Patient Name Patient ID # Birthdate City

Adela Neeley 388-101-4377 12/27/2021 Rigby, Idaho

Alycia Whitenack 388-97-7141 3/6/2024 Idaho Falls, Idaho
Anitra Ketelsen 388-40-4689 9/5/2020 Rigby, Idaho
Annamae Cervantes 388-95-6648 12/16/2021 Idaho Falls, Idaho
Arianna Dezzutti 388-96-9312 11/9/2017 Idaho Falls, Idaho
Ariel Breiner 388-66-7948 9/19/2019 Idaho Falls, Idaho
Arielle Zartman 995-71-0266 4/30/2021 Rigby, Idaho
Arlen Harries 388-22-9515 12/16/2017 Rexburg, Idaho
Arletha Spindler 388-52-2591 1/19/2018 Idaho Falls, Idaho
Arnulfo Hutton 388-26-1813 5/12/2020 Idaho Falls, Idaho
Babara Metheny 388-79-6019 1/7/2020 Rigby, Idaho
Boris Poirrier 388-45-3175 9/24/2016 Idaho Falls, Idaho
Brittany Stegner 388-42-3727 9/6/2021 Rigby, Idaho
Brittney Bausch 388-91-7055 9/24/2016 Idaho Falls, Idaho
Cathy Gibby 388-78-4314 9/24/2016 Idaho Falls, Idaho
Celine Kahre 388-50-4300 2/9/2019 Idaho Falls, Idaho
Charmain Dedeaux 388-93-8857 1/19/2019 Rexburg, Idaho
Charmaine Zhang 388-32-4682 9/5/2017 Rigby, Idaho
Cheryll Calle 388-23-2800 5/12/2021 Idaho Falls, Idaho
Chrystal Deppe 388-18-1540 11/7/2019 Idaho Falls, Idaho
Claude Darbonne 388-12-1658 4/30/2022 Rigby, Idaho
Clay Facemire 388-107-5394 1/31/2024 Rexburg, Idaho
Clement Cranston 388-100-8664 12/7/2023 Rexburg, Idaho
Clotilde Prim 388-105-6779 5/12/2021 Idaho Falls, Idaho
Concha Mccleskey 388-19-4982 12/27/2014 Idaho Falls, Idaho
Cuc Gillenwater 388-28-5945 12/26/2019 Idaho Falls, Idaho
Dara Culton 388-71-7610 1/31/2024 Rexburg, Idaho
Dennis Madill 388-60-2960 1/19/2019 Idaho Falls, Idaho
Dong Malcomb 388-70-5985 2/20/2024 Rigby, Idaho
Edgardo Danner 388-34-9643 9/24/2016 Rexburg, Idaho
Elin Halloway 388-85-5819 10/28/2020 Idaho Falls, Idaho
Elvina Kristensen 388-84-8015 1/31/2020 Rexburg, Idaho
Emilie Godinez 388-76-1582 12/16/2021 Rexburg, Idaho
Esperanza Comacho 388-21-2899 9/13/2015 Idaho Falls, Idaho
Estella Magrath 388-54-5417 10/17/2019 Idaho Falls, Idaho
Fawn Bulloch 388-87-6101 2/9/2016 Rigby, Idaho
Gabrielle Roach 388-72-1274 12/7/2023 Rexburg, Idaho
Genevie Hipple 388-11-1350 9/24/2016 Rexburg, Idaho
Georgetta Standridge388-57-5912 9/19/2016 Idaho Falls, Idaho
Gregory Villalba 388-99-5293 1/31/2024 Idaho Falls, Idaho
Gretta Nixon 388-103-2740 9/13/2018 Idaho Falls, Idaho
Halley Solari 388-77-5497 5/12/2021 Idaho Falls, Idaho
Hassan Lint 388-51-8352 11/26/2016 Rexburg, Idaho
Henrietta Markowitz 388-82-2184 12/26/2020 Idaho Falls, Idaho
Izola Mink 388-86-7358 9/5/2019 Rigby, Idaho
Jacqualine Haskins 388-62-3572 10/29/2016 Rigby, Idaho
Jaimee Janecek 388-90-3545 3/10/2020 Rigby, Idaho
Janel Dotson 388-102-4779 9/25/2018 Idaho Falls, Idaho
Jay Huffstetler 388-107-5888 5/12/2019 Rigby, Idaho
Jeanna Landrum 388-13-8423 1/12/2019 Idaho Falls, Idaho
