
AMANDA RAY 05/02/2023 May 2023 TREVOR
AMANDA RAY 05/02/2023 May 2023 ROBERT
AMANDA RAY 05/02/2023 May 2023 SKYLER
AMANDA RAY 05/02/2023 May 2023 AMADEO
AMANDA RAY 05/02/2023 May 2023 DAVID
AMANDA RAY 05/02/2023 May 2023 CHRISTA
AMANDA RAY 05/02/2023 May 2023 ALISHA
AMANDA RAY 05/02/2023 May 2023 JUDY
AMANDA RAY 05/02/2023 May 2023 LAURA
AMANDA RAY 05/02/2023 May 2023 ROSAZATTIA
AMANDA RAY 05/02/2023 May 2023 PAMELA
AMANDA RAY 05/02/2023 May 2023 VIVIAN
AMANDA RAY 05/02/2023 May 2023 DAIJAH
AMANDA RAY 05/02/2023 May 2023 RITA
AMANDA RAY 05/02/2023 May 2023 CADENCE
AMANDA RAY 05/02/2023 May 2023 DIANNA
AMANDA RAY 05/02/2023 May 2023 CHRISTIAN
AMANDA RAY 05/02/2023 May 2023 SAVANNAH
AMANDA RAY 05/02/2023 May 2023 KALEIGH

AMY VARGHESE 05/02/2023 May 2023 ISABELLA

AMY VARGHESE 05/02/2023 May 2023 MONLEY
AMY VARGHESE 05/02/2023 May 2023 DENISE
AMY VARGHESE 05/02/2023 May 2023 MARIA
AMY VARGHESE 05/02/2023 May 2023 PATRICIA

APRIL LEWIS 05/02/2023 May 2023 KRISTEN

APRIL LEWIS 05/02/2023 May 2023 VANESSA
APRIL LEWIS 05/02/2023 May 2023 VICTORIA
APRIL LEWIS 05/02/2023 May 2023 VICTORIA
APRIL LEWIS 05/02/2023 May 2023 HEATHER
APRIL LEWIS 05/02/2023 May 2023 VALKYRIE
APRIL LEWIS 05/02/2023 May 2023 OMENA

CATHERINE CHANG, MD 05/02/2023 May 2023 ADRIENE

CATHERINE CHANG, MD 05/02/2023 May 2023 JENNIFER
CATHERINE CHANG, MD 05/02/2023 May 2023 SARAH
CATHERINE CHANG, MD 05/02/2023 May 2023 JENNIFER
CATHERINE CHANG, MD 05/02/2023 May 2023 LARRY

DANIEL LIAOU, MD 05/02/2023 May 2023 WILLISAIHA

DANIEL LIAOU, MD 05/02/2023 May 2023 DANIEL
DANIEL LIAOU, MD 05/02/2023 May 2023 SHENIKA

DR. MASOOD JILANI 05/02/2023 May 2023 SELIA

DR. MASOOD JILANI 05/02/2023 May 2023 PAUL
DR. MASOOD JILANI 05/02/2023 May 2023 GINA
DR. MASOOD JILANI 05/02/2023 May 2023 CORRIE
DR. MASOOD JILANI 05/02/2023 May 2023 JAYMES
DR. MASOOD JILANI 05/02/2023 May 2023 PEYTON
DR. MASOOD JILANI 05/02/2023 May 2023 ANDREW
DR. MASOOD JILANI 05/02/2023 May 2023 KATHLEEN
DR. MASOOD JILANI 05/02/2023 May 2023 GENESSE
DR. MASOOD JILANI 05/02/2023 May 2023 LETICIA
DR. MASOOD JILANI 05/02/2023 May 2023 KAMILAH
DR. MASOOD JILANI 05/02/2023 May 2023 SYLVIA
DR. MASOOD JILANI 05/02/2023 May 2023 JOYCE
DR. MASOOD JILANI 05/02/2023 May 2023 TARIQUE
DR. MASOOD JILANI 05/02/2023 May 2023 ANGELA
DR. MASOOD JILANI 05/02/2023 May 2023 MICHAEL
DR. MASOOD JILANI 05/02/2023 May 2023 NORMA
DR. MASOOD JILANI 05/02/2023 May 2023 ASHLIE
DR. MASOOD JILANI 05/02/2023 May 2023 RICHARD
DR. MASOOD JILANI 05/02/2023 May 2023 ROBERT

MIRANDA TAING 05/02/2023 May 2023 MAHREEN

MIRANDA TAING 05/02/2023 May 2023 VICTORIA

RANDI KATZ 05/02/2023 May 2023 MICHAEL

RANDI KATZ 05/02/2023 May 2023 TATIANA
RANDI KATZ 05/02/2023 May 2023 ANNESE
RANDI KATZ 05/02/2023 May 2023 CLARICE
RANDI KATZ 05/02/2023 May 2023 TANNER
RANDI KATZ 05/02/2023 May 2023 KAEDALYN
RANDI KATZ 05/02/2023 May 2023 PAMELA
RANDI KATZ 05/02/2023 May 2023 GIOVANNI
RANDI KATZ 05/02/2023 May 2023 WILLIAM
RANDI KATZ 05/02/2023 May 2023 CHIARA
RANDI KATZ 05/02/2023 May 2023 STEFAN
RANDI KATZ 05/02/2023 May 2023 CARL
RANDI KATZ 05/02/2023 May 2023 JAKE
RANDI KATZ 05/02/2023 May 2023 TERRY
RANDI KATZ 05/02/2023 May 2023 FRASER
 RANDI KATZ 05/02/2023 May 2023 BREANNA
RANDI KATZ 05/02/2023 May 2023 MELISSA
RANDI KATZ 05/02/2023 May 2023 JAKARIS
RANDI KATZ 05/02/2023 May 2023 AMANDA
RANDI KATZ 05/02/2023 May 2023 KRISTINA
RANDI KATZ 05/02/2023 May 2023 JASON
RANDI KATZ 05/02/2023 May 2023 ASHLEY
RANDI KATZ 05/02/2023 May 2023 JENNIFER
RANDI KATZ 05/02/2023 May 2023 CHARLES
RANDI KATZ 05/02/2023 May 2023 LAYLA
RANDI KATZ 05/02/2023 May 2023 KIMBERLY
RANDI KATZ 05/02/2023 May 2023 LEAH

