| # | Total Charges | Total Payments | Total Adjustments | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Albert, Leslie | 2398 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2398 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2398 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 2 | Allegroe, Lorrie A | 1497 | 2 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 1497 | 99487 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 1497 | 99489 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 3 | Altman, Gary | 280 | 2 | 2026-09-07 | Florida Blue Shield | $0.00 | $0.00 | $114.49 |
| 280 | 99487 | 2026-09-07 | Florida Blue Shield | $0.00 | $0.00 | $71.89 | ||
| 280 | 99489 | 2026-09-07 | Florida Blue Shield | $0.00 | $0.00 | $42.60 | ||
| 4 | Anderson, Norman | 898 | 4 | 2026-09-03 | United Healthcare | $0.00 | $230.37 | $128.65 |
| 898 | 99439 | 2026-09-03 | United Healthcare | $0.00 | $61.39 | $37.75 | ||
| 898 | 99487 | 2026-09-07 | United Healthcare | $0.00 | $80.71 | $40.36 | ||
| 898 | 99489 | 2026-09-07 | United Healthcare | $0.00 | $44.58 | $22.29 | ||
| 898 | 99490 | 2026-09-03 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 5 | Andujar, Antonia | 2241 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 2241 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 2241 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 6 | Baddy, Hector R | 852 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 852 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 852 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 7 | Bailey, Kathy | 2627 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2627 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2627 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 8 | Baines, Gloria | 1357 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 1357 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 1357 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 9 | Balseiro, Jose | 2087 | 2 | 2026-09-04 | Florida Medicare | $0.00 | $6.95 | $14.50 |
| 2087 | 99439 | 2026-09-04 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2087 | 99490 | 2026-09-04 | Florida Medicare | $0.00 | $6.95 | $1.97 | ||
| 10 | Barnes, Leslie J | 2465 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2465 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2465 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 11 | Bates, Connie | 2231 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 2231 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 2231 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 12 | Begum, Zahanara | 1545 | 2 | 2026-09-01 | Humana | $187.94 | $0.00 | $0.00 |
| 1545 | 99487 | 2026-09-01 | Humana | $121.07 | $0.00 | $0.00 | ||
| 1545 | 99489 | 2026-09-01 | Humana | $66.87 | $0.00 | $0.00 | ||
| 13 | Benford, Raymond | 2629 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2629 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2629 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 14 | Benjamin, Almetta | 2368 | 4 | 2026-09-01 | Florida Medicare | $187.94 | $0.00 | $21.45 |
| 2368 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2368 | 99487 | 2026-09-01 | Florida Medicare | $121.07 | $0.00 | $0.00 | ||
| 2368 | 99489 | 2026-09-01 | Florida Medicare | $66.87 | $0.00 | $0.00 | ||
| 2368 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 15 | Bentley, Kathleen | 2626 | 2 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 |
| 2626 | 99487 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 2626 | 99489 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 16 | Beram, Anthony | 781 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 781 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 781 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 17 | Bericochea, Victor | 563 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 563 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 563 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 18 | Bischoff, Janeen | 2661 | 2 | 2026-09-07 | Humana | $0.00 | $104.36 | $83.58 |
| 2661 | 99487 | 2026-09-07 | Humana | $0.00 | $67.23 | $53.84 | ||
| 2661 | 99489 | 2026-09-07 | Humana | $0.00 | $37.13 | $29.74 | ||
| 19 | Blackmon, Terry | 637 | 2 | 2026-09-07 | Humana | $0.00 | $0.00 | $0.00 |
| 637 | 99487 | 2026-09-07 | Humana | $0.00 | $0.00 | $0.00 | ||
| 637 | 99489 | 2026-09-07 | Humana | $0.00 | $0.00 | $0.00 | ||
| 20 | Blake, Ernest | 2342 | 2 | 2026-09-08 | Sunshine State Health Plan | $0.00 | $0.00 | $0.00 |
| 2342 | 99487 | 2026-09-08 | Sunshine State Health Plan | $0.00 | $0.00 | $0.00 | ||
| 2342 | 99489 | 2026-09-08 | Sunshine State Health Plan | $0.00 | $0.00 | $0.00 | ||
| 21 | Blake, Lloyd | 1223 | 2 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 |
