Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026
Dr. Manuela L. Despian
PsyD, LMFT · NPI 1043920022
Aventura
Encounters paid
31
Collections attributed
$4,600.00
Gross earnings
$1,580.00
Net payable
$1,532.80
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $2,600.00 | 30% | $780.00 |
| CH+ — Provider-generated referral | $2,000.00 | 40% | $800.00 |
| Adjustments | — | — | -$47.20 |
| Net payable | $4,600.00 | $1,532.80 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-04 | Elias Vasquez | 90832 | State Community Plan | $86.80 | CH | $26.04 |
| 2026-08-05 | Wren Castellanos | 90847 | Self-Pay | $92.30 | CH | $27.69 |
| 2026-08-05 | Maren Osei | 90847 | Unity Choice | $201.00 | CH+ | $80.40 |
| 2026-08-06 | Imani Ferreira | 90837 | State Community Plan | $137.20 | CH | $41.16 |
| 2026-08-06 | Kwame Ivarsson | 99213 | Summit Behavioral Network | $123.50 | CH | $37.05 |
| 2026-08-06 | Alba Navarro | 99214 | Harbor Blue | $130.20 | CH+ | $52.08 |
| 2026-08-06 | Milo Adeyemi | 90847 | Northstar Commercial Health | $85.50 | CH+ | $34.20 |
| 2026-08-07 | Ethan Marchetti | 90847 | Self-Pay | $100.50 | CH | $30.15 |
| 2026-08-07 | Milo Osei | 90853 | Unity Choice | $91.00 | CH | $27.30 |
| 2026-08-07 | Imani Marchetti | 90837 | Unity Choice | $163.50 | CH+ | $65.40 |
| 2026-08-10 | Paloma Stavros | 99214 | Harbor Blue | $212.00 | CH | $63.60 |
| 2026-08-10 | Maren Ashworth | 90853 | Northstar Commercial Health | $91.80 | CH | $27.54 |
| 2026-08-11 | Casimir Petrov | 90853 | Summit Behavioral Network | $117.30 | CH | $35.19 |
| 2026-08-11 | Alina Whitfield | 90846 | Unity Choice | $159.80 | CH | $47.94 |
| 2026-08-11 | Rhea Petrov | 99214 | Self-Pay | $143.00 | CH+ | $57.20 |
| 2026-08-11 | Tobias Lindqvist | 90846 | Federal Senior Plan | $125.30 | CH+ | $50.12 |
| 2026-08-11 | Bram Ferreira | 90832 | Federal Senior Plan | $193.00 | CH+ | $77.20 |
| 2026-08-12 | Elias Ashworth | 90853 | Self-Pay | $135.30 | CH | $40.59 |
| 2026-08-12 | Maren Merriweather | 90837 | Self-Pay | $141.20 | CH+ | $56.48 |
| 2026-08-12 | Alba Okoye | 90847 | State Community Plan | $177.30 | CH+ | $70.92 |
| 2026-08-13 | Alba Rahimi | 99214 | Summit Behavioral Network | $193.90 | CH | $58.17 |
| 2026-08-13 | Paloma Rahimi | 90791 | Northstar Commercial Health | $168.80 | CH | $50.64 |
| 2026-08-13 | Priya Bellamy | 99213 | Unity Choice | $189.40 | CH+ | $75.76 |
| 2026-08-13 | Tobias Bellamy | 90837 | Self-Pay | $103.00 | CH+ | $41.20 |
| 2026-08-14 | Alba Whitfield | 99214 | Northstar Commercial Health | $170.90 | CH | $51.27 |
| 2026-08-14 | Alba Dupree | 99213 | Self-Pay | $165.70 | CH | $49.71 |
| 2026-08-14 | Alina Whitfield | 90837 | Self-Pay | $210.70 | CH | $63.21 |
| 2026-08-14 | Delia Quintero | 99214 | Harbor Blue | $189.50 | CH | $56.85 |
| 2026-08-14 | Freya Ferrante | 99213 | Federal Senior Plan | $153.00 | CH | $45.90 |
| 2026-08-14 | Imani Baptiste | 90837 | Summit Behavioral Network | $169.80 | CH+ | $67.92 |
| 2026-08-14 | Milo Rahimi | 99215 | State Community Plan | $177.80 | CH+ | $71.12 |