Patient & Insurance
- Patient
- Jeremy Topp
- DOB
- 1988-03-22
- Payer
- Medicare
- Clinic
- Austin Wellness PT
- Therapist
- Jeremy Topp
- Ship to
- 430 Congress Avenue, Austin, TX 78701
Order Items
| Product | HCPCS | Vendor | Qty | Cost | Billable |
|---|---|---|---|---|---|
| Knee-High Compression Stocking, 30–40 mmHg | A6533 | Medi | 2 | $56.00 | $96.00 |
Financial Summary
Total Cost
$56.00
Billable Amount
$96.00
Margin
41.7%
Patient Owes
$0.00
Document generation — coming in Sprint 2
Encounter form, patient invoice with Stripe payment link, and proof of delivery will be generated from this order automatically.