Arvon and Associates
Provider Compensation Statement
Pay period August 1–15, 2026 · Statement generated Aug 28, 2026

Majd Alsakloul
LMHC, MS · NPI 1043920110
Plantation
Encounters paid
33
Collections attributed
$5,000.00
Gross earnings
$1,700.00
Net payable
$1,700.00
Compensation summary
| Rule | Collections | Provider share | Earnings |
|---|---|---|---|
| CH — Office-generated referral | $3,000.00 | 30% | $900.00 |
| CH+ — Provider-generated referral | $2,000.00 | 40% | $800.00 |
| Adjustments | — | — | $0.00 |
| Net payable | $5,000.00 | $1,700.00 |
Encounter detail
| Posted | Patient | CPT | Payer | Collected | Class | Earnings |
|---|---|---|---|---|---|---|
| 2026-08-04 | Alba Hollis | 90853 | State Community Plan | $197.50 | CH | $59.25 |
| 2026-08-05 | Nadia Osei | 99214 | Summit Behavioral Network | $113.20 | CH+ | $45.28 |
| 2026-08-06 | Tariq Ferrante | 90837 | Harbor Blue | $99.90 | CH | $29.97 |
| 2026-08-06 | Odette Quintero | 99213 | State Community Plan | $124.80 | CH | $37.44 |
| 2026-08-06 | Devon Ferreira | 90846 | Harbor Blue | $137.00 | CH | $41.10 |
| 2026-08-06 | Odette Lachance | 90834 | Federal Senior Plan | $115.70 | CH+ | $46.28 |
| 2026-08-07 | Wren Navarro | 90832 | Unity Choice | $196.80 | CH | $59.04 |
| 2026-08-07 | Milo Nakamura | 90847 | Summit Behavioral Network | $140.00 | CH | $42.00 |
| 2026-08-10 | Paloma Bellamy | 99215 | Self-Pay | $145.70 | CH | $43.71 |
| 2026-08-10 | Lucia Ferreira | 90837 | Self-Pay | $210.40 | CH | $63.12 |
| 2026-08-10 | Alina Stavros | 90834 | Self-Pay | $145.50 | CH | $43.65 |
| 2026-08-10 | Imani Thorne | 90791 | State Community Plan | $204.30 | CH | $61.29 |
| 2026-08-11 | Wren Bellamy | 99215 | Self-Pay | $145.70 | CH | $43.71 |
| 2026-08-11 | Vera Ashworth | 90791 | Self-Pay | $242.50 | CH+ | $97.00 |
| 2026-08-11 | Freya Ivarsson | 90837 | State Community Plan | $121.30 | CH+ | $48.52 |
| 2026-08-12 | Nadia Merriweather | 90846 | State Community Plan | $155.80 | CH | $46.74 |
| 2026-08-12 | Paloma Rahimi | 90853 | Unity Choice | $143.40 | CH+ | $57.36 |
| 2026-08-12 | Soren Delgado | 90837 | State Community Plan | $110.30 | CH+ | $44.12 |
| 2026-08-13 | Soren Petrov | 99215 | Northstar Commercial Health | $132.50 | CH | $39.75 |
| 2026-08-13 | Devon Marchetti | 90846 | Northstar Commercial Health | $105.30 | CH | $31.59 |
| 2026-08-13 | Alina Nakamura | 99213 | State Community Plan | $110.50 | CH+ | $44.20 |
| 2026-08-13 | Odette Delgado | 90834 | Harbor Blue | $143.80 | CH+ | $57.52 |
| 2026-08-14 | Delia Bramble | 99214 | Summit Behavioral Network | $201.20 | CH | $60.36 |
| 2026-08-14 | Selin Sørensen | 99214 | Summit Behavioral Network | $136.80 | CH | $41.04 |
| 2026-08-14 | Maren Ferrante | 90837 | Federal Senior Plan | $166.00 | CH | $49.80 |
| 2026-08-14 | Milo Ashworth | 99214 | Unity Choice | $86.30 | CH | $25.89 |
| 2026-08-14 | Milo Baptiste | 90834 | State Community Plan | $147.00 | CH | $44.10 |
| 2026-08-14 | Freya Halvorsen | 90834 | Summit Behavioral Network | $121.50 | CH | $36.45 |
| 2026-08-14 | Lucia Whitfield | 90853 | Harbor Blue | $200.40 | CH+ | $80.16 |
| 2026-08-14 | Bram Quintero | 99213 | Federal Senior Plan | $178.80 | CH+ | $71.52 |
| 2026-08-14 | Wren Lachance | 90837 | Summit Behavioral Network | $100.50 | CH+ | $40.20 |
| 2026-08-14 | Ethan Merriweather | 90853 | Northstar Commercial Health | $172.80 | CH+ | $69.12 |
| 2026-08-14 | Freya Lachance | 90832 | Unity Choice | $246.80 | CH+ | $98.72 |