SHAMARUKH KABIR 05/02/2023 May 2023 MICHAEL

SHAMARUKH KABIR 05/02/2023 May 2023 ROSE
SHAMARUKH KABIR 05/02/2023 May 2023 CASSIE
SHAMARUKH KABIR 05/02/2023 May 2023 SERGIO
SHAMARUKH KABIR 05/02/2023 May 2023 VANESSA
SHAMARUKH KABIR 05/02/2023 May 2023 DUSTIN
SHAMARUKH KABIR 05/02/2023 May 2023 ANGELINA
SHAMARUKH KABIR 05/02/2023 May 2023 DEBRA
SHAMARUKH KABIR 05/02/2023 May 2023 HECTOR MARTINEZ
SHAMARUKH KABIR 05/02/2023 May 2023 LAL
SHAMARUKH KABIR 05/02/2023 May 2023 JADE
SHAMARUKH KABIR 05/02/2023 May 2023 AUSTIN
SHAMARUKH KABIR 05/02/2023 May 2023 ADDISON
SHAMARUKH KABIR 05/02/2023 May 2023 STACI
SHAMARUKH KABIR 05/02/2023 May 2023 KATHRYN
SHAMARUKH KABIR 05/02/2023 May 2023 JORGE
SHAMARUKH KABIR 05/02/2023 May 2023 KIMBERLY
SHAMARUKH KABIR 05/02/2023 May 2023 JERLINE
SHAMARUKH KABIR 05/02/2023 May 2023 DESJARE
SHAMARUKH KABIR 05/02/2023 May 2023 CHRISTOPHER
SHAMARUKH KABIR 05/02/2023 May 2023 MARIA
SHAMARUKH KABIR 05/02/2023 May 2023 KATRINA
SHAMARUKH KABIR 05/02/2023 May 2023 EDWARD

TAI JOHNSON, NP 05/02/2023 May 2023 JEREMY

TAI JOHNSON, NP 05/02/2023 May 2023 LISA
TAI JOHNSON, NP 05/02/2023 May 2023 SHELVE
TAI JOHNSON, NP 05/02/2023 May 2023 LEILA
TAI JOHNSON, NP 05/02/2023 May 2023 ETTA
TAI JOHNSON, NP 05/02/2023 May 2023 SEVI
TAI JOHNSON, NP 05/02/2023 May 2023 BRITTANY
TAI JOHNSON, NP 05/02/2023 May 2023 CHELSEA
 TAI JOHNSON, NP 05/02/2023 May 2023 REBECCA
TAI JOHNSON, NP 05/02/2023 May 2023 MARY
TAI JOHNSON, NP 05/02/2023 May 2023 HAILEY
TAI JOHNSON, NP 05/02/2023 May 2023 MICAH
TAI JOHNSON, NP 05/02/2023 May 2023 ADEL
TAI JOHNSON, NP 05/02/2023 May 2023 LATOYRA
TAI JOHNSON, NP 05/02/2023 May 2023 JILL
TAI JOHNSON, NP 05/02/2023 May 2023 PAMELA
TAI JOHNSON, NP 05/02/2023 May 2023 CHARLES
TAI JOHNSON, NP 05/02/2023 May 2023 MADISON
TAI JOHNSON, NP 05/02/2023 May 2023 PRECIOUS
TAI JOHNSON, NP 05/02/2023 May 2023 ALEXIS
TAI JOHNSON, NP 05/02/2023 May 2023 EVAN
TAI JOHNSON, NP 05/02/2023 May 2023 DEORNELL
TAI JOHNSON, NP 05/02/2023 May 2023 FRED
TAI JOHNSON, NP 05/02/2023 May 2023 DAVION

TRISHA LINDERMAN, NP 05/02/2023 May 2023 SHAUN

TRISHA LINDERMAN, NP 05/02/2023 May 2023 GLENDA
TRISHA LINDERMAN, NP 05/02/2023 May 2023 EMILY
TRISHA LINDERMAN, NP 05/02/2023 May 2023 JAMIE
TRISHA LINDERMAN, NP 05/02/2023 May 2023 PAMELA
TRISHA LINDERMAN, NP 05/02/2023 May 2023 NIKKI
TRISHA LINDERMAN, NP 05/02/2023 May 2023 KENNETH
TRISHA LINDERMAN, NP 05/02/2023 May 2023 AARON
TRISHA LINDERMAN, NP 05/02/2023 May 2023 RACHEL
TRISHA LINDERMAN, NP 05/02/2023 May 2023 ROGER