Julian Greenan 388-83-1819 6/3/2015 Idaho Falls, Idaho
Juliane Below 388-24-7286 9/24/2019 Rigby, Idaho
Katie Giguere 388-61-9733 12/17/2018 Rigby, Idaho
Kaylene Kwak 388-92-3920 12/18/2017 Idaho Falls, Idaho
Kristeen Silsby 388-14-4876 1/31/2016 Idaho Falls, Idaho
Larae Macek 388-55-7049 9/5/2020 Idaho Falls, Idaho
Larissa Herlihy 388-74-5134 9/25/2017 Rigby, Idaho
Lavelle Hooton 388-67-5049 12/16/2021 Idaho Falls, Idaho
Lavonne Jacko 388-20-2938 9/25/2016 Idaho Falls, Idaho
Leanne Holte 388-64-6822 12/18/2020 Idaho Falls, Idaho
Lenny Dierking 388-38-9084 2/18/2020 Rexburg, Idaho
Leonor Burton 388-56-5429 1/12/2021 Rigby, Idaho
Leticia Odonnell 388-29-4750 6/3/2022 Idaho Falls, Idaho
Lloyd Plumley 388-30-8787 1/31/2021 Idaho Falls, Idaho
Louetta Brandl 388-48-6137 5/12/2019 Rigby, Idaho
Louvenia Tabon 388-37-9863 9/24/2019 Rigby, Idaho
Maragret Lytle 388-80-5692 5/12/2021 Idaho Falls, Idaho
Marybeth Selvage 388-63-3029 11/28/2019 Idaho Falls, Idaho
Mattie Nave 388-17-3825 7/17/2017 Idaho Falls, Idaho
Micki Chong 388-47-6742 9/5/2018 Rexburg, Idaho
Monique Ulman 388-43-1542 7/21/2022 Idaho Falls, Idaho
Moses Raynes 388-94-3148 9/19/2022 Idaho Falls, Idaho
Nickole Burell 388-73-4899 12/27/2014 Idaho Falls, Idaho
Nicole Dávalos 388-10-2886 1/6/2021 Rigby, Idaho
Omega Pollock 388-46-6301 11/5/2021 Rigby, Idaho
Pamela Rohman 388-16-9386 9/24/2016 Rigby, Idaho
Pandora Mayton 388-69-9047 3/6/2024 Idaho Falls, Idaho
Paulina Seman 388-59-8013 9/5/2018 Rigby, Idaho
Pearle Gosser 388-106-9584 9/24/2016 Rigby, Idaho
Penni Haar 388-44-5935 2/9/2016 Idaho Falls, Idaho
Randal Back 388-41-2532 3/25/2017 Rexburg, Idaho
Raymon Cassel 388-65-8950 1/19/2014 Rigby, Idaho
Reyna Manthe 388-88-5714 9/24/2019 Idaho Falls, Idaho
Ricardo Tillison 388-35-9225 9/24/2021 Rigby, Idaho
Ricky Lisowski 388-33-9528 2/9/2019 Rigby, Idaho
Rosanne Gulotta 388-81-8191 4/30/2022 Rigby, Idaho
Salvador Cruikshank 388-107-3232 1/7/2020 Idaho Falls, Idaho
Samatha Armentrout 388-98-8301 2/20/2024 Rigby, Idaho
Serena Yelton 388-75-9751 9/13/2015 Rigby, Idaho
Sparkle Jesus 388-89-8684 9/24/2016 Rigby, Idaho
Taina Patton 388-49-4187 7/31/2015 Idaho Falls, Idaho
Teodora Calaway 388-53-3183 5/25/2019 Rigby, Idaho
Theresa Nixon 388-15-9079 9/19/2022 Idaho Falls, Idaho
Tim Hackenberg 388-36-4992 3/10/2019 Idaho Falls, Idaho
Titus Oshea 388-104-3114 12/16/2020 Rigby, Idaho
Tory Gertz 388-58-5207 2/9/2018 Rexburg, Idaho
Tyler Conkling 388-25-2748 1/7/2021 Rigby, Idaho
Verline Goin 388-31-9228 10/28/2020 Idaho Falls, Idaho
Yolanda Suman 388-39-5722 8/30/2019 Rigby, Idaho
Zoe Lux 388-68-5780 11/9/2017 Idaho Falls, Idaho
 the number of well-
Well-Child Visit Completed Billed Amount Paid
child visits completed
$0 $0 60
Yes $50 $50
Yes $50 $50
$0 $0
Yes $50 $0
