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Patients, Patient Procedures List Input Parameters

Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

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Page 1: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Patients, Patient Procedures List

Input Parameters

Page 2: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Patient Procedures List

Address Number Of VisitsPhone NumberName

92568 Acoustic reflex testingCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

42830 Adenoidectomy, primary; under age 12Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

J7619 Albuterol, all formulations including separated isomers, inhalation solution administered through DME, unit dose, per 1 mg (albuterol) or per 0.5 mg (levalbuterol)Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777

20930 Allograft for spine surgery only; morselizedAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777

20931 Allograft for spine surgery only; structuralRodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

82105 Alpha-fetoprotein; serumAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

22845 Anterior instrumentation; 2 to 3 vertebral segmentsAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777

22846 Anterior instrumentation; 4 to 7 vertebral segmentsMiller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

86701 Antibody; HIV-1Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

97035 Application of a modality to one or more areas; ultrasound, each 15 minutesJohnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777

97022 Application of a modality to one or more areas; whirlpool

Page 1 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 3: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

97022 Application of a modality to one or more areas; whirlpoolBell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777

22851 Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate) to vertebral defect or interspaceBrown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

22554 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); cervical below C2Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

22585 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777

22558 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); lumbarBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777

22630 Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than for decompression), single interspace; lumbarCole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777

22614 Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777

22804 Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segmentsCarter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

20937 Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision)Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777

80048 Basic metabolic panel This panel must include the following: Calcium (82310) Carbon dioxide (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520)Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777

64795 Biopsy of nerveBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

20205 Biopsy, muscle; deep

Page 2 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 4: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

20205 Biopsy, muscle; deepBell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 2

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

85025 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC countW illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

85013 Blood count; spun microhematocritGray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777

82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, 1-3 simultaneous determinationsSterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777

92543 Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes four tests), with recordingSterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

93018 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report onlyGonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777

93016 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; physician supervision only, without interpretation and reportCox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777

93015 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and reportParker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777

54150 Circumcision, using clamp or other device; newbornParker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777

36416 Collection of capillary blood specimen (eg, finger, heel, ear stick)Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

36415 Collection of venous blood by venipunctureAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777

44388 Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777

44394 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

45378 Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

45383 Colonoscopy, flexible, proximal to splenic flexure; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare techniqueGraham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777

45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiplePerez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

Page 3 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 5: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

45380 Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multipleYoung, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

45382 Colonoscopy, flexible, proximal to splenic flexure; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

45381 Colonoscopy, flexible, proximal to splenic flexure; with directed submucosal injection(s), any substanceMiller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

45379 Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign bodyLewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777

45384 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cauteryAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777

45385 Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueGray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

G0105 Colorectal cancer screening; colonoscopy on individual at high riskJackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777

G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high riskJones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777

92557 Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777

80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

76140 Consultation on x-ray examination made elsewhere, written reportAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777

30901 Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any methodBell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777

A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet

Page 4 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 6: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feetLopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

61510 Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningiomaJones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

87086 Culture, bacterial; quantitative colony count, urineMorris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777

87081 Culture, presumptive, pathogenic organisms, screening only;Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

87149 Culture, typing; identification by nucleic acid probeHall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777

88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervisionAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

94664 Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB deviceGreen, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777

43456 Dilation of esophagus, by balloon or dilator, retrogradeCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777

43450 Dilation of esophagus, by unguided sound or bougie, single or multiple passesParker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

43453 Dilation of esophagus, over guide wireBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), for intramuscular useLee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

90720 Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular use

Page 5 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 7: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

90720 Diphtheria, tetanus toxoids, and whole cell pertussis vaccine and Hemophilus influenza B vaccine (DTP-Hib), for intramuscular useHill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777

63076 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure)Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777

E0590 Dispensing fee covered drug administered through DME nebulizerAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777

93325 Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777

93320 Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); completeAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

93880 Duplex scan of extracranial arteries; complete bilateral studyBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777

93307 Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; completeTurner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

93350 Echocardiography, transthoracic, real-time with image documentation (2D), with or without M-mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretHayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777

93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 2

Emerald City, TX 77777

93230 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; includes recording, microprocessorSmith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777

93232 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; microprocessor-based analysis withKing, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777

93233 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; physician review and interpretatioGray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777

93231 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; recording (includes hook-up, recor

Page 6 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 8: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

93231 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; recording (includes hook-up, recorCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

93227 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage, with visual superimposition scanning; physician review and interpretationBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777

93225 Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage, with visual superimposition scanning; recording (includes hook-up, recording, and disconnection)Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

93732 Electronic analysis of dual-chamber pacemaker system (includes evaluation of programmable parameters at rest and during activity where applicable, using electrocardiographic recording and interpretation of recordings at rest and during exerCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

58100 Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777

91010 Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study;Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

43200 Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

43202 Esophagoscopy, rigid or flexible; with biopsy, single or multipleMyers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777

43204 Esophagoscopy, rigid or flexible; with injection sclerosis of esophageal varicesAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777

43226 Esophagoscopy, rigid or flexible; with insertion of guide wire followed by dilation over guide wireCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777

43217 Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777

91033 Esophagus, acid reflux test, with intraluminal pH electrode for detection of gastroesophageal reflux; prolonged recording