WILLICIA TORAN 05/02/2023 May 2023 TYRA

WILLICIA TORAN 05/02/2023 May 2023 BEATRICE
WILLICIA TORAN 05/02/2023 May 2023 SEAN
WILLICIA TORAN 05/02/2023 May 2023 SARAH
WILLICIA TORAN 05/02/2023 May 2023 CLARISSA
WILLICIA TORAN 05/02/2023 May 2023 JAMES
WILLICIA TORAN 05/02/2023 May 2023 CARRIE
WILLICIA TORAN 05/02/2023 May 2023 ZEMARIAH
WILLICIA TORAN 05/02/2023 May 2023 ALLEN
WILLICIA TORAN 05/02/2023 May 2023 LILLYANNE
WILLICIA TORAN 05/02/2023 May 2023 THOMAS
WILLICIA TORAN 05/02/2023 May 2023 BRITTANY
WILLICIA TORAN 05/02/2023 May 2023 MATTHEW
WILLICIA TORAN 05/02/2023 May 2023 STEPHANIE
WILLICIA TORAN 05/02/2023 May 2023 ANGIE
WILLICIA TORAN 05/02/2023 May 2023 LAUREN
WILLICIA TORAN 05/02/2023 May 2023 DORIS
WILLICIA TORAN 05/02/2023 May 2023 ILEANA
WILLICIA TORAN 05/02/2023 May 2023 MASON
WILLICIA TORAN 05/02/2023 May 2023 CATELYN
Patient Last Name Patient Full Name Patient Birthday Appt Status
RILEY RILEY, KATHLEEN R 03/28/1959 Checked-Out
ALVAREZ BARRAGAN ALVAREZ BARRAGAN, CYNTHIA M 08/09/1997 Checked-Out
KHAWAJA KHAWAJA, FARRUKH 01/09/1998 Rescheduled
LAW LAW, STACY 03/07/1975 Checked-Out
STEWART STEWART, MARY E 12/04/1982 No Show
LOTTERHOS JR LOTTERHOS JR, WILLIAM E 01/11/1947 Checked-Out
MITCHELL MITCHELL, TREVOR K 01/03/1989 Checked-Out
WATERWALL WATERWALL, ROBERT 06/26/1992 Rescheduled
LANE LANE, SKYLER 02/18/2008 Checked-Out
MONTERROZA MONTERROZA, AMADEO 10/10/1958 Checked-Out
RUDD RUDD, DAVID C 10/27/1985 Checked-Out
PENNINGTON PENNINGTON, CHRISTA 10/08/1994 Checked-Out
MILLS MILLS, ALISHA 07/10/1974 Checked-Out
TURNER TURNER, JUDY M 08/04/1956 Checked-Out
HAMILTON HAMILTON, LAURA A 05/15/1990 Checked-Out
MASON MASON, ROSAZATTIA 12/06/1977 No Show
GROSSMAN GROSSMAN, PAMELA 03/01/1949 Checked-Out
DAVISON DAVISON, VIVIAN D 02/11/1954 Checked-Out
HICKMAN HICKMAN, DAIJAH 10/19/1997 No Show
LAWS LAWS, RITA R 09/09/1937 Checked-Out
JONES JONES, CADENCE 07/19/2007 Checked-Out
HOWELL HOWELL, DIANNA MICHELLE 09/06/1984 Checked-Out
CANIZALES CANIZALES, CHRISTIAN 01/29/1991 Checked-Out
LOFLAND LOFLAND, SAVANNAH 08/20/2000 Checked-In
WEBB WEBB, KALEIGH 02/09/2004 In Room
25
TOMEI TOMEI, ISABELLA V 07/05/2003 Canceled
EDMOND EDMOND, MONLEY 11/15/1983 Canceled
LOPEZ LOPEZ, DENISE 02/04/1990 Rescheduled
PECCI SAAVEDRA PECCI SAAVEDRA, MARIA 01/21/2000 Canceled
COTTER COTTER, PATRICIA 11/01/1997 Rescheduled
5
HEATH HEATH, KRISTEN 12/03/1988 ins Verified
SARGENT SARGENT, VANESSA 11/29/1984 Checked-Out
CHES CHES, VICTORIA 04/04/1952 No Show
BRYANT BRYANT, VICTORIA 10/27/1995 No Show
STOW STOW, HEATHER 11/07/1992 No Show
LARA-VERA LARA-VERA, VALKYRIE J 07/09/2009 ins Verified
LUMBI LUMBI, OMENA KABIBI 03/12/1998 ins Verified
7
GOODWIN GOODWIN, ADRIENE SAMANTHA 02/26/1988 Checked-Out
VASQUEZ VASQUEZ, JENNIFER 07/14/1983 No Show
HOLLIS HOLLIS, SARAH J 10/08/1981 Checked-Out
BRUECKNER BRUECKNER, JENNIFER 07/04/1972 Canceled
 WILLIAMS WILLIAMS, LARRY 03/20/1953 Canceled
5
ODEMS ODEMS, WILLISAIHA N 02/02/1984 Checked-Out
BROWN BROWN, DANIEL 10/17/1996 No Show
SHAW SHAW, SHENIKA 02/14/1988 ins Verified
3
RUIZ RUIZ, SELIA 10/06/1969 Checked-Out
GOTHARD GOTHARD, PAUL O 06/17/1958 Checked-Out
RAMSEY RAMSEY, GINA G 11/11/1964 Checked-Out
MALPHRUS MALPHRUS, CORRIE L 02/09/1988 Checked-Out
TODERO TODERO, JAYMES 06/18/1974 Checked-Out
FUGER FUGER, PEYTON 06/05/2000 Rescheduled
EVERIDGE EVERIDGE, ANDREW D 09/16/1991 Checked-Out
MOLINA MOLINA, KATHLEEN M 04/30/1960 Checked-Out
MORENO MORENO, GENESSE 07/21/1987 Checked-Out
CANTON CANTON, LETICIA 07/29/1979 Checked-Out
PRYOR PRYOR, KAMILAH 08/01/1985 Checked-Out
STEELE STEELE, SYLVIA D 05/28/1964 Checked-Out
BOLINGER BOLINGER, JOYCE L 12/24/1943 Checked-Out
AYOOBKHAN AYOOBKHAN, TARIQUE 02/21/1958 Checked-Out
PEREZ PEREZ, ANGELA 12/14/1979 ins Verified
LEHMANN LEHMANN, MICHAEL L 08/15/1981 ins Verified
LOPEZ LOPEZ, NORMA 07/05/1962 Checked-Out
HAWS HAWS, ASHLIE 08/29/1989 Checked-Out
CASTILLO CASTILLO, RICHARD 05/17/1985 Checked-Out
EASLEY EASLEY, ROBERT Z 01/17/1986 Checked-Out
20
MALIK MALIK, MAHREEN AZIZ 10/14/1996 Checked-Out
KNIGHTON KNIGHTON, VICTORIA 04/16/2013 Checked-Out
2
PATTERSON PATTERSON, MICHAEL L 10/13/1959 ins Verified
AMAYA AMAYA, TATIANA A 06/04/1989 Checked-Out
HEARNS HEARNS, ANNESE 07/09/1976 Checked-Out
COURTNEY COURTNEY, CLARICE 09/26/1985 ins Verified
DORTCH DORTCH, TANNER 06/07/1996 ins Verified
KNOX KNOX, KAEDALYN 12/01/2006 Checked-Out
LENGLE LENGLE, PAMELA 09/10/1990 ins Verified
MAGO GONZALEZ MAGO GONZALEZ, GIOVANNI 05/30/1981 Checked-Out
JOHNSON JOHNSON, WILLIAM 08/21/2006 Checked-Out
VAZQUEZ VAZQUEZ, CHIARA M 07/24/2000 Checked-Out
FOSTER FOSTER, STEFAN L 10/30/1991 Checked-Out
BROWN BROWN, CARL 09/13/1963 Checked-Out
KUHARICH KUHARICH, JAKE 06/10/1986 Checked-Out
VILLARREAL VILLARREAL, TERRY 06/22/1990 Checked-Out
TALBOT TALBOT, FRASER 07/06/1971 Checked-Out
 PONCE PONCE, BREANNA 01/15/2004 ins Verified
SYKES SYKES, MELISSA 01/07/1971 Checked-Out
BAZRON BAZRON, JAKARIS 11/23/2009 Checked-Out
