Patient Visits: Services Provided Free of Charge 2012
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1 Visits: Services Free of Charge Service(s) Month Provider Service(s) Complaint January, 1) Tacket** EK Consult; IV Vitamins 1/9/12 Caucasian 22 SEEDs $190 2) Gowey RR New Consult 1/9/12 Caucasian 54 SEEDs $250 Alcohol Detox 3) Gowey MK Follow-up Consult 1/9/12 Caucasian 34 SEEDs $150 Depression/Pain 4) Gowey ND Follow-up/ran TSH 1/9/12 Caucasian 45 SEEDs $325 Hypothyroidism/Goiter 5) Knapp VB New Consult, Soft tissue manip., homeopathy 1/13/12 Navajo 45 Kayenta $315 Pain, headache, insomnia 6) Knapp TR New Consult; homeopathy 1/13/12 Navajo 27 Kayenta $250 Low back pain 7) Knapp RC New Consult; soft tissue massage 1/13/12 Caucasian 37 Kayenta $315 Low back pain 8) Gowey MM New Consult; Acupuncture 1/20/12 Caucasian 29 Northland $325 Pain 9) Gowey LV New Consult; Acupuncture 1/20/12 Hispanic 44 Northland $325 Pain, insomnia, depression Irregular menstral 10) Gowey RC Initial Consult;Homeopathy 1/20/12 Polynesian 27 Northland $250 bleeding, insomnia, New Consult, Soft GERD, restless legs, 11) Knapp SM tissue manip., homeopathy 1/20/12 Peruvian 36 Northland $250 pain, HA January Services Value: $2,945 January Supplies/Labs Value: $231 January total miles 350 January mileage $0.55/mi.) $193 January TOTAL Value: $3,369 *Student Provider **Nurse Provider Page 1 of 14
2 Visits: Services Free of Charge Month Provider Service(s) February, 1) Gowey PC New Consult Feb. Caucasian 37 SEEDs $250 Depression 2) Gowey AF New Consult; Acupuncture Feb. Caucasian 60 SEEDs $325 Knee Pain 3) Gowey KT New Consult Feb. Caucasian 44 SEEDs $250 HPV 4) Gowey ME New Consult Feb. 23 SEEDs $250 Unspecified 5) Gowey MR Consutation only Feb. 54 Flag Mobile $150 Ear Pain 6) Gowey LB Follow-up; Acupuncture 2/17/12 Caucasian 45 Northland $225 Back Pain 7) Gowey RG Follow-up Consult; Herbs 2/17/12 Pilipino 23 Northland $150 Cold/Flu 8) Gowey MM Follow-up; Acupuncture 2/17/12 Caucasian Northland $225 Shoulder Pain New Consult; 9) Gowey VT Acupuncture 2/17/12 Caucasian 22 Northland $325 Back/Shoulder Pain 10) Gowey TR New Consult; Pap 2/17/12 Caucasian 30 Northland $250 11) Gowey PC Phone Consult Feb. Caucasian 33 Flag Mobile $150 Depression 12) Gowey LB Consutation only Feb. Caucasian 54 Flag Mobile $150 Pain 13) Gowey AF New Consult; Acupuncture Feb. Caucasian 60 Flag Mobile $325 Knee Pain 14) Knapp SW New Consult 2/10/12 Navajo 43 Kayenta $250 Hearing Loss, Shoulder Pain 15) Knapp VB Follow Up Consult 2/10/12 Navajo 45 Kayenta $150 f/u colon CA pn 16) Knapp JR New Consult 2/17/12 Caucasian 45 Northland $250 Insomnia, Carpal Tunnel Page 2 of 14
3 Visits: Services Free of Charge February, CONTINUED Month Provider Service(s) 17) Knapp SM Follow Up Consult 2/17/12 Peruvian 36 Northland $150 Headache, insomnia 18) Knapp MM Follow Up Consult 2/17/12 Caucasian 29 Northland $150 Insomnia, PCOS February Services Value: $3,975 February Supplies/Labs Value: $2,050 February total miles 150 February mileage $0.55/mi.) $83 February TOTAL Value: $6,107 *Student Provider **Nurse Provider Site Legend: SEEDs = NATN/SEEDs programs, Mesa and Phoenix, AZ Northland = Northland Family Help Center, Flagstaff, AZ Sharon = Sharon Manor, Flagstaff, AZ Flagstaff = Fixed Site Clinic, Flagstaff, AZ Flag Mobile = Various sites around Flagstaff, AZ Scottsdale = Dr. Weiss (Board Member) donated space Todenassi = Shelter Home, Navajo Reservation Page 3 of 14