| 1223 | 99487 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 1223 | 99489 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 22 | Bloch, Liane | 2423 | 2 | 2026-09-01 | Florida Medicare | $0.00 | $0.00 | $66.03 |
| 2423 | 99439 | 2026-09-01 | Florida Medicare | $0.00 | $0.00 | $38.58 | ||
| 2423 | 99490 | 2026-09-01 | Florida Medicare | $0.00 | $0.00 | $27.45 | ||
| 23 | Blume, Sarie | 220 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $15.18 |
| 220 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $6.26 | ||
| 220 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 24 | Boccia, Lynn | 457 | 2 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 457 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 457 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 25 | Bolduc, Cindy | 1874 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $84.06 | $65.57 |
| 1874 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $49.11 | $37.50 | ||
| 1874 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $34.95 | $28.07 | ||
| 26 | Bollert, Pierre | 2472 | 2 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 |
| 2472 | 99487 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 | ||
| 2472 | 99489 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 | ||
| 27 | Bookwalter, Ruby | 2634 | 2 | 2026-09-01 | American Health Plan | $187.94 | $0.00 | $0.00 |
| 2634 | 99487 | 2026-09-01 | American Health Plan | $121.07 | $0.00 | $0.00 | ||
| 2634 | 99489 | 2026-09-01 | American Health Plan | $66.87 | $0.00 | $0.00 | ||
| 28 | Botticello, Abagail | 2515 | 2 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2515 | 99439 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2515 | 99490 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 29 | Boyd, Patricia | 306 | 2 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 306 | 99487 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 306 | 99489 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 30 | Brake, Lawrence | 2164 | 2 | 2026-09-04 | American Health Plan | $0.00 | $0.00 | $0.00 |
| 2164 | 99487 | 2026-09-04 | American Health Plan | $0.00 | $0.00 | $0.00 | ||
| 2164 | 99489 | 2026-09-04 | American Health Plan | $0.00 | $0.00 | $0.00 | ||
| 31 | Bridenbaugh, Jacob | 2414 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2414 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2414 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 32 | Brooks, Evelyn M | 2485 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2485 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2485 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 33 | Brown, Curtis | 2828 | 1 | 2026-09-04 | Florida Medicare | $0.00 | $6.95 | $1.97 |
| 2828 | 99490 | 2026-09-04 | Florida Medicare | $0.00 | $6.95 | $1.97 | ||
| 34 | Brown, Jenny | 857 | 2 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 857 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 857 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 35 | Brown, Yvonne R | 316 | 2 | 2026-09-07 | United Healthcare | $0.00 | $125.29 | $62.65 |
| 316 | 99487 | 2026-09-07 | United Healthcare | $0.00 | $80.71 | $40.36 | ||
| 316 | 99489 | 2026-09-07 | United Healthcare | $0.00 | $44.58 | $22.29 | ||
| 36 | Bryant, Cynthia | 2493 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2493 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2493 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 37 | Bullard, Frank | 2816 | 2 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 2816 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 2816 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 38 | Burch, Maryjane | 2496 | 2 | 2026-09-01 | Wellcare | $187.94 | $0.00 | $0.00 |
| 2496 | 99487 | 2026-09-01 | Wellcare | $121.07 | $0.00 | $0.00 | ||
| 2496 | 99489 | 2026-09-01 | Wellcare | $66.87 | $0.00 | $0.00 | ||
| 39 | Burgan, Joan | 2562 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2562 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2562 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 40 | Butler, Eugene | 1015 | 2 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 1015 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 1015 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 41 | Butler, Susan | 2229 | 2 | 2026-09-04 | Wellcare | $0.00 | $0.00 | $0.00 |
| 2229 | 99439 | 2026-09-04 | Wellcare | $0.00 | $0.00 | $0.00 | ||
| 2229 | 99490 | 2026-09-04 | Wellcare | $0.00 | $0.00 | $0.00 | ||
| 42 | Caldwell, Angela | 2355 | 2 | 2026-09-01 | Florida Blue Shield | $187.94 | $0.00 | $0.00 |
| 2355 | 99487 | 2026-09-01 | Florida Blue Shield | $121.07 | $0.00 | $0.00 | ||
| 2355 | 99489 | 2026-09-01 | Florida Blue Shield | $66.87 | $0.00 | $0.00 | ||