CLEMENS CLEMENS, AMANDA N 12/08/1988 Checked-Out
TATOM TATOM, KRISTINA K 02/10/1980 Canceled
HALE HALE, JASON 12/24/1980 Rescheduled
GANTNER GANTNER, ASHLEY ANN 09/04/1993 Checked-Out
DEVANE DEVANE, JENNIFER M 05/04/1994 ins Verified
MURPHEY MURPHEY, CHARLES A 02/17/1983 ins Verified
MOYE MOYE, LAYLA 05/03/2010 Checked-Out
GOLDEN GOLDEN, KIMBERLY 10/06/1970 Checked-Out
THORP THORP, LEAH 08/11/2007 Checked-Out
27
MCMANUS MCMANUS, MICHAEL J 04/30/1990 Checked-Out
ALDRIDGE ALDRIDGE, ROSE M 11/25/1943 Checked-Out
EKDAHL EKDAHL, CASSIE Y 05/30/1987 Checked-Out
CUMMINS CUMMINS, SERGIO E 06/15/1992 Checked-Out
PULIDO PULIDO, VANESSA 03/15/2001 Checked-Out
BROOKS BROOKS, DUSTIN 05/10/1984 Checked-Out
CARMONA CARMONA, ANGELINA 11/23/2007 No Show
NICHOLSON NICHOLSON, DEBRA 02/21/1961 Checked-Out
SANTOYO SANTOYO, HECTOR MARTINEZ 05/11/1961 Checked-Out
KHAN KHAN, LAL 04/20/1956 Rescheduled
HOLIDAY HOLIDAY, JADE M 12/31/2002 Checked-Out
DEMONEY DEMONEY, AUSTIN 12/11/1988 Checked-Out
HIRSCHHAUSER HIRSCHHAUSER, ADDISON 06/11/2009 Checked-Out
QUINTANILLA QUINTANILLA, STACI N 08/27/1983 No Show
CORBITT CORBITT, KATHRYN LEE 10/25/1989 Canceled
SORTO SORTO, JORGE B 07/23/1994 Checked-Out
MURILLO MURILLO, KIMBERLY 01/06/2005 Rescheduled
OLIVARES OLIVARES, JERLINE E 01/22/2008 Checked-Out
HUMPHREY HUMPHREY, DESJARE 12/01/1983 Checked-Out
ROMERO ROMERO, CHRISTOPHER A 07/09/1992 Rescheduled
PINEDA PINEDA, MARIA LUISA 09/22/1953 Checked-Out
EDWARDS EDWARDS, KATRINA DIANNA 08/17/1967 Checked-Out
CANTU CANTU, EDWARD CESAR 11/27/1993 Checked-Out
23
ALLEN ALLEN, JEREMY M 08/31/1994 Checked-Out
GANAME GANAME, LISA MARIE 02/22/1988 Checked-Out
SMITH SMITH, SHELVE 08/10/2003 Checked-Out
VELEZ VELEZ, LEILA R 10/13/2006 Checked-Out
ROBBINS ROBBINS, ETTA M 12/31/1948 Checked-Out
MOURAD MOURAD, SEVI 11/07/1993 Checked-Out
DAVIS DAVIS, BRITTANY P 05/08/1989 Checked-Out
LINDSEY LINDSEY, CHELSEA 04/17/1991 Checked-Out
 DWYER DWYER, REBECCA C 12/06/1991 Checked-Out
GROTE GROTE, MARY M 03/12/1951 Checked-Out
COLLINS COLLINS, HAILEY 12/17/2007 Checked-Out
LAWAL LAWAL, MICAH W 11/01/2013 No Show
BENSAOULA BENSAOULA, ADEL 01/12/2001 Checked-Out
RANDLE RANDLE, LATOYRA 10/12/2006 Checked-Out
GILES GILES, JILL 10/02/1964 Checked-Out
HAMMONS HAMMONS, PAMELA C 11/01/1957 Checked-Out
FORD FORD, CHARLES JR 02/25/1969 ins Verified
HAYDEN HAYDEN, MADISON 10/05/2007 Checked-Out
NGUYEN NGUYEN, PRECIOUS 04/21/2000 ins Verified
CRIADO CRIADO, ALEXIS 01/18/1993 Checked-Out
RANSDELL RANSDELL, EVAN 04/16/2001 Checked-Out
MARSHALL MARSHALL, DEORNELL 02/17/1967 Checked-Out
SCHMIDT SCHMIDT, FRED EDWARD 07/12/1939 ins Verified
BEATTY BEATTY, DAVION J 04/08/2001 ins Verified
24
HAILEY HAILEY, SHAUN 03/13/1987 ins Verified
CRUZ CRUZ, GLENDA 09/21/1972 Checked-Out
THORN THORN, EMILY 02/06/2007 Checked-Out
ROSS ROSS, JAMIE ROCHELLE 11/24/1974 No Show
BROWN BROWN, PAMELA R 03/14/1975 Checked-Out
PLUNKETT PLUNKETT, NIKKI 06/06/1987 Checked-Out
HACKER HACKER, KENNETH 07/01/1957 Canceled
MARTINEZ MARTINEZ, AARON 07/18/2007 Checked-Out
KANAK KANAK, RACHEL 03/01/2005 Checked-Out
WILLIFORD WILLIFORD, ROGER ALAN 09/19/1945 ins Verified
10
GRIFFIN GRIFFIN, TYRA B 10/22/1998 Checked-Out
BOXX BOXX, BEATRICE C 09/02/1970 Checked-Out
CARROLL CARROLL, SEAN E 01/04/2010 Checked-Out
OCAMPO CERVIN OCAMPO CERVIN, SARAH A 08/11/1990 Checked-Out
SWILLEY SWILLEY, CLARISSA S 02/10/1988 Checked-Out
BECK BECK, JAMES 04/23/1996 Checked-Out
CHAMPION CHAMPION, CARRIE 11/09/1976 Checked-Out
ARMELIN ARMELIN, ZEMARIAH L 08/04/2010 No Show
MOORE MOORE, ALLEN D 04/30/1987 Checked-Out
MCRAE MCRAE, LILLYANNE 08/03/2004 Checked-Out
WALLACE WALLACE, THOMAS 11/14/2004 Checked-Out
EVANS EVANS, BRITTANY 06/05/1995 Checked-Out
CHAVEZ CHAVEZ, MATTHEW 08/02/2007 Checked-Out
CLOUSE CLOUSE, STEPHANIE DAWNEILLE 06/21/1973 No Show
STRAUDER-PYE STRAUDER-PYE, ANGIE S 05/24/1974 Checked-Out
STEWART STEWART, LAUREN 04/29/2006 Checked-Out
ALEXANDER ALEXANDER, DORIS M 01/06/1962 Checked-Out
 TORRES TORRES, ILEANA 11/03/2002 Checked-Out
MARTINEZ MARTINEZ, MASON L 05/04/2007 Checked-Out
BICKEL BICKEL, CATELYN 01/03/2006 Checked-Out
20
171
 Pat. Primary Payer Name Primary Member ID
TEXAS MEDICARE 1WC4D83RE92
AETNA W263310485
UNITED HEALTHCARE 967262099
BLUE CROSS MEDICARE ADVANTAGE ZGP805012908
AMERIGROUP 956W07430
TEXAS MEDICARE 4E93RV0KK86
UNITED HEALTHCARE COMMUNITY PLAN 508936375
CIGNA U6090372501
BLUE CROSS AND BLUE SHIELD OF TEXAS TEA806266513
BCBS MAGELLAN 924473403EP
BLUE CROSS MEDICARE ADVANTAGE CQM126253637001
SELF PAY 99999
BLUE CROSS MEDICARE ADVANTAGE DAD843193246
AMERIGROUP 017W04707
BLUE CROSS MEDICARE ADVANTAGE JEA012816900
WELLCARE TEXAN PLUS 18358832
OPTUM BEHAVIORAL HEALTH 903112751
HEALTHSPRING 36088704
BLUE CROSS MEDICARE ADVANTAGE LCG10374152901
BCBS MEDICARE ADVANTAGE ZGD804089913
CIGNA 5176002054308
MAGELLAN BEHAVIORAL HEALTH 805935338EP
BLUE CROSS MEDICARE ADVANTAGE H5H828580502
COMMUNITY HEALTH MARKETPLACE 001293690300
TEXAS CHILDRENS HEALTH PLAN 608061658