4 Visits: Services Free of Charge Month Provider Service(s) March, 1) Gowey CO Follow Up Consult 3/1/12 Caucasian 72 Flag Mobile $150 Pain 2) Gowey DZ Follow Up Consult 3/1/12 Caucasian 27 Flag Mobile $150 Fatigue 3) Gowey JH Follow Up Consult 3/1/12 Caucasian 54 Flag Mobile $150 Fibromyalgia 4) Gowey PB Follow Up Consult 3/1/12 Caucasian 45 Flag Mobile $150 Hashimoto's 5) Gowey JS Follow Up Consult 3/1/12 Caucasian 42 Flag Mobile $150 hypothyroidism 6) Gowey BR New Consult 3/1/12 Caucasian 9 mo. Flag Mobile $250 (SEEDs patient) New Consult; 7) Gowey KO Acupuncture 3/6/12 Caucasian 30 Flag Mobile $225 Pain, Depression 8) Gowey KO Follow Up; Acupuncture 3/9/12 Caucasian 33 Flag Mobile $225 Depression 9) Gowey TR New Consult 3/9/12 Caucasian 40 Flag Mobile $250 Erectile Dysfunction 10) Gowey TR Follow Up Consult 3/16/12 Caucasian 40 Northland $150 Depression 11) Gowey RT Follow Up; Acupuncture 3/16/12 Caucasian 30 Northland $225 Pain 12) Gowey AF Follow Up Consult 3/23/12 Caucasian 61 Flag Mobile $150 Knee pain 13) Gowey KM Follow Up Consult 3/23/12 Caucasian 33 Flag Mobile $150 HTN 14) Gowey GH Follow Up; Acupuncture 3/23/12 Caucasian 55 Flag Mobile $225 Hep C March Services Value: $2,600 March Supplies/Labs Value: $629 March Fuel Cost: $76 March TOTAL Value: $3,305 Site Legend: SEEDs = NATN/SEEDs programs, Mesa and Phoenix, AZ Flag Mobile = Various sites around Flagstaff, AZ Northland = Northland Family Help Center, Flagstaff, AZ Sharon = Sharon Manor, Flagstaff, AZ Flagstaff = Fixed Site Clinic, Flagstaff, AZ Scottsdale = Dr. Weiss (Board Member) donated space Todenassi = Shelter Home, Navajo Reservation Page 4 of 14
5 Visits: Services Free of Charge Month Provider Service(s) April, 1) Gowey PC Follow Up Consult 4/10/12 Caucasian 33 Scottsdale $150 Depression 2) Gowey TM Follow Up Consult 4/10/12 Caucasian 30 Scottsdale $150 HPV 3) Gowey ME Follow Up Consult 4/10/12 Caucasian 30 Scottsdale $150 HPV 4) Gowey PT Follow Up Consult 4/10/12 Caucasian 50 Scottsdale $150 Amxiety 5) Gowey CL Follow Up Acupuncture 4/24/12 Caucasian 35 Sharon $150 Headache 6) Gowey TR New Consult; Acupuncture 4/24/12 Caucasian 30 Sharon $325 Back Pain 7) Gowey CG New Consult 4/24/12 Caucasian 44 Sharon $250 MS April Services Value: $1,325 April Supplies/Labs Value: $1,920 April Mobile Cost*: $660 April TOTAL Value: $3,905 Site Legend: SEEDs = NATN/SEEDs programs, Mesa and Phoenix, AZ Northland = Northland Family Help Center, Flagstaff, AZ Sharon = Sharon Manor, Flagstaff, AZ Flagstaff = Fixed Site Clinic, Flagstaff, AZ *Includes Tires and Fuel this month Flag Mobile = Various sites around Flagstaff, AZ Scottsdale = Dr. Weiss (Board Member) donated space Todenassi = Shelter Home, Navajo Reservation Page 5 of 14
6 Visits: Services Free of Charge Month Provider May, Service(s) 1) Gowey MS New Consult; Acupuncture 5/8/12 Caucasian 42 Flag Mobile $325 Pain 2) Gowey LV Follow-up; Acupuncture May Caucasian 38 YMCA $225 Leg Pain 3) Gowey KO Follow-up; Acupuncture May Caucasian 35 YMCA $225 Back Pain 4) Gowey CG Follow-ups (2 visits); IV May Caucasian 45 YMCA $300 MS 5) Gowey RM Follow-ups (2 visits); IV May Caucasian 38 YMCA $300 Fatigue 6) Gowey ME Follow-up May Caucasian 30 YMCA $150 HPV 7) Gowey KT Follow-up May Caucasian 54 YMCA $150 HPV 8) Gowey JR Follow-up May