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-1224
- Issued
- 08-07-2026
- Payment
- Not collected
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. Alicia Chen, MD
Riverside Clinic
| Description | Enc. | Qty | Unit price | Amount |
|---|---|---|---|---|
Comprehensive Evaluation Service· HP-1001 · CPT 99204 · Recurring every 90 days | 1 | 1 | $185.00 | $185.00 |
Comprehensive Metabolic Panel Diagnostics· HP-2011 · CPT 80053 | 3 | 1 | $68.00 | $68.00 |
- Subtotal
- $253.00
- Discounts · Fall Wellness Diagnostics
- −$10.20
- Total due
- $242.80
Linked encounters
07-12-2026 · Lab Review
Clinic · Dr. Alicia Chen, MD · Riverside Clinic · note-8712
Assessment
Prediabetes, stable.
Plan
Continue lifestyle measures. Repeat labs in 3 months.
07-25-2026 · Low Back Pain Consult
Clinic · Dr. Samuel Ortiz, DO · Northgate Clinic · Insured (Aetna) · note-8830
Assessment
Acute mechanical low back strain.
Plan
Begin physical therapy, twice weekly for four weeks. Magnesium glycinate nightly for muscle relaxation. Reassess in 4 weeks.
- Amended 08-27-2026 by Dr. Samuel Ortiz, DO: Added magnesium recommendation after pharmacy review.
08-07-2026 · 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