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 | Paid — PIP | Mercy Bill · p.2 |
| Mercy General | 03/14/26 | 72148 | MRI lumbar, w/o contrast ▸ ⚠ Not supported by record | $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 ▸ ⚠ Not supported by record | $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 | ▸ Unpaid — LOP | 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 | ▸ Unpaid — LOP | 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.