Caucasian 60 YMCA $150 Fatigue 9) Gowey JM Follow-up; Acupuncture May Caucasian 48 YMCA $225 Back Pain May Services Value: $2,050 May Supplies/Labs Value: $747 May Mobile Cost*: N/A May TOTAL Value: $2,797 Site Legend: SEEDs = NATN/SEEDs programs, Mesa and Phoenix, AZ Northland = Northland Family Help Center, Flagstaff, AZ Sharon = Sharon Manor, Flagstaff, AZ Flagstaff = Fixed Site Clinic, Flagstaff, AZ Flag Mobile = Various sites around Flagstaff, AZ Scottsdale = Dr. Weiss (Board Member) donated space Todenassi = Shelter Home, Navajo Reservation Page 6 of 14
7 Visits: Services Free of Charge Month Provider Service(s) June, 1) Gowey PC Follow-up June 38 Flagstaff $150 Depression/Anxiety 2) Gowey TC Phone consult follow-up June 54 Flagstaff $150 Anxiety 3) Gowey CL Follow-up; Acupuncture June 30 Flagstaff $225 Anxiety 4) Gowey CG IV Infusion June 42 Flagstaff $95 MS 5) Gowey KM Follow-up; Acupuncture June 36 Flagstaff $225 High Blood Pressure 6) Gowey CO Follow-up June 62 Flagstaff $150 IBS June Services Value: $995 June Supplies/Labs Value: $200 June TOTAL Value: $1,195 Page 7 of 14
8 Visits: Services Free of Charge Month Provider Service(s) July, 1) Gowey KM Follow-up; Acupuncture July 36 Flagstaff $225 High Blood Pressure 2) Gowey EA Follow-up July 23 Flagstaff $150 Anxiety 3) Gowey DG Follow-up July 40 Flagstaff $150 Low Back Pain 4) Gowey ST Acupuncture; IV July 54 Flagstaff $170 5) Gowey CG Phone consult follow-up July 60 Flagstaff $150 Eye Pain 6) Gowey ME Follow-up July 23 Flagstaff $150 HPV 7) Gowey KT Follow-up July 40 Flagstaff $150 HPV July Services Value: $1,145 July Supplies/Labs Value: $150 July TOTAL Value: $1,295 Page 8 of 14
9 Visits: Services Free of Charge Month Provider Service(s) August, 1) Gowey PC Follow-up August 36 Flagstaff $150 Anxiety 2) Gowey CG Phone Follow-up August 60 Flagstaff $150 Eye Pain 3) Gowey KM Follow-up; Acupuncture August 36 Flagstaff $225 High Blood Pressure 4) Gowey KM IV Infusion August 36 Flagstaff $95 High Blood Pressure 5) Gowey ME Follow-up August 23 Flagstaff $150 HPV 6) Gowey KT Follow-up August 40 Flagstaff $150 HPV 7) Gowey BT New Phone Consult August 20 Flagstaff $250 Thyroid /Asthma 8) Gowey JG New Consult August 23 Flagstaff $250 Anxiety Aug Services Value: $1,420 Aug Supplies/Labs Value: $400 Aug TOTAL Value: $1,820 Page 9 of 14
10 Visits: Services Free of Charge Month Provider Service(s) October, 1) Gowey DC New Consult October 32 Flagstaff $250 Depression 2) Gowey PC 2 Phone Consults; Follow-up October 31 Flagstaff $450 HTN 3) Gowey CO Follow-up October 64 Flagstaff $400 IBS 4) Gowey KM Follow-up, IV Vitamin infusion October 34 Flagstaff $245 HTN 5) Gowey TG Acupuncture Consult, Follow-up October 28 Flagstaff $225 Depression 6) Gowey JC New Consult October Flagstaff $250 Hypothyroidism 7) Gowey MR Labs October 54 Flagstaff $700 Labs 8) Gowey MR Follow-up, Vitiamin IV October 42 Flagstaff $245 Crohns 9) Gowey MS Follow-up; Acupuncture October 31 Flagstaff $225 Low back pain Oct Services Value: $2,100 Oct Supplies/Labs Value: $890 Oct TOTAL Value: $2,990 Page 10 of 14
