Kristina Poole

 Kristina Poole (MR # 53500146) DOB: 09/01/1991 Age: 68 yrs 
 Enc Date: 26/09/2022 
 Therapy Treatment 
 No treatment plans exist 
 Medications at End of Encounter 
 Insulin (Taking) Take by mouth 
 Medication Documentation Review Audit As Of This Encounter 
 Reviewed by Dr Elizabeth Mendoza, MD on 10/09/17 at 1835 
 Encounter Status 
 Closed by Dr Elizabeth Mendoza, MD on 10/9/17 at 6:35 PM 
 Go to the IP MAR Infusion Coder's Report. 
 All Charges for This Encounter 
 Code 
 Description 
 SERVICE DATE
 Service Provider 
 Modifiers Qty 
 99214 
 PR OV EST PT LEV 4 
 05/07/2023 
 Dr Elizabeth Mendoza, MD 
 1 
 WC002 
 PR PR2 TREAT MD PROGRESS REP 05/07/2023 
 Dr Elizabeth Mendoza, MD 
 1 
 FORM 
 Kristina Poole (MR # 53500146) Printed by [S124212] at 10/11/17 8:52 AM 
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