CIGNA 21141012204
UMR 34410048
COMMUNITY HEALTH CHOICE MEDICAID 530617215
TRICARE EAST 1542264302
AETNA W266549314

COMMUNITY HEALTH CHOICE MEDICAID 527436240

CIGNA 919191016775
MAGELLAN BEHAVIORAL HEALTH DC9UGA
COMMUNITY HEALTH CHOICE MEDICAID 517448846
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP849940259
UNITED HEALTHCARE 947937218
AMBETTER U9375187601

GILSBAR INC 1500094764

UNITED HEALTHCARE 611511295
BLUE CROSS MEDICARE ADVANTAGE HSJ3HZN95341870
BLUE CROSS AND BLUE SHIELD OF TEXAS CXA841285177
 UNITED HEALTHCARE 506941037

UNITED HEALTHCARE MEDICAID 506497832

RIVER OAKS HOSPITAL 999999
RIVER OAKS HOSPITAL 99999999

BLUE CROSS AND BLUE SHIELD OF TEXAS HEB831360426

BCBS HMO T2U836512530
HUMANA H44398229
UMR 16783106
AETNA W154251407
BLUE CROSS AND BLUE SHIELD OF TEXAS JEA013003400
UNITED HEALTHCARE 912406186
UNITED HEALTHCARE 991777672
UNITED HEALTHCARE MEDICAID 712231884
WELLCARE TEXAN PLUS 096924302
BCBS MAGELLAN 925779304EP
HUMANA H53770956
HUMANA H57618792
UNITED HEALTHCARE MEDICARE 980224392
UNITED HEALTHCARE MEDICAID 701638963
AETNA W270455684
CIGNA 919191006403
COMMUNITY HEALTH MARKETPLACE 000436270301
AMBETTER-VALUE U9697952601
CIGNA 10774850300

RIVER OAKS HOSPITAL 999999999

BLUE CROSS AND BLUE SHIELD OF TEXAS EPN820081580

TEXAS MEDICARE 4M23F20HR03

CIGNA U8458554601
COMMUNITY HEALTH MARKETPLACE 001118461200
MAGELLAN BEHAVIORAL HEALTH D78HFA
BCBS MAGELLAN 92499590801
CIGNA 779568660322
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP826609376
COMMUNITY HEALTH CHOICE MEDICAID 001318705300
TRICARE EAST 434175622
BLUE CROSS MEDICARE ADVANTAGE UTS0BF9JF7EM
UNITED HEALTHCARE MEDICAID 529723381
CIGNA U7422397801
MAGELLAN BEHAVIORAL HEALTH 809816240EP
TRIWEST REGION 4 CCN CLAIMS AFTER DOS 6.8.2021 635183072
CIGNA U8159609502
 COMMUNITY HEALTH CHOICE MEDICAID 524621530
UNITED HEALTHCARE 928845312
TRICARE EAST 466455461
BLUE CROSS AND BLUE SHIELD OF TEXAS LMN726022152
AMERIGROUP 719512863
UNITED HEALTHCARE 984312220
AETNA W268310907
AMBETTER-VALUE U9708587501
AETNA 101191987800
ALLEGIANCE BENEFIT PLAN MANAGEMENT INC. 779536811322
AETNA W277302200
CIGNA U0962420503

UNITED HEALTHCARE 614851184

MAGELLAN BEHAVIORAL HEALTH DJ8FH5
CIGNA U5398714002
BCBS HMO ZGZ825610042
AMERIGROUP MEDICAID 727884130
SELF PAY 99999
COMMUNITY HEALTH CHOICE MEDICAID 528151305
BCBS MAGELLAN 925188468EP
AETNA W178142444
UNITED HEALTHCARE MEDICAID 617528168
AMERIGROUP 712896867
TRICARE EAST 01409353100
UNITED HEALTHCARE SHARED SERVICES HHB820859
AMERIGROUP 713564465
MOLINA MEDICAID 606444197
UNITED HEALTHCARE MEDICAID 530397819
BCBS MAGELLAN 923864359EP
CIGNA 10565950203
BLUE CROSS AND BLUE SHIELD OF TEXAS WJW831755201
UNITED HEALTHCARE 126245472
MOLINA MEDICAID 500000030053

BLUE CROSS AND BLUE SHIELD OF TEXAS MOV50013336201

BLUE CROSS AND BLUE SHIELD OF TEXAS CJT837284216

BCBS HMO P5T833799267
COMMUNITY HEALTH CHOICE MEDICAID 525738578
COMMUNITY HEALTH CHOICE MEDICAID 527231593
MAGELLAN BEHAVIORAL HEALTH DA9WYS
UNITED HEALTHCARE COMMUNITY PLAN 757152219
UNITED HEALTHCARE MEDICAID 756239571
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP925539276
 AMERIGROUP MEDICAID 730435791
HUMANA H73532965
UNITED HEALTHCARE 528180934
AMERIGROUP 725836142
CIGNA U8572642803
COMMUNITY HEALTH CHOICE MEDICAID 527084193
AMBETTER U9216197001
UNITED HEALTHCARE 989305999
TEXAS MEDICARE 6TR7G45CG56
SELF PAY 99999999
BLUE CROSS AND BLUE SHIELD OF TEXAS UTN825887071
AMBETTER-VALUE U9613644501
CIGNA 779536159322
CIGNA U0422838702
CIGNA 36048719
UNITED HEALTHCARE MEDICAID 520714541