| 43 | Candio, Andre | 2351 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 2351 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 2351 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 44 | Carrell, John W | 446 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 446 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 446 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 45 | Carter, Martin B | 1986 | 2 | 2026-09-07 | Humana | $0.00 | $104.36 | $83.58 |
| 1986 | 99487 | 2026-09-07 | Humana | $0.00 | $67.23 | $53.84 | ||
| 1986 | 99489 | 2026-09-07 | Humana | $0.00 | $37.13 | $29.74 | ||
| 46 | Carter, Ruth | 2448 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $11.01 | $0.00 |
| 2448 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $6.43 | $0.00 | ||
| 2448 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $4.58 | $0.00 | ||
| 47 | Caulfield, Paul S | 2328 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2328 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2328 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 48 | Chaffee, Barbara | 294 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 294 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 294 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 49 | Chamoni, Patricia | 1689 | 2 | 2026-09-07 | Humana | $0.00 | $104.36 | $83.58 |
| 1689 | 99487 | 2026-09-07 | Humana | $0.00 | $67.23 | $53.84 | ||
| 1689 | 99489 | 2026-09-07 | Humana | $0.00 | $37.13 | $29.74 | ||
| 50 | Chesney, Louise S | 2772 | 2 | 2026-09-01 | Florida Medicare | $187.94 | $0.00 | $0.00 |
| 2772 | 99487 | 2026-09-01 | Florida Medicare | $121.07 | $0.00 | $0.00 | ||
| 2772 | 99489 | 2026-09-01 | Florida Medicare | $66.87 | $0.00 | $0.00 | ||
| 51 | Chevalier, Rebecca | 2942 | 2 | 2026-09-03 | United Healthcare | $0.00 | $105.08 | $66.00 |
| 2942 | 99439 | 2026-09-03 | United Healthcare | $0.00 | $61.39 | $37.75 | ||
| 2942 | 99490 | 2026-09-03 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 52 | Christian, Maria | 2915 | 4 | 2026-09-08 | Florida Medicare, Humana | $0.00 | $125.81 | $83.58 |
| 2915 | 99439 | 2026-09-08 | Florida Medicare | $0.00 | $12.53 | $0.00 | ||
| 2915 | 99487 | 2026-09-08 | Humana | $0.00 | $67.23 | $53.84 | ||
| 2915 | 99489 | 2026-09-08 | Humana | $0.00 | $37.13 | $29.74 | ||
| 2915 | 99490 | 2026-09-08 | Florida Medicare | $0.00 | $8.92 | $0.00 | ||
| 53 | Cianciarosa, Joseph | 2392 | 2 | 2026-09-07 | Humana | $0.00 | $104.36 | $83.58 |
| 2392 | 99487 | 2026-09-07 | Humana | $0.00 | $67.23 | $53.84 | ||
| 2392 | 99489 | 2026-09-07 | Humana | $0.00 | $37.13 | $29.74 | ||
| 54 | Clay, William M | 2345 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 2345 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 2345 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 55 | Clayton, Walter | 2707 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2707 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2707 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 56 | Cody, Fay | 2654 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2654 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2654 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 57 | Cole, Denise | 2564 | 2 | 2026-09-03 | United Healthcare | $0.00 | $74.38 | $47.13 |
| 2564 | 99439 | 2026-09-03 | United Healthcare | $0.00 | $30.69 | $18.88 | ||
| 2564 | 99490 | 2026-09-03 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 58 | Cole, Susan | 2698 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $15.18 |
| 2698 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $6.26 | ||
| 2698 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 59 | Coleman, Mary | 2153 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2153 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2153 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 60 | Cone, James | 2490 | 2 | 2026-09-03 | Sunshine State Health Plan | $0.00 | $236.58 | $276.66 |
| 2490 | 99439 | 2026-09-03 | Sunshine State Health Plan | $0.00 | $143.40 | $154.02 | ||
| 2490 | 99490 | 2026-09-03 | Sunshine State Health Plan | $0.00 | $93.18 | $122.64 | ||
| 61 | Cooper, Barbara | 2841 | 2 | 2026-09-08 | Humana | $0.00 | $104.36 | $83.58 |
| 2841 | 99487 | 2026-09-08 | Humana | $0.00 | $67.23 | $53.84 | ||
| 2841 | 99489 | 2026-09-08 | Humana | $0.00 | $37.13 | $29.74 | ||
| 62 | Cousins, Jay | 2662 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2662 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2662 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 63 | Cubero, Miguel | 1169 | 2 | 2026-09-01 | Florida Medicare | $187.94 | $0.00 | $0.00 |
| 1169 | 99487 | 2026-09-01 | Florida Medicare | $121.07 | $0.00 | $0.00 | ||
| 1169 | 99489 | 2026-09-01 | Florida Medicare | $66.87 | $0.00 | $0.00 | ||