$0 $0
Yes $50 $0
$0 $0
Yes $50 $50
Yes $50 $50
$0 $0
Yes $50 $0
$0 $0
$0 $0
$0 $0
Yes $50 $20
$0 $0
Yes $50 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
Yes $50 $35
Yes $50 $50
$0 $0
$0 $0
$0 $0
$0 $0
 $0 $0
$0 $0
Yes $50 $10
Yes $50 $25
Yes $50 $50
$0 $0
Yes $50 $0
$0 $0
$0 $0
$0 $0
Yes $50 $25
Yes $50 $0
Yes $50 $50
Yes $50 $35
Yes $50 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
Yes $50 $0
$0 $0
Yes $50 $25
Yes $50 $50
Yes $50 $0
$0 $0
Yes $50 $0
Yes $50 $50
$0 $0
$0 $0
$0 $0
Yes $50 $50
$0 $0
$0 $0
$0 $0
Yes $50 $20
$0 $0
$0 $0
$0 $0
$0 $0
Yes $50 $25
Yes Err:522 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
$0 $0
Yes $50 $50
$0 $0
Yes $50 $25
Yes $50 $40
Yes $50 $15
$0 $0
$0 $0
$0 $0
Yes $50 $0
Yes $50 $50
$0 $0
Yes $50 $50
$0 $0
Yes $50 $25
Yes $50 $25
Yes $50 $25
$0 $0
the total the total amount
amount billed. paid
Err:522 1025
Services Prices
Back pain evaluation 120.235674
Bug bites & stings 52.4543
Headache & Migraine Evaluation 110.1111
Irritable bowel syndrome (IBS) evaluation 136.6733
Minor burns 99.9699
Minor cuts, blisters & wounds 54.4543
Pelvic pain evaluation 59.9977
Splinter removal 56.331
Sprains, strains & joint pain 23.6714
Suture & staple removal 99.2215
Swollen veins & leg pain treatment 49.8716
Tick bites 44.1231
Skin, hair & nails 38.3716363636364
Acne 32.6201212121212
Athlete's foot 46.2390476190476
Chicken pox 41.3904761904762
Cold, canker & mouth sores 36.5419047619048
Hair loss 35.6933333333333
Lice 121.023
Minor psoriasis 94.4513
Nail infection treatment 113.1178
Poison ivy & poison oak 136.645
Rash, skin irritation & dermatitis 101.6144
Ringworm 122.234
Rosacea 116.828729589458
Scabies 47.1231
Shingles 39.3716363636364
Skin abscess treatment 99.6201212121212
Skin tag removal 44.2390476190476
Sunburn 42.3904761904762
Swimmer's itch 38.5419047619048
Swollen veins & leg pain treatment 99.6933333333333
Wart evaluation 32.8447619047619
Wart & skin growth treatment 84.4533
Tests, screenings & physicals 111.1122
Annual wellness exam 104.6721
General medical exams (excludes annual physicals) 71.6113
Camp physicals 69.2313
Basic health screenings 66.828729589458
Comprehensive health screenings 43.1231
COVID-19 antibody testing 48.3716363636364
COVID-19 basic assessment and specimen collection 78.6201212121212
COPD screening 64.2390476190476
Sports physicals 79.6110129870129
Ear wax removal 87.5447186147185
Epinephrine injection pen refills 95.4784242424241
Fatigue Evaluation 99.3314
Food sensitivity test 74.6734
Hepatitis B screening 86.5311
High blood pressure monitoring 92.6072680890538
High blood pressure treatment 94.6860130900845
High cholesterol treatment 96.7647580911152
Hyperthyroidism monitoring 98.8435030921459
Rounded Prices Overall Ranking