BLUE CROSS MEDICARE ADVANTAGE AMR844476606

BLUE CROSS AND BLUE SHIELD OF TEXAS A8G689W11604
MAGELLAN BEHAVIORAL HEALTH 925421076EP
MOLINA MEDICAID 509383952
CIGNA U6386965001
CIGNA U3450152901
WELLCARE TEXAN PLUS 076810930
TEXAS CHILDRENS HEALTH PLAN 527864760
TRICARE EAST 00499639802
CIGNA 78072912501

UNITED HEALTHCARE 529926927

BLUE CROSS MEDICARE ADVANTAGE PAS830188944
BLUE CROSS MEDICARE ADVANTAGE KYF828371990
AMERIGROUP 713053627
AMERIGROUP 712W07833
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP807822695
AMBETTER U9395173101
UNITED HEALTHCARE MEDICAID 530858704
TEXAS MEDICARE 1UN5EJ0HD81
TRICARE EAST 640925478
COMMUNITY HEALTH CHOICE MEDICAID 524868122
UNITED HEALTHCARE 125881825
Allied ASO ZZ0152388
UNITED HEALTHCARE 125730350
COMMUNITY HEALTH CHOICE MEDICAID 510559151
BLUE CROSS MEDICARE ADVANTAGE T2U838435705
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP837505711
 CIGNA U8412725404
TEXAS CHILDRENS HEALTH PLAN 528306320
Texas Children s Health Plan 527196575
Pat. Secondary Payer Name Secondary Member ID Patient Credits
TEXAS MEDICAID 501854661 $0.00
$17.00
$0.00
$35.00
AMERIGROUP MEDICAID 716911759 $0.00
$26.64
$0.00
$0.00
$0.00
$4.75
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
TEXAS CHILDRENS HEALTH PLAN 618632060 $0.00
$0.00
$45.00
TEXAS MEDICAID 721296172 $0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$0.00
$25.00
$36.00

$0.00
$0.00
$60.00
$0.00
 $0.00

$0.00
$0.00
$0.00

$15.00
$30.00
$100.00
$0.00
$0.00
$25.00
$20.00
$0.00
$0.00
$0.00
$0.00
$35.00
$30.00
$15.00
$0.00
$0.00
$0.00
$75.00
$0.00
$0.00

$0.00
$20.00

UNITED HEALTHCARE COMMUNITY PLAN 520684793 $0.00

$0.00
$0.00
UNITED HEALTHCARE 113446422 $0.00
$0.00
$0.00
$0.00
$50.00
$96.00
$0.02
$0.00
$70.00
$40.60
$0.00
$0.00
 $0.00
$25.00
$71.00
$0.00
$0.00
$50.00
$0.00
$0.00
MOLINA MEDICAID 513158514 $0.00
$0.00
$0.00
$30.00

$0.00
$0.00
$198.12
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
AMERIGROUP 716724888 $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
UNITED HEALTHCARE MEDICAID 718516774 $0.00
$0.00
$0.00
$21.29

$0.00
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
CIGNA 919191063214 $70.00
 $0.00
$35.00
$0.00
$0.00
$0.00
$0.00
$15.00
$0.00
TRICARE FOR LIFE 573940561 $0.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00

$0.00
$150.00
$150.00
$0.00
TEXAS MEDICAID 528652888 $0.00
$0.00
$10.00
$0.00
TEXAS MEDICAID 605053019 $0.00
$0.00
$0.00
COMMUNITY HEALTH CHOICE MEDICAID 719933588 $0.00
$0.00
$0.00
$0.00
$30.00
$30.00
$10.00
$0.00
$0.00
Patient Ins Credits Patient Balance Patient Ins. Balance Last Eligibility Check
$0.00 $0.00 $1,589.67 04/28/2023
$0.00 $87.44 $0.00 05/02/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 -$35.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 04/27/2023
$0.00 $48.66 $642.00 04/28/2023
$0.00 $0.00 $1,300.00 04/28/2023
$0.00 $35.00 $0.00 05/03/2023
$0.00 $145.00 $0.00 05/01/2023
$0.00 -$4.75 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $1,250.00 $2,550.00 05/02/2023
$0.00 $80.00 $0.00 05/01/2023
$0.00 $26.64 $0.00 05/01/2023
$0.00 $50.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $50.00 $0.00 05/01/2023
$0.00 -$60.00 $0.00 05/01/2023
$0.00 $0.00 $30.00 05/01/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 -$30.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/11/2023
$0.00 $0.00 $0.00 05/01/2023

$0.00 $75.00 $0.00 05/09/2023

$0.00 $240.76 $0.00 05/10/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $72.00 $0.00 04/28/2023
$0.00 $0.00 $0.00 05/03/2023

$0.00 $0.00 $3,721.00 04/28/2023

$0.00 $0.00 $642.00 05/09/2023
$0.00 $30.00 $325.00 04/28/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $30.00 $0.00 05/05/2023
$0.00 $25.00 $2,112.00 05/11/2023
$0.00 -$36.00 $0.00 05/11/2023

$0.00 $25.00 $642.00 04/28/2023

$0.00 $0.00 $1,377.00 04/28/2023
$0.00 -$30.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/03/2023
 $0.00 $0.00 $0.00 04/28/2023

$0.00 $0.00 $2,388.00 04/28/2023

$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/01/2023

$254.29 $0.00 $9,167.71 05/04/2023

$0.00 $158.14 $0.00 05/02/2023
$0.00 -$40.00 $12,730.00 05/11/2023
$0.00 $240.76 $1,096.00 05/11/2023
$0.00 $0.00 $0.00 04/27/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$20.00 $0.00 04/28/2023
$0.00 $10.00 $0.00 04/28/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 $25.00 $642.00 04/28/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 -$35.00 $838.00 05/02/2023
$0.00 -$30.00 $838.00 04/28/2023
$0.00 $10.00 $25.00 04/28/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $27.49 $0.00 04/27/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 -$75.00 $0.00
$0.00 $0.00 $0.00 05/09/2023
$0.00 $0.00 $0.00 05/02/2023