| 64 | Cuerier, Fred | 784 | 2 | 2026-09-07 | United Healthcare | $0.00 | $0.00 | $0.00 |
| 784 | 99487 | 2026-09-07 | United Healthcare | $0.00 | $0.00 | $0.00 | ||
| 784 | 99489 | 2026-09-07 | United Healthcare | $0.00 | $0.00 | $0.00 | ||
| 65 | Daceus, Renise | 2441 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $22.01 |
| 2441 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.86 | ||
| 2441 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $9.15 | ||
| 66 | Dalrymple, Therese | 1194 | 2 | 2026-09-01 | United Healthcare | $0.00 | $105.08 | $66.00 |
| 1194 | 99439 | 2026-09-01 | United Healthcare | $0.00 | $61.39 | $37.75 | ||
| 1194 | 99490 | 2026-09-01 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 67 | Davis, Leon | 2340 | 2 | 2026-09-01 | United Healthcare | $187.94 | $0.00 | $0.00 |
| 2340 | 99487 | 2026-09-01 | United Healthcare | $121.07 | $0.00 | $0.00 | ||
| 2340 | 99489 | 2026-09-01 | United Healthcare | $66.87 | $0.00 | $0.00 | ||
| 68 | Dayton, Joan | 904 | 2 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 904 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 904 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 69 | Decicco, Claire | 7 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $143.57 | $112.39 |
| 7 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $73.67 | $56.25 | ||
| 7 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $69.90 | $56.14 | ||
| 70 | Decker, Shawn | 2610 | 2 | 2026-09-08 | Simply Healthcare Plans | $0.00 | $0.00 | $0.00 |
| 2610 | 99487 | 2026-09-08 | Simply Healthcare Plans | $0.00 | $0.00 | $0.00 | ||
| 2610 | 99489 | 2026-09-08 | Simply Healthcare Plans | $0.00 | $0.00 | $0.00 | ||
| 71 | Del Cid, Nelly | 1722 | 2 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 |
| 1722 | 99487 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 1722 | 99489 | 2026-09-08 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 72 | Delgado Perez, Josefina | 2623 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $84.06 | $65.57 |
| 2623 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $49.11 | $37.50 | ||
| 2623 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $34.95 | $28.07 | ||
| 73 | Dempsey, David | 2719 | 4 | 2026-09-02 | American Health Plan, Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2719 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2719 | 99487 | 2026-09-04 | American Health Plan | $0.00 | $0.00 | $0.00 | ||
| 2719 | 99489 | 2026-09-04 | American Health Plan | $0.00 | $0.00 | $0.00 | ||
| 2719 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 74 | Denson, Barry | 798 | 2 | 2026-09-07 | Cigna Ppo | $0.00 | $0.00 | $0.00 |
| 798 | 99487 | 2026-09-07 | Cigna Ppo | $0.00 | $0.00 | $0.00 | ||
| 798 | 99489 | 2026-09-07 | Cigna Ppo | $0.00 | $0.00 | $0.00 | ||
| 75 | Devary, Wrenda J | 21 | 2 | 2026-09-08 | American Health Plan | $0.00 | $126.03 | $61.91 |
| 21 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $81.20 | $39.87 | ||
| 21 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $44.83 | $22.04 | ||
| 76 | Doss, Lillie | 1432 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $22.01 |
| 1432 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.86 | ||
| 1432 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $9.15 | ||
| 77 | Driggers, Doris B | 456 | 2 | 2026-09-07 | Humana | $0.00 | $104.36 | $83.58 |
| 456 | 99487 | 2026-09-07 | Humana | $0.00 | $67.23 | $53.84 | ||
| 456 | 99489 | 2026-09-07 | Humana | $0.00 | $37.13 | $29.74 | ||
| 78 | Driggers, Thomas | 234 | 4 | 2026-09-03 | United Healthcare | $0.00 | $230.37 | $128.65 |
| 234 | 99439 | 2026-09-03 | United Healthcare | $0.00 | $61.39 | $37.75 | ||
| 234 | 99487 | 2026-09-07 | United Healthcare | $0.00 | $80.71 | $40.36 | ||
| 234 | 99489 | 2026-09-07 | United Healthcare | $0.00 | $44.58 | $22.29 | ||
| 234 | 99490 | 2026-09-03 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 79 | Drost, Tracy | 1326 | 2 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 |
| 1326 | 99487 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 1326 | 99489 | 2026-09-02 | Humana | $0.00 | $0.00 | $0.00 | ||
| 80 | Dukes, Theodore | 27 | 2 | 2026-09-01 | Florida Medicare | $0.00 | $34.95 | $49.52 |
| 27 | 99439 | 2026-09-01 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 27 | 99490 | 2026-09-01 | Florida Medicare | $0.00 | $34.95 | $36.99 | ||
| 81 | Dupree, Cathy | 710 | 2 | 2026-09-01 | Rail Road Medicare | $187.94 | $0.00 | $0.00 |
| 710 | 99487 | 2026-09-01 | Rail Road Medicare | $121.07 | $0.00 | $0.00 | ||
| 710 | 99489 | 2026-09-01 | Rail Road Medicare | $66.87 | $0.00 | $0.00 | ||
| 82 | Durkin, Patricia | 2551 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $84.06 | $87.02 |
