Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026
Susana Acevedo
MS, LMHC · NPI 1043920077
Boca Raton
Encounters paid
30
Collections attributed
$4,500.00
Gross earnings
$1,440.00
Net payable
$1,440.00
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $3,600.00 | 30% | $1,080.00 |
| CH+ — Provider-generated referral | $900.00 | 40% | $360.00 |
| Adjustments | — | — | $0.00 |
| Net payable | $4,500.00 | $1,440.00 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-05 | Rhea Thorne | 90847 | Unity Choice | $171.00 | CH | $51.30 |
| 2026-08-05 | Freya Lachance | 90832 | Summit Behavioral Network | $130.80 | CH+ | $52.32 |
| 2026-08-06 | Elias Petrov | 90791 | Northstar Commercial Health | $93.20 | CH | $27.96 |
| 2026-08-06 | Delia Lindqvist | 99213 | Self-Pay | $111.70 | CH | $33.51 |
| 2026-08-06 | Tobias Marchetti | 99215 | Summit Behavioral Network | $140.70 | CH | $42.21 |
| 2026-08-06 | Casimir Ferrante | 90832 | Summit Behavioral Network | $130.00 | CH | $39.00 |
| 2026-08-06 | Soren Hollis | 90853 | Northstar Commercial Health | $110.00 | CH | $33.00 |
| 2026-08-06 | Selin Lachance | 90834 | Self-Pay | $146.00 | CH+ | $58.40 |
| 2026-08-07 | Marcus Ferreira | 99214 | Self-Pay | $182.40 | CH | $54.72 |
| 2026-08-10 | Odette Vasquez | 99214 | Federal Senior Plan | $195.00 | CH | $58.50 |
| 2026-08-10 | Gustavo Stavros | 90837 | Summit Behavioral Network | $165.80 | CH | $49.74 |
| 2026-08-10 | Gustavo Halvorsen | 90834 | Unity Choice | $184.00 | CH | $55.20 |
| 2026-08-10 | Selin Osei | 90837 | Harbor Blue | $160.30 | CH | $48.09 |
| 2026-08-10 | Elias Castellanos | 99213 | Harbor Blue | $134.80 | CH | $40.44 |
| 2026-08-11 | Alina Sørensen | 90832 | Northstar Commercial Health | $101.00 | CH | $30.30 |
| 2026-08-11 | Casimir Navarro | 90832 | Summit Behavioral Network | $91.30 | CH | $27.39 |
| 2026-08-11 | Alina Bramble | 99213 | Summit Behavioral Network | $200.70 | CH+ | $80.28 |
| 2026-08-12 | Imani Halvorsen | 90832 | State Community Plan | $200.40 | CH | $60.12 |
| 2026-08-12 | Jonah Lindqvist | 90853 | Federal Senior Plan | $168.50 | CH | $50.55 |
| 2026-08-12 | Kwame Kimura | 90837 | Northstar Commercial Health | $146.00 | CH | $43.80 |
| 2026-08-12 | Rosa Halvorsen | 90837 | Harbor Blue | $200.80 | CH | $60.24 |
| 2026-08-13 | Vera Lindqvist | 99214 | Unity Choice | $133.30 | CH | $39.99 |
| 2026-08-13 | Tobias Quintero | 99214 | Harbor Blue | $178.80 | CH | $53.64 |
| 2026-08-13 | Soren Quintero | 99213 | Summit Behavioral Network | $176.30 | CH+ | $70.52 |
| 2026-08-14 | Lucia Ashworth | 99213 | Summit Behavioral Network | $168.90 | CH | $50.67 |
| 2026-08-14 | Marcus Osei | 90853 | Northstar Commercial Health | $130.30 | CH | $39.09 |
| 2026-08-14 | Iker Okoye | 90853 | Summit Behavioral Network | $154.30 | CH | $46.29 |
| 2026-08-14 | Wren Dupree | 99215 | Federal Senior Plan | $147.50 | CH | $44.25 |
| 2026-08-14 | Alina Ferrante | 99213 | State Community Plan | $147.40 | CH+ | $58.96 |
| 2026-08-14 | Marcus Marchetti | 90853 | Unity Choice | $98.80 | CH+ | $39.52 |