$0.00 $0.00 $0.00

$0.00 -$20.00 $838.00 05/01/2023

$107.66 $0.00 $1,196.39 05/05/2023

$0.00 $15.00 $1,284.00 05/05/2023
$0.00 $5,530.00 $0.00 04/27/2023
$0.00 $0.00 $539.55 05/11/2023
$0.00 $38.88 $0.00 05/01/2023
$0.00 $168.78 $642.00 04/27/2023
$0.00 $90.00 $0.00 05/09/2023
$0.00 $184.52 $1,664.00 05/08/2023
$0.00 -$24.00 $351.00 05/01/2023
$0.00 -$0.02 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 -$70.00 $0.00 05/08/2023
$0.00 $0.20 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $642.00 05/04/2023
$0.00 -$25.00 $2,019.00 04/28/2023
$0.00 -$35.00 $1,284.00 05/05/2023
$0.00 $110.79 $1,284.00 05/09/2023
$0.00 $0.00 $642.00 05/05/2023
$0.00 -$25.00 $642.00 05/02/2023
$0.00 $0.00 $642.00 04/27/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $364.00 05/02/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 -$30.00 $0.00 05/02/2023

$0.00 $0.00 $0.00 04/28/2023

$0.00 $170.43 $0.00 02/15/2023
$0.00 -$198.12 $0.00 04/28/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 04/26/2023
$0.00 $360.00 $975.00 05/02/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $198.24 $0.00 05/01/2023
$0.00 $30.00 $0.00 04/27/2023
$0.00 $34.74 $0.00 05/08/2023
$0.00 $0.00 $642.00 05/02/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $375.00 $642.00 05/01/2023
$0.00 $0.00 $0.00 04/27/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $64.80 $0.00 03/30/2023
$0.00 $60.00 $0.00 04/28/2023
$0.00 $518.97 $0.00 05/10/2023
$0.00 $0.00 $1,284.00 05/03/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 -$21.29 $0.00 05/10/2023

$0.00 $40.00 $0.00 05/02/2023

$0.00 $20.00 $0.00 05/01/2023
$0.00 $0.00 $1,244.00 04/28/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $2,275.00 05/01/2023
$0.00 -$70.00 $642.00 05/10/2023
 $0.00 $0.00 $1,284.00 04/27/2023
$0.00 -$35.00 $642.00 04/28/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $0.00 $838.00 04/17/2023
$0.00 $0.00 $2,764.00 05/02/2023
$0.00 $0.00 $642.00 05/01/2023
$0.00 $0.00 $838.00 04/27/2023
$0.00 $0.00 $939.00 05/11/2023
$0.00 $0.00 $4,815.63 05/08/2023
$0.00 $250.00 $0.00 04/28/2023
$0.00 $350.00 $454.00 05/02/2023
$0.00 $0.00 $0.00 04/27/2023
$0.00 -$30.00 $838.00 05/01/2023
$0.00 $15.00 $838.00 04/28/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $0.00 $818.00 05/11/2023

$0.00 $0.00 $0.00 05/01/2023

$0.00 $723.29 $0.00 05/08/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 04/28/2023
$0.00 $25.00 $642.00 04/28/2023
$0.00 $84.39 $0.00 04/28/2023
$131.52 $0.00 $510.48 05/03/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $36.00 $642.00 05/01/2023
$0.00 $0.00 $838.00 05/08/2023

$0.00 $150.00 $642.00 05/08/2023

$0.00 -$107.24 $0.00 05/01/2023
$0.00 $30.00 $0.00 05/02/2023
$47.68 $0.00 $594.32 05/02/2023
$26.32 $0.00 -$26.32 05/01/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 -$10.00 $0.00 04/27/2023
$0.00 $0.00 $2,857.00 05/08/2023
$0.00 $26.32 $26.32 04/28/2023
$0.00 $108.00 $0.00 04/28/2023
$0.00 $0.00 $642.00 04/28/2023
$0.00 $0.00 $1,231.23 05/09/2023
$0.00 $0.00 $1,480.00 05/04/2023
$0.00 $708.09 $796.00 05/11/2023
$0.00 $0.00 $642.00 04/28/2023
$0.00 -$30.00 $0.00 05/01/2023
$0.00 -$30.00 $0.00 05/02/2023
$0.00 -$10.00 $677.14 05/08/2023
$0.00 $0.00 $0.00 05/01/2023
$0.00 $0.00 $0.00 05/05/2023
Last Patient Payment Patient Last Payment Amount
$0.00
09/30/2022 $25.00
04/27/2023 $241.14
03/30/2023 $70.00
$0.00
05/03/2023 $20.05
$0.00
04/01/2023 $35.00
10/03/2022 $10.00
02/27/2023 $60.00
01/30/2023 $50.00
03/23/2022 $100.00
02/02/2023 $40.00
$0.00
01/17/2023 $25.00
$0.00
04/25/2023 $12.45
$0.00
01/13/2023 $25.00
12/14/2022 $30.00
$0.00
05/02/2023 $32.40
05/02/2023 $15.00
$0.00
$0.00

01/06/2023 $50.00
02/20/2023 $120.00
$0.00
02/03/2023 $72.00
$0.00

$0.00
$0.00
03/10/2023 $105.00
$0.00
04/07/2023 $60.00
04/27/2023 $50.00
04/28/2023 $30.00

$0.00
$0.00
05/02/2023 $60.00
$0.00
 $0.00

$0.00
$0.00
$0.00

04/28/2023 $15.00
05/02/2023 $30.00
04/21/2022 $35.00
01/26/2023 $63.37
05/08/2023 $23.67
05/04/2023 $25.00
04/04/2023 $60.00
03/28/2023 $10.00
$0.00
$0.00
04/25/2023 $32.40
04/04/2023 $35.00
04/20/2023 $30.00
03/28/2023 $15.00
$0.00
05/04/2023 $22.51
$0.00
05/09/2023 $50.00
$0.00
$0.00

$0.00
04/27/2023 $20.00

02/06/2023 -$200.54
04/27/2023 $15.00
03/24/2022 $120.00
$0.00
10/17/2022 $64.80
$0.00
03/16/2023 -$35.00
05/09/2023 $25.00
05/01/2023 $96.00
04/03/2023 $60.00
$0.00
05/09/2023 $35.00
04/04/2023 $73.00
$0.00
$0.00
 $0.00
05/03/2023 $50.00
05/08/2023 $36.00
$0.00
$0.00
04/18/2023 $25.00
05/08/2023 $50.00
$0.00
$0.00
$0.00
$0.00
05/02/2023 $30.00

$0.00
12/02/2022 $15.00
02/13/2023 $417.54
03/03/2023 $25.00
$0.00
$0.00
$0.00
$0.00
10/18/2022 $60.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
05/04/2023 $72.00
04/23/2023 $60.00
03/16/2023 $50.00
$0.00
$0.00
$0.00
05/02/2023 $21.29

