300 records · $45,000.00 collected · $15,200.00 provider · $29,800.00 clinic
| Posted Date ↓ | Patient | Provider | Date of Service | CPT | Payer | Insurance Paid | Patient Paid | Total Collected | Classification | Provider Share | Provider Earnings | Clinic Retained | Reconciliation Status | Pay-Run Status | Actions | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-08-14 | Gustavo PetrovPT-96278 | Taly Kadoch | 2026-08-11 | 90837 | Federal Senior Plan | $93.12 | $23.28 | $116.40 | CH | 30% | $34.92 | $81.48 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Vera MerriweatherPT-44811 | Taly Kadoch | 2026-08-14 | 99215 | Unity Choice | $208.40 | $0.00 | $208.40 | CH | 30% | $62.52 | $145.88 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Bram ThornePT-69362 | Taly Kadoch | 2026-08-11 | 90832 | Federal Senior Plan | $152.40 | $0.00 | $152.40 | CH | 30% | $45.72 | $106.68 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Ethan AshworthPT-78649 | Taly Kadoch | 2026-08-12 | 99213 | Summit Behavioral Network | $66.36 | $11.38 | $94.80 | CH | 30% | $28.44 | $66.36 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Devon NakamuraPT-21638 | Taly Kadoch | 2026-08-12 | 99214 | State Community Plan | $112.77 | $60.73 | $173.50 | CH | 30% | $52.05 | $121.45 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Milo LachancePT-78985 | Taly Kadoch | 2026-08-11 | 90847 | Summit Behavioral Network | $102.64 | $25.66 | $128.30 | CH | 30% | $38.49 | $89.81 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Alba OseiPT-40681 | Taly Kadoch | 2026-08-12 | 90853 | Self-Pay | $0.00 | $184.70 | $184.70 | CH+ | 40% | $73.88 | $110.82 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Vera OkoyePT-99609 | Taly Kadoch | 2026-08-12 | 99215 | Summit Behavioral Network | $187.80 | $0.00 | $187.80 | CH+ | 40% | $75.12 | $112.68 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Alba WhitfieldPT-58777 | Dr. Manuela L. Despian | 2026-08-13 | 99214 | Northstar Commercial Health | $111.08 | $59.82 | $170.90 | CH | 30% | $51.27 | $119.63 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Alba DupreePT-83147 | Dr. Manuela L. Despian | 2026-08-13 | 99213 | Self-Pay | $0.00 | $165.70 | $165.70 | CH | 30% | $49.71 | $115.99 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Alina WhitfieldPT-99886 | Dr. Manuela L. Despian | 2026-08-11 | 90837 | Self-Pay | $0.00 | $210.70 | $210.70 | CH | 30% | $63.21 | $147.49 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Delia QuinteroPT-86578 | Dr. Manuela L. Despian | 2026-08-13 | 99214 | Harbor Blue | $189.50 | $0.00 | $189.50 | CH | 30% | $56.85 | $132.65 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Freya FerrantePT-69909 | Dr. Manuela L. Despian | 2026-08-11 | 99213 | Federal Senior Plan | $122.40 | $30.60 | $153.00 | CH | 30% | $45.90 | $107.10 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Imani BaptistePT-89515 | Dr. Manuela L. Despian | 2026-08-14 | 90837 | Summit Behavioral Network | $135.84 | $33.96 | $169.80 | CH+ | 40% | $67.92 | $101.88 | Reconciled | PAY-2026-0801 | ||
| 2026-08-14 | Milo RahimiPT-97822 | Dr. Manuela L. Despian | 2026-08-13 | 99215 | State Community Plan | $124.46 | $21.34 | $177.80 | CH+ | 40% | $71.12 | $106.68 | Reconciled | PAY-2026-0801 |
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