Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026
Randi Goldberg
MS · NPI 1043920055
Miami
Encounters paid
27
Collections attributed
$4,000.00
Gross earnings
$1,380.00
Net payable
$1,380.00
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $2,200.00 | 30% | $660.00 |
| CH+ — Provider-generated referral | $1,800.00 | 40% | $720.00 |
| Adjustments | — | — | $0.00 |
| Net payable | $4,000.00 | $1,380.00 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-04 | Maren Marchetti | 90834 | Unity Choice | $122.80 | CH | $36.84 |
| 2026-08-04 | Ethan Nakamura | 90846 | Summit Behavioral Network | $106.80 | CH | $32.04 |
| 2026-08-06 | Odette Kimura | 99214 | Summit Behavioral Network | $107.40 | CH | $32.22 |
| 2026-08-06 | Bram Castellanos | 99215 | State Community Plan | $147.90 | CH+ | $59.16 |
| 2026-08-06 | Freya Vasquez | 90853 | State Community Plan | $212.00 | CH+ | $84.80 |
| 2026-08-07 | Milo Lindqvist | 90834 | Harbor Blue | $106.40 | CH | $31.92 |
| 2026-08-07 | Tariq Ivarsson | 90832 | Unity Choice | $113.00 | CH+ | $45.20 |
| 2026-08-10 | Marcus Stavros | 90837 | Harbor Blue | $135.20 | CH | $40.56 |
| 2026-08-10 | Alba Ferrante | 90846 | Harbor Blue | $209.80 | CH | $62.94 |
| 2026-08-10 | Paloma Ivarsson | 90832 | Harbor Blue | $189.30 | CH | $56.79 |
| 2026-08-10 | Wren Kimura | 90837 | Harbor Blue | $105.80 | CH | $31.74 |
| 2026-08-10 | Milo Merriweather | 99215 | Summit Behavioral Network | $105.80 | CH+ | $42.32 |
| 2026-08-10 | Selin Petrov | 90853 | Federal Senior Plan | $115.50 | CH+ | $46.20 |
| 2026-08-10 | Gustavo Bellamy | 90853 | Self-Pay | $126.00 | CH+ | $50.40 |
| 2026-08-11 | Maren Rahimi | 90837 | State Community Plan | $135.80 | CH | $40.74 |
| 2026-08-11 | Tariq Lachance | 99215 | State Community Plan | $105.30 | CH+ | $42.12 |
| 2026-08-13 | Tobias Ferrante | 90853 | Northstar Commercial Health | $183.90 | CH | $55.17 |
| 2026-08-13 | Odette Ferreira | 90832 | State Community Plan | $165.00 | CH | $49.50 |
| 2026-08-13 | Milo Sørensen | 90837 | Harbor Blue | $208.50 | CH | $62.55 |
| 2026-08-13 | Soren Delgado | 90791 | Unity Choice | $200.40 | CH+ | $80.16 |
| 2026-08-13 | Delia Osei | 90837 | Northstar Commercial Health | $193.30 | CH+ | $77.32 |
| 2026-08-14 | Iker Vasquez | 90834 | Summit Behavioral Network | $113.50 | CH | $34.05 |
| 2026-08-14 | Milo Bellamy | 99213 | Unity Choice | $139.50 | CH | $41.85 |
| 2026-08-14 | Maren Ferrante | 90791 | State Community Plan | $170.30 | CH | $51.09 |
| 2026-08-14 | Elias Bramble | 90832 | Northstar Commercial Health | $202.00 | CH+ | $80.80 |
| 2026-08-14 | Wren Bramble | 90791 | Northstar Commercial Health | $153.80 | CH+ | $61.52 |
| 2026-08-14 | Odette Ferreira | 90837 | Federal Senior Plan | $125.00 | CH+ | $50.00 |