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Gonzalez v. Riverside Logistics Matter №2026-0417 · MVA / personal injury
Better on desktopRendered sample · mock data CS

Medical bills

$23,860
Total medical specials
$6,400
Flagged · 2 line items
3
Providers
9
Line items
Provider Date Code Description Billed Status Source
Mercy General 03/14/26 99284 ED visit, level 4 $2,480 Mercy Bill · p.2
Mercy General 03/14/26 72148 MRI lumbar, w/o contrast $3,200 Unpaid Mercy Bill · p.3
No MRI is documented on 03/14/26. The Mercy General emergency-department record for that date documents a lumbar X-ray only — "X-ray negative for acute fracture" — with no MRI ordered or performed. CPT 72148 (MRI lumbar) is not supported by the record for this date.
Mercy General — ED Records · p.4
Mercy General 03/29/26 72148 MRI lumbar, w/o contrast $3,200 Unpaid Mercy Bill · p.5
The 03/29/26 lumbar MRI was performed at Valley Imaging Center, not Mercy General. The radiology report names Valley Imaging Center as the performing facility. Mercy General's supportable charge for this date is the $470 over-read (CPT 76140) listed below — the $3,200 line duplicates an outside study.
Lumbar MRI — Imaging Report · p.3
Valley Orthopedics 03/22/26 99204 New-patient office visit $410 Unpaid Valley Bill · p.1
Valley Orthopedics 04/05/26 99214 Office visit, established $285 Unpaid Valley Bill · p.2
Valley Orthopedics 05/30/26 62323 Lumbar epidural steroid injection $4,850 Unpaid Valley Bill · p.4
Active Recovery PT 04/12–06/20 97110 Therapeutic exercise ×18 $5,940 PT Ledger · p.2
Treatment under letter of protection. At trial, LOP charges carry disclosure obligations and a Medicare-benchmark cap (§ 768.0427); billed amounts remain the negotiation anchor. Flagged for counsel.
Letter of Protection · p.1
Active Recovery PT 04/12–06/20 97140 Manual therapy ×11 $3,025 PT Ledger · p.3
Treatment under letter of protection. At trial, LOP charges carry disclosure obligations and a Medicare-benchmark cap (§ 768.0427); billed amounts remain the negotiation anchor. Flagged for counsel.
Letter of Protection · p.1
Mercy General 03/29/26 76140 Outside MRI over-read (Valley Imaging) $470 Unpaid Mercy Bill · p.6
Total medical specials $23,860 organized for the demand
errata flags charges unsupported by the record — it never adjusts or removes them; that's the attorney's call. Payment status reflects the firm's PIP and ledger records; LOP charges are cited to the letter of protection. Want this on a real file? Pilot firms run their first case free — contact@errata.app.