Invoice HP-1212

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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-1212

Issued
08-18-2026
Payment
Check

Billed to

Caleb Morris

DOB 12-30-1971
2140 Canyon Creek Pkwy, Austin, TX 78731
(512) 555-0136 · caleb.morris@example.com

Rendering provider

Dr. Alicia Chen, MD

Riverside Clinic

DescriptionEnc.QtyUnit priceAmount

Nutrition Coaching Program

Packages· HP-4002 · Recurring every 90 days

  • Follow-up Visit (20 min)
  • Comprehensive Metabolic Panel
  • Vitamin D3 5000 IU (90 ct)Daily for 90 days
11$129.00$129.00

Comprehensive Metabolic Panel

Diagnostics· HP-2011 · CPT 80053

11$68.00$68.00
Subtotal
$197.00
Discounts · Fall Wellness Diagnostics
$10.20
Total due
$186.80

Linked encounters

1

08-18-2026 · 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.

Supports:Nutrition Coaching ProgramComprehensive Metabolic Panel

Recurring billing

  • Nutrition Coaching Program · every 90 days · membership