Luminary Health
Luminary Health Partners, PLLC
2200 Riverside Parkway, Suite 310, Austin, TX 78701
(512) 555-0142 · billing@luminaryhealth.com
Riverside Clinic · Dr. Alicia Chen, MD
Invoice
HP-1200
- Issued
- 08-28-2026
- Payment
- Cash
Billed to
Maria Reyes
DOB 03-14-1962
418 Willow Bend Dr, Round Rock, TX 78664
(512) 555-0187 · maria.reyes@example.com
Rendering provider
Dr. Alicia Chen, MD
Riverside Clinic
| Description | Enc. | Qty | Unit price | Amount |
|---|---|---|---|---|
Comprehensive Evaluation Service· HP-1001 · CPT 99214 · Recurring every 90 days | 1 | 1 | $185.00 | $185.00 |
Comprehensive Metabolic Panel Diagnostics· HP-2011 · CPT 80053 | 1 | 1 | $68.00 | $68.00 |
- Subtotal
- $253.00
- Discounts · Fall Wellness Diagnostics
- −$10.20
- Total due
- $242.80
- Paid by Cash
- $242.80
Linked encounters
08-28-2026 · Metabolic Follow-up
Clinic · Dr. Alicia Chen, MD · Riverside Clinic · Insured (Zing Health) · note-8841
Assessment
1. Prediabetes, improving with lifestyle change. 2. Fatigue, likely multifactorial; vitamin D insufficiency suspected. 3. Overweight with metabolic risk.
Plan
Repeat metabolic labs today. Begin vitamin D repletion. Enroll in nutrition coaching for structured carbohydrate guidance. Trial continuous glucose sensor for 30 days to identify postprandial patterns. Recheck in 6 weeks.
Recurring billing
- Comprehensive Evaluation · every 90 days · membership