Luminary Health
Luminary Health Partners, PLLC
2200 Riverside Parkway, Suite 310, Austin, TX 78701
(512) 555-0142 · billing@luminaryhealth.com
Northgate Clinic · Dr. Lena Whitfield, MD
Invoice
HP-1219
- Issued
- 08-11-2026
- Payment
- HSA
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. Lena Whitfield, MD
Northgate Clinic
| Description | Enc. | Qty | Unit price | Amount |
|---|---|---|---|---|
Follow-up Visit (20 min) Follow-up· HP-1002 · CPT 99213 | 1 | 2 | $95.00 | $190.00 |
Follow-up Visit (20 min) Follow-up· HP-1002 · CPT 99213 | 1 | 1 | $95.00 | $95.00 |
- Subtotal
- $285.00
- Total due
- $285.00
Linked encounters
08-11-2026 · 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.
Follow-up
Follow-up scheduled with the treating provider.