Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026
Nicole Pera
MS, LMHC · NPI 1043920044
Plantation
Encounters paid
29
Collections attributed
$4,400.00
Gross earnings
$1,480.00
Net payable
$1,480.00
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $2,800.00 | 30% | $840.00 |
| CH+ — Provider-generated referral | $1,600.00 | 40% | $640.00 |
| Adjustments | — | — | $0.00 |
| Net payable | $4,400.00 | $1,480.00 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-04 | Priya Whitfield | 99213 | Summit Behavioral Network | $181.30 | CH+ | $72.52 |
| 2026-08-05 | Lucia Castellanos | 99213 | Self-Pay | $184.40 | CH | $55.32 |
| 2026-08-05 | Tobias Hollis | 90791 | Summit Behavioral Network | $197.30 | CH | $59.19 |
| 2026-08-05 | Nadia Quintero | 99213 | Federal Senior Plan | $136.30 | CH | $40.89 |
| 2026-08-05 | Delia Lachance | 90791 | Unity Choice | $92.90 | CH+ | $37.16 |
| 2026-08-06 | Nadia Lindqvist | 90847 | State Community Plan | $156.90 | CH | $47.07 |
| 2026-08-07 | Tariq Castellanos | 90847 | Federal Senior Plan | $166.20 | CH | $49.86 |
| 2026-08-07 | Priya Thorne | 90846 | State Community Plan | $91.30 | CH+ | $36.52 |
| 2026-08-07 | Soren Lachance | 90847 | Federal Senior Plan | $118.80 | CH+ | $47.52 |
| 2026-08-10 | Soren Nakamura | 90837 | Self-Pay | $117.90 | CH | $35.37 |
| 2026-08-10 | Delia Bellamy | 90846 | Unity Choice | $214.80 | CH | $64.44 |
| 2026-08-10 | Odette Rahimi | 90791 | Federal Senior Plan | $106.30 | CH | $31.89 |
| 2026-08-10 | Lucia Adeyemi | 90847 | Summit Behavioral Network | $93.80 | CH+ | $37.52 |
| 2026-08-11 | Tariq Vasquez | 99214 | Federal Senior Plan | $159.70 | CH+ | $63.88 |
| 2026-08-12 | Vera Ashworth | 90837 | Self-Pay | $124.90 | CH | $37.47 |
| 2026-08-12 | Devon Castellanos | 90834 | Self-Pay | $152.30 | CH | $45.69 |
| 2026-08-13 | Elias Marchetti | 90853 | Self-Pay | $136.30 | CH | $40.89 |
| 2026-08-13 | Casimir Stavros | 90832 | Northstar Commercial Health | $181.50 | CH | $54.45 |
| 2026-08-13 | Lucia Dupree | 99214 | Unity Choice | $123.00 | CH | $36.90 |
| 2026-08-13 | Rosa Whitfield | 90832 | Unity Choice | $172.90 | CH+ | $69.16 |
| 2026-08-13 | Alina Merriweather | 99214 | Unity Choice | $191.30 | CH+ | $76.52 |
| 2026-08-14 | Gustavo Stavros | 90847 | Summit Behavioral Network | $108.80 | CH | $32.64 |
| 2026-08-14 | Lucia Vasquez | 90853 | Self-Pay | $196.30 | CH | $58.89 |
| 2026-08-14 | Iker Kimura | 90791 | Self-Pay | $201.50 | CH | $60.45 |
| 2026-08-14 | Casimir Okoye | 99214 | State Community Plan | $119.50 | CH | $35.85 |
| 2026-08-14 | Wren Lachance | 90837 | Harbor Blue | $175.80 | CH | $52.74 |
| 2026-08-14 | Nadia Sørensen | 90834 | Federal Senior Plan | $131.20 | CH+ | $52.48 |
| 2026-08-14 | Marcus Kimura | 90837 | Harbor Blue | $170.50 | CH+ | $68.20 |
| 2026-08-14 | Elias Delgado | 90834 | Northstar Commercial Health | $196.30 | CH+ | $78.52 |