Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026
Amy Weitz
MS, MFT · NPI 1043920066
Naples
Encounters paid
27
Collections attributed
$4,000.00
Gross earnings
$1,420.00
Net payable
$1,402.00
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $1,800.00 | 30% | $540.00 |
| CH+ — Provider-generated referral | $2,200.00 | 40% | $880.00 |
| Adjustments | — | — | -$18.00 |
| Net payable | $4,000.00 | $1,402.00 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-04 | Alba Whitfield | 99215 | State Community Plan | $199.40 | CH+ | $79.76 |
| 2026-08-04 | Casimir Bellamy | 90834 | Harbor Blue | $200.80 | CH+ | $80.32 |
| 2026-08-05 | Tobias Navarro | 99215 | State Community Plan | $171.00 | CH | $51.30 |
| 2026-08-05 | Milo Rahimi | 90847 | Northstar Commercial Health | $144.80 | CH | $43.44 |
| 2026-08-05 | Rosa Ferreira | 90791 | Federal Senior Plan | $181.30 | CH+ | $72.52 |
| 2026-08-06 | Casimir Okoye | 90837 | State Community Plan | $121.30 | CH+ | $48.52 |
| 2026-08-06 | Priya Hollis | 90847 | Unity Choice | $193.80 | CH+ | $77.52 |
| 2026-08-07 | Wren Thorne | 99213 | Unity Choice | $167.70 | CH | $50.31 |
| 2026-08-07 | Bram Quintero | 90853 | Harbor Blue | $149.80 | CH | $44.94 |
| 2026-08-07 | Lucia Ivarsson | 90834 | Self-Pay | $164.80 | CH | $49.44 |
| 2026-08-07 | Paloma Bramble | 90834 | State Community Plan | $173.00 | CH+ | $69.20 |
| 2026-08-10 | Odette Petrov | 90791 | Federal Senior Plan | $121.00 | CH+ | $48.40 |
| 2026-08-12 | Kwame Sørensen | 99215 | Self-Pay | $116.50 | CH+ | $46.60 |
| 2026-08-12 | Imani Bramble | 90837 | Federal Senior Plan | $108.30 | CH+ | $43.32 |
| 2026-08-12 | Nadia Vasquez | 99213 | Unity Choice | $93.50 | CH+ | $37.40 |
| 2026-08-13 | Casimir Ivarsson | 90846 | Northstar Commercial Health | $150.90 | CH | $45.27 |
| 2026-08-14 | Paloma Kimura | 99213 | Federal Senior Plan | $181.20 | CH | $54.36 |
| 2026-08-14 | Casimir Petrov | 90834 | Unity Choice | $110.20 | CH | $33.06 |
| 2026-08-14 | Priya Halvorsen | 90846 | Federal Senior Plan | $109.30 | CH | $32.79 |
| 2026-08-14 | Rosa Delgado | 99214 | Northstar Commercial Health | $141.00 | CH | $42.30 |
| 2026-08-14 | Devon Lindqvist | 90853 | Unity Choice | $172.80 | CH | $51.84 |
| 2026-08-14 | Rhea Bellamy | 90846 | Federal Senior Plan | $136.50 | CH | $40.95 |
| 2026-08-14 | Ethan Kimura | 99213 | Northstar Commercial Health | $113.90 | CH+ | $45.56 |
| 2026-08-14 | Tariq Hollis | 99213 | Northstar Commercial Health | $125.40 | CH+ | $50.16 |
| 2026-08-14 | Gustavo Lachance | 90832 | Summit Behavioral Network | $169.30 | CH+ | $67.72 |
| 2026-08-14 | Bram Okoye | 99215 | State Community Plan | $138.50 | CH+ | $55.40 |
| 2026-08-14 | Wren Bramble | 99214 | Harbor Blue | $144.00 | CH+ | $57.60 |