Justin Wilkinson

 
 Ochsner 
 Health 
 THIS IS NOT A BILL 
 James Russell Ladner 
 4311 1ST AVE 
 BAY ST LOUIS MS 39520 
 The following document contains the itemized services requested for your visit on August 25, 2022 for James 
 Russell Ladner (Guarantor #131953141). 
 Coverage(s) on file: 
 Aetna Managed Medicare - Aetna Medicare Plan PPO 
 Patient Name: 
 DATE OF ADMIT: 2016 Nov 20 
 Discharge Day: 2016 Dec 20
 Facility: KENNER HOSPITAL 
 Account Class: Emergency 
 Provider: 
 Diagnosis: Influenza, Migraine, initial encounter [S16.1XXA] 
 Svc Date 
 Code 
 Description 
 Qty 
 Amount 
 Charges 
 2021 Oct 20 
 73125 
 PR CT Scan, Cervical Spine, W/O Contrast 
 1 
 126.00 
 Questions? 
 Call 831-313-0319 or 531-312-4310, 
