Luminary Health
Luminary Health Partners, PLLC
2200 Riverside Parkway, Suite 310, Austin, TX 78701
(512) 555-0142 · billing@luminaryhealth.com
Riverside Clinic · Dr. Lena Whitfield, MD
Invoice
HP-1203
- Issued
- 08-26-2026
- Payment
- Card
Billed to
Andre Lewis
DOB 01-19-1955
309 Birch Hollow Rd, Cedar Park, TX 78613
(737) 555-0119 · andre.lewis@example.com
Rendering provider
Dr. Lena Whitfield, MD
Riverside Clinic
| Description | Enc. | Qty | Unit price | Amount |
|---|---|---|---|---|
Vitamin D3 5000 IU (90 ct) Product· HP-3001 Sig: Daily for 90 days | 3 | 2 | $28.00 | $56.00 |
Vitamin D3 5000 IU (90 ct) Product· HP-3001 Sig: Daily for 90 days | 3 | 1 | $28.00 | $28.00 |
- Subtotal
- $84.00
- Total due
- $84.00
- Paid by Card
- $84.00
Linked encounters
07-31-2026 · Physical Therapy Evaluation
Clinic · Dr. Samuel Ortiz, DO · Northgate Clinic · note-8735
Assessment
Chronic mechanical low back pain, mild flare.
Plan
Short PT course, home stretching program, magnesium nightly.
08-13-2026 · Nutrition Coaching Check-in
Telehealth · Dr. Alicia Chen, MD · Riverside Clinic · note-8601
Assessment
Overweight with metabolic risk, improving.
Plan
Continue coaching program. Add fiber target of 25 g daily.
08-26-2026 · Annual Wellness Evaluation
Procedure · Dr. Alicia Chen, MD · Riverside Clinic · Self-pay · note-8822
Assessment
Healthy adult, routine preventive care.
Plan
Baseline lipid panel. Vitamin D repletion. Annual return.