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)
White, Erica	500 000 30 9599 6	Eligible	54	0	0	54	54	370.44
Wilson, Shequindolyn	500 001 32 4237 1	Eligible	18	0	0	18	18	123.48
Totals For Month	Eligible Units:		1609	114	0	1495	1495	$ 10,255.70
InEligible Units:			12	0	0	0	Total Hours Billed:
Totals:			1621	114	0	1495	124.58

Units for 000-00-0000 Break:	0
Units for 111-11-1111 Generalized Case Management:	114
Units for 222-22-2222 Generalized Office Taskings:	0
Units for 333-33-3333 Leave/Vacation:	0
Total Other Activities:	114
Total of all Units for the Month:	1735	Total Hours for the Month:	144.58