11 Visits: Services Free of Charge Month Provider Service(s) November, 1) Gowey PC Follow-Up November 32 Flagstaff $400 Depression 2) Gowey CG Phone Consult November 54 Flagstaff $150 Osteoarthritis 3) Gowey CG Follow-Up November 54 Flagstaff $400 Osteoarthritis 4) Gowey DH Follow-Up, Acupuncture November 64 Flagstaff $225 Back Pain 5) Gowey JY New Consult November 30 Flagstaff $250 Edema 6) Gowey EI New Consult November 32 Flagstaff $250 Back Pain 7) Gowey JH New Consult November 50 Flagstaff $250 Back, Shoulder Pain 8) Gowey BR Follow-Up November 37 Flagstaff $400 HPV Nov. Services Value: $2,325 Nov Supplies/Labs Value: $3,950 Nov TOTAL Value: $4,650 Page 11 of 14
12 Visits: Services Free of Charge Month Provider Service(s) December, 1) Gowey DM New, Acupuncture December 35 Flagstaff $250 Depression 2) Gowey PC Acupuncture December 56 Flagstaff $75 Back Pain 3) Gowey BG New Consult, IV December 42 Flagstaff $345 Anxiety 4) Gowey LT Acupuncture December 62 Flagstaff $75 Firbromyalgia 5) Gowey PB Follow Up, IV Vitamins December 32 Flagstaff $245 MS 6) Gowey PB Follow Up, IV Vitamins December 32 Flagstaff $245 MS 7) Gowey DM New, Acupuncture December 35 Flagstaff $325 Depression Dec. Services Value: $1,560 Dec Supplies/Labs Value: $1,080 Dec TOTAL Value: $2,640 YEAR END TOTALS Year-End Total Services Value: $22, Year-End Total Supplies/Labs Value: $12, YEAR-END TOTAL Value: $35, Total Supplies Used: YTD Supplies/Labs Used Value Supplies/Labs Used Value Page 12 of 14
13 Jan. Vitamin IV Infusion $40 Feb. Cont. Multivitamins for 20 patients $ TSH $75 Pap for one patient $ homeopathic remedies $30 Topical medicines for 4 patients $ Integrative Therapeutics (ITI) Cortisol $15.00 Magnesium supplement $ sets Acupuncture needles $5.00 Multi $18.00 ITI adrenal stress end $15.00 Pap $ ITI probiotic pearls $9.00 Fish oils $40.00 Homeopathic remedy $10.00 Probiotics $16.00 ITI DGL $ patient labs $ Magnesium $10.00 March Homeopathic remedy $ ITI adrenal supports $34.00 Feb. 2 ITI cortisol managers (1) $34.00 Two speculums for paps $ vitamin IVs $48.00 Acupuncture needles 50.oo $ oz. herbs $80.00 Labs 355 for 10 patients $ Magnesium supplement $10.00 IV supplies for two patients $ Homeopathic $40.00 Adrenal support - 10 patients $15.00 Gas for Mobile $20.00 Insomnia supplement 15 $15.00 Nano greens (1) $ mobile auto insurance $ Vitamin B Shot (1) $ mobile repair--new light $52.29 Gas for Mobile $30.18 Probiotics 8 each x 4 patients $32.00 Gas for Mobile $52.60 DGL $10.00 IgG's $ homeopathic remedies $50.00 Pap $ Chart note copies $10.25 Castor Oil $60.00 Gas for mobile $75.00 Greens (1) $25.00 Gas for mobile $ IVs (for 8 patients) $64.00 Total Supplies Used: YTD (Continued) Page 13 of 14
14 Supplies/Labs Used Value Supplies/Labs Used Value April Vitamins, herbs* $ Dec B vitamin shots (4) $60.00 Herbs** $ B vitamin supplement (1) $20.00 Immune Formulas $ Cases of Probiotics (4) $1,000 Tires for Mobile $ Gas for Mobile $40.00 YEAR END Total Value $12, B-12 Shots (50)*** $1, Multi-Vitamins** $ Gas for Mobile $40.00 May Vitamin IVs (3) $24.00 Adrenal Support Herbs (5) $ gave out 10 supplements: Multi*** $33.00 Immune Support (40)*** $ Adrenal Support (40)*** $80.00 Integrative Therapeutics Indoplex 20 x 1*** $20.00 B vitamin shots (10)*** $ June Supplements (10) $ July Gowey Protocol Gel (10) $ Aug Gowey Protocol Gel (10) $ Oct Labs $ IV Infusions (2) $16.00 Nov Cases of Probiotics (15) $3, B vitamin shots (2) $95.00 B vitamin supplement (3) $60.00 *Homeless outreach, Phoenix Bottles of adrenal herbs (3) $45.00 **Sharon Manor Clients ***YMCA **** Seeds Shelter Program Page 14 of 14
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