| 2551 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $49.11 | $50.03 | ||
| 2551 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $34.95 | $36.99 | ||
| 83 | Edmondson, Leroy L | 30 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 30 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 30 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 84 | Eisenlohr, John | 1791 | 2 | 2026-09-07 | Aetna Better Health | $0.00 | $124.12 | $63.82 |
| 1791 | 99487 | 2026-09-07 | Aetna Better Health | $0.00 | $79.95 | $41.12 | ||
| 1791 | 99489 | 2026-09-07 | Aetna Better Health | $0.00 | $44.17 | $22.70 | ||
| 85 | Elliott, Cheryl | 1792 | 2 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 1792 | 99439 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 1792 | 99490 | 2026-09-09 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 86 | Espada, Aida | 1765 | 4 | 2026-09-01 | Florida Medicare | $187.94 | $0.00 | $15.18 |
| 1765 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $6.26 | ||
| 1765 | 99487 | 2026-09-01 | Florida Medicare | $121.07 | $0.00 | $0.00 | ||
| 1765 | 99489 | 2026-09-01 | Florida Medicare | $66.87 | $0.00 | $0.00 | ||
| 1765 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 87 | Ewell, Judy | 2681 | 4 | 2026-09-02 | American Health Plan, Florida Medicare | $0.00 | $206.85 | $130.72 |
| 2681 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $49.11 | $37.50 | ||
| 2681 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2681 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 2681 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $34.95 | $28.07 | ||
| 88 | Favre, James | 2865 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 2865 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 2865 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 89 | Fawwaz, Michael | 2192 | 2 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 |
| 2192 | 99487 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 | ||
| 2192 | 99489 | 2026-09-07 | Florida Community Care | $0.00 | $0.00 | $0.00 | ||
| 90 | Figueroa, Nereida | 2780 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2780 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2780 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 91 | Finch, Bryan | 1926 | 2 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 1926 | 99439 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 1926 | 99490 | 2026-09-03 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 92 | Fletcher, Deborah | 2376 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $22.01 |
| 2376 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.86 | ||
| 2376 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $9.15 | ||
| 93 | Ford, Barbara | 729 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $22.01 |
| 729 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.86 | ||
| 729 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $9.15 | ||
| 94 | Forney, Robert E | 39 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 39 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 39 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 | ||
| 95 | Fosse Ojeda, Aracelis | 2522 | 2 | 2026-09-01 | Florida Medicare | $187.94 | $0.00 | $0.00 |
| 2522 | 99487 | 2026-09-01 | Florida Medicare | $121.07 | $0.00 | $0.00 | ||
| 2522 | 99489 | 2026-09-01 | Florida Medicare | $66.87 | $0.00 | $0.00 | ||
| 96 | Foster, Keith | 235 | 4 | 2026-09-02 | Florida Medicare | $0.00 | $86.28 | $84.80 |
| 235 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $50.41 | $48.73 | ||
| 235 | 99487 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 235 | 99489 | 2026-09-11 | Florida Medicare | $0.00 | $0.00 | $0.00 | ||
| 235 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $35.87 | $36.07 | ||
| 97 | Fowler, Florence A | 40 | 2 | 2026-09-08 | American Health Plan | $0.00 | $122.79 | $65.15 |
| 40 | 99487 | 2026-09-08 | American Health Plan | $0.00 | $79.10 | $41.97 | ||
| 40 | 99489 | 2026-09-08 | American Health Plan | $0.00 | $43.69 | $23.18 | ||
| 98 | Frazier, Harriett | 2102 | 2 | 2026-09-03 | United Healthcare | $0.00 | $105.08 | $66.00 |
| 2102 | 99439 | 2026-09-03 | United Healthcare | $0.00 | $61.39 | $37.75 | ||
| 2102 | 99490 | 2026-09-03 | United Healthcare | $0.00 | $43.69 | $28.25 | ||
| 99 | Frazier, Lakysha | 296 | 2 | 2026-09-08 | United Healthcare | $0.00 | $0.00 | $0.00 |
| 296 | 99487 | 2026-09-08 | United Healthcare | $0.00 | $0.00 | $0.00 | ||
| 296 | 99489 | 2026-09-08 | United Healthcare | $0.00 | $0.00 | $0.00 | ||
| 100 | Frommeyer, Randall | 2867 | 2 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $21.45 |
| 2867 | 99439 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $12.53 | ||
| 2867 | 99490 | 2026-09-02 | Florida Medicare | $0.00 | $0.00 | $8.92 |