Monthly Billing Summary Sheet for Quinterria Stallworth in September 2023

Name	Medicaid Number	Medicaid Status	Total UNITS	Travel UNITS	Documentation Units	Billable Units	Total Units Billed	Billable Amount (Billable Units X Rate)
Beam, Leroy	500 001 42 4700 5	Eligible	26	0	0	26	26	178.36
Brown, Joshua	500 001 07 0779 6	Eligible	116	0	0	116	116	795.76
Grant, Larry	500 001 29 2107 3	Eligible	44	10	0	34	34	233.24
Holloman, William	500 001 03 7789 0	Eligible	32	0	0	32	32	219.52
Horne, Leah	500 002 60 3448 0	Eligible	56	6	0	50	50	343.00
Isaac, Brandon	500 001 79 2378 9	Eligible	32	0	0	32	32	219.52
Johnson, Elizabeth	500 000 78 21927	Eligible	26	0	0	26	26	178.36
Johnson, Robert	500 001 42 89742	Eligible	71	0	0	71	71	487.06
Jones, Jamie	500 001 33 8737 7	Eligible	14	0	0	14	14	96.04
Kirk, Andrew	500 002 89 7633 3	Eligible	42	2	0	40	40	274.40
Knox, Michelle		Eligible	14	0	0	14	14	96.04
Matthews, Jarvis	500 001 19 1495 6	Eligible	68	0	0	68	68	466.48
Parks, Marquita	500 001 32 51229	Eligible	14	0	0	14	14	96.04
Pitcock, Chad	500 000 12 56742	Eligible	122	0	0	122	122	836.92
Pitts, Bryon	500 001 09 5584 8	Eligible	8	0	0	8	8	54.88
Pritchard, Jacque	500 000 77 7456 4	Eligible	20	0	0	20	20	137.20
Russell, Harrell	500 000 65 6139 8	Eligible	8	0	0	8	8	54.88
Serles, Cassandra	500 000 16 0466 4	Eligible	65	16	0	49	49	336.14
Shay, Melissa	500 000 22 3596 5	Eligible	377	28	0	349	349	2394.14
Shay, Melissa	500 000 22 3596 5	InBigible	12	0	0	0	0	0.00
Steele, Kiara	500 000 71 27022	Eligible	60	0	0	60	60	411.60
Tuck, Opheila	500 000 65 61829	Eligible	16	7	0	14	14	96.04
Tyus, Brittany	500 000 70 6769 8	Eligible	301	45	0	256	256	1756.16