Invoice HP-1211

Paid
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Patient accountCredit available $0.00Balance owed $0.00
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Luminary Health

Luminary Health Partners, PLLC

2200 Riverside Parkway, Suite 310, Austin, TX 78701
(512) 555-0142 · billing@luminaryhealth.com
Lakeside Clinic · Dr. Lena Whitfield, MD

Invoice

HP-1211

Issued
08-19-2026
Payment
Card

Billed to

Sofia Patel

DOB 09-08-1984
88 Sunrise Terrace, Berkeley, CA 94705
(510) 555-0174 · sofia.patel@example.com

Rendering provider

Dr. Lena Whitfield, MD

Lakeside Clinic

DescriptionEnc.QtyUnit priceAmount

Continuous Glucose Sensor

Product· HP-3010 · CPT A4239

Sig: 30-day trial

12$89.00$178.00

Metabolic Care Membership

Packages· HP-4005

  • Comprehensive Evaluation
  • Hemoglobin A1c
  • Lipid Panel
  • Continuous Glucose Sensor30-day trial
11$149.00$149.00
Subtotal
$327.00
Total due
$327.00
Paid by Card
$327.00

Linked encounters

1

08-06-2026 · Headache Consult

Telehealth · Dr. Alicia Chen, MD · Riverside Clinic · Insured (Zing Health) · note-8790

Assessment

Tension-type headache, likely posture and strain related.

Plan

Start magnesium glycinate nightly. Ergonomic and hydration guidance. Physical therapy referral for cervical mobility.

Supports:Continuous Glucose SensorMetabolic Care Membership
2

08-19-2026 · Vitamin D Follow-up

Telehealth · Dr. Alicia Chen, MD · Riverside Clinic · Self-pay · note-8633

Assessment

Vitamin D insufficiency, resolved.

Plan

Switch to maintenance dose 1000 IU daily.

Supports:no items on this invoice

Follow-up

Follow-up scheduled with the treating provider.