$0.00
03/08/2023 $40.00
$0.00
$0.00
$0.00
$0.00
$0.00
01/16/2023 $35.00
 $0.00
02/16/2023 $30.00
$0.00
$0.00
$0.00
$0.00
04/24/2023 $204.49
04/17/2023 $25.00
$0.00
$0.00
$0.00
$0.00
04/17/2023 $30.00
$0.00
$0.00
$0.00

$0.00
$0.00
05/03/2023 $72.00
$0.00
04/03/2023 $25.00
$0.00
$0.00
$0.00
05/05/2023 $144.00
$0.00

$0.00
05/11/2023 $150.00
05/03/2023 $70.00
$0.00
$0.00
05/02/2023 $30.00
01/09/2023 $10.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
05/02/2023 $30.00
05/02/2023 $30.00
04/27/2023 $10.00
$0.00
$0.00
Appointment Comment
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $112.44
Deductible: $120.38
Balance: $0.00
Copay: $35.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Co-ins; $20.05
Balance:
Copay: $108.81
$0.00
Balance: $0.00
Copay: $35.00
Balance: $70.00
Copay: $10.00
Balance:
Copay: $155.00
$0.00
Balance Prepaid: $4.75
Inactive insurance
Balance: $0.00
Inactive insurance
Balance:
Copay:$1,130.00
$40.00
Balance:
Copay: $120.00
$0.00
Balance: $26.64
Copay: $25.00
Balance: $75.00
Copay: $0.00
Balance:
Co-ins: $0.0
$12.45
Balance: $12.45
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $75.00
Copay: $0.00
Balance Prepaid:
Copay: $10.00$60.00
Balance: $50.00
Coins: $32.40
Balance: $64.80
Copay: $15.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Auth required 
Balance: $0.00

Inactive insurance
Deductible: $120.38
Balance:
Copay: $240.76
$0.00
Balance: $0.00
Copay: $36.00
Balance: $108.00
Copay: $17.02
Balance: $17.02
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $15.00
Balance: $45.00
Copay: $0.00
Balance: $0.00
Copay: $15.00
Balance: $45.00
Copay: $25.00
Balance: $100.00
Copay: $30.00
Balance Prepaid: $6.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $30.00
Balance: $60.00
Coins: $34.80
Balance: $34.80
 Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $30.00
Balance:
Copay: $218.14
$0.00
Copay: $120.38Prepaid:
Balance Towards$10.00
Deductible
Balance: $240.76
Deductible: $115.37
Balance: $0.00
Copay: $25.00
Balance: $50.00
Copay: $30.00
Balance: $10.00
Copay: $10.00
Copay: $0.00
Balance: $20.00
Balance: $0.00
Copay: $0.00
Balance:$0.00
Coins: $32.40
Balance: $32.40
Copay: $35.00
Balance: $35.00
Copay: $35.00
Balance: $40.00
Copay: $25.00
Balance: $60.00
Copay: $0.00
Balance: $0.00
Coins: $22.51
Balance: $56.54
Copay: $0.00
Copay: $25.00
Balance: $0.00
Balance: $25.00
Coinsurance:
Auth Req$47.88
Balance: $47.88
Copay: $20.00
Balance: $20.00
Copay: $0.00
Balance: $0.00
Copay: $20.00
balance: $20.00
Copay: $0.00
Balance: $0.00
Copay: $15.00
Balance: $60.00
Copay: $0.00
Balance:
Copay:$5530.00
$0.00
Balance: $0.00
Coins: $12.96
Balance: $51.84
Deductible: $84.39
Balance: $168.78
Copay: $30.00
Copay:$120.00
Balance: $25
Balance: $259.52
Copay:
Auth$36.00
Req
Balance: $12.00
Copay: $30.00
Balance: $29.98
Copay: $0.00
Balance:
Copay: $0.00
$35
Balance: $35
Coins: $32.40
Balance: $32.60
Insurance Inactive
Copay: $0.00
Balance: $0.00
 Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $100.00
Copay: $36.00
Balance:
Copay: $145.00
$0.00
Balance: $60.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $25.00
Coins: $22.51
Balance: $79.05
Coins: $31.24
Balance:
Copay: $110.36
$0.00
Balance: $0.00
Copay: $30.00
Balance: $30.00
Coinsurance: $34.03
Balance:
Copay:$34.03
$30
Balance: $30
Copay: $0.0
Balance:
Copay: $0.00
$15
Balance: $185.43
Coinsurance: $16.88
Balance: Prepaid
Copay: $181.24
$25.00
Balance: $25.00
Copay: $0.00
Balance:
Copay: $0.00
$150.00
Balance:
Copay: $510.00
$0.00
Balance: $0.00
Copay: $20.00
Balance: $218.24
Copay: $15.00
Balance: $45.00
Copay: $0.00
Balance: $34.74
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $375
Copay: $0.00
Balance: $0.00
Inactive ins
Copay: $0.00
Balance: $0.00
Deductible: $64.80
Balance: $136.80
Copay: $60.00
Deductible:$120.00
Balance: $114.99
Balance:
Copay: $403.98
$0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Profile incomplete
Copay: $32.21
Balance: $32.21
Copay: $40.00
Balance: $40.00
Copay: $20.00
Balance: $40.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance:$0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance Prepaid: $70.00
 Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: Prepaid
Copay" $35.00
$0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $25.00
Copay: $0.00
Balance: $0.00
insurance info missing
Copay: $35.00
Balance: $245.00
Coins: $26.03
Balance: $65.93
Copay: $30.00
Balance: $30.00
Copay: $15.00
Balance: $30.00
Copay: $0.00
OA $0.00
Balance:
Copay: $0.00
Balance: $0.00
Copay: $0.00
Deductible:$0.00
Balance: $83.43
Balance: $711.80
Patient is on deductible
Copay: $0.00
Balance: $72.00
Balance: $0.00
Copay: $25.00
Balance: $75.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Auth Req
Balance: $0.00
Copay: $36.00
Balance:
Copay: $108.00
$0.00
Balance: $0.00
Copay: $0.00
Deductible:$150.00
Balance: $114.99
Balance: $42.76
Copay: $20.00
Balance:
Copay: $120.00
$0.00
Balance: $0.00
Copay: $0.00
Balance:
Copay: $0.00
$30
Balance: $60
Copay: $0.00
Balance Prepaid:
Copay: $0.00$10.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $36.00
Balance:
Copay: $144.00
$0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $45.00
Balance:
Copay: $346.03
$0.00
Balance: $0.00
Copay: $30.00
Balance: $30.00
Copay: $30.00
Balance: $30.00
 Copay: $10.00
Balance: $10.00
Auth required 
Copay: $0.00
Balance: $0.00
Balance: $0.00
Auth Req