Page 7 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 9: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

91033 Esophagus, acid reflux test, with intraluminal pH electrode for detection of gastroesophageal reflux; prolonged recordingEvans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777

82677 EstriolGraham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

92587 Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products)Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777

22830 Exploration of spinal fusionBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777

76818 Fetal biophysical profile; with non-stress testingBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777

59025 Fetal non-stress testGarcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777

V5011 Fitting/orientation/checking of hearing aidDavis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777

82948 Glucose; blood, reagent stripPerez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777

82950 Glucose; post glucose dose (includes glucose)Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777

84702 Gonadotropin, chorionic (hCG); quantitativeBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777

90648 Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for intramuscular useDavis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) TransferasAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777

90748 Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular useGonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777

Page 8 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 10: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

90748 Hepatitis B and Hemophilus influenza b vaccine (HepB-Hib), for intramuscular useMiller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

90744 Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular useBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

86803 Hepatitis C antibody;Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

44382 Ileoscopy, through stoma; with biopsy, single or multipleBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

93556 Imaging supervision, interpretation and report for injection procedure(s) during cardiac catheterization; pulmonary angiography, aortography, and/or selective coronary angiography including venous bypass grafts and arterial conduits (whetheAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

93555 Imaging supervision, interpretation and report for injection procedure(s) during cardiac catheterization; ventricular and/or atrial angiographyGonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777

90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, intramuscular and jet injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777

90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, intramuscular and jet injections); one vaccine (single or combination vaccine/toxoid)Adams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

86317 Immunoassay for infectious agent antibody, quantitative, not otherwise specifiedCole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777

83520 Immunoassay, analyte, quantitative; not otherwise specifiedJackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777

Page 9 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 11: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

83520 Immunoassay, analyte, quantitative; not otherwise specifiedW allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

62362 Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programmingCarter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777

62351 Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomyBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

61885 Incision and subcutaneous placement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode arrayCox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777

64573 Incision for implantation of neurostimulator electrodes; cranial nerveMartinez, Gloria 414 W Cyress (214) 835-1308 (Home) 2

Emerald City, TX 77777

87804 Infectious agent antigen detection by immunoassay with direct optical observation; InfluenzaMorris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777

87880 Infectious agent detection by immunoassay with direct optical observation; Streptococcus, group AMitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777

87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe techniqueCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

87490 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe techniqueEdwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe techniqueCarter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777

87590 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe techniqueThompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

90658 Influenza virus vaccine, split virus, 3 years and above dosage, for intramuscular or jet injection useMiller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777

90657 Influenza virus vaccine, split virus, 6-35 months dosage, for intramuscular or jet injection useGray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777

46500 Injection of sclerosing solution, hemorrhoidsGray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

93545 Injection procedure during cardiac catheterization; for selective coronary angiography (injection of radiopaque material may be by hand)Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777

Page 10 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 12: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

93545 Injection procedure during cardiac catheterization; for selective coronary angiography (injection of radiopaque material may be by hand)Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777

93543 Injection procedure during cardiac catheterization; for selective left ventricular or left atrial angiographyGray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

J1094 Injection, dexamethasone acetate, 1 mgHayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777

J1030 Injection, methylprednisolone acetate, 40 mgPerez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777

J2550 Injection, promethazine HCL, up to 50 mgJones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, specify number of testsGarcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777

95027 Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, specify number of testsW alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

90788 Intramuscular injection of antibiotic (specify)Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 2

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777

22818 Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segmentsLee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777

63267 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbarLewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

63045 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; cervicalEdwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777

63048 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; each additional segment, cervical,Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777

63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; lumbarKing, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

63046 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; thoracic

Page 11 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 13: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

63046 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; thoracicAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 2

Emerald City, TX 77777

63042 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk, reexploration, single interspace; lumbarBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777

63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; one interspace, lumbar (including open or endoscopically-assisted approach)Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressorAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777

31575 Laryngoscopy, flexible fiberoptic; diagnosticMyers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777

93510 Left heart catheterization, retrograde, from the brachial artery, axillary artery or femoral artery; percutaneousCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - Spontaneous/Missed Artery, Biopsy Bone Marrow, Biopsy Bone Exostosis Brain/Meninges, Other than for Tumor Resection Breast, Biopsy, Not Requiring Microscopic EvaluaBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777

80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777

97140 Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutesBell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 2

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous or jet injection use

Page 12 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 14: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous or jet injection useAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777

69990 Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

78465 Myocardial perfusion imaging; tomographic (SPECT), multiple studies, at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantificationAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777

78480 Myocardial perfusion study with ejection fraction (List separately in addition to code for primary procedure)Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777

78478 Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in addition to code for primary procedure)Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777

31256 Nasal/sinus endoscopy, surgical, with maxillary antrostomy;Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

31267 Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinusJohnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

31237 Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777

31254 Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777

31255 Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior)Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777

64721 Neuroplasty and/or transposition; median nerve at carpal tunnelBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determinationAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777

99243 Office consultation for a new or established patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or coordination of care with other prMyers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777

99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. CounselingCarter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777

Page 13 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 15: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. CounselingKing, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777

99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity. CounseAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or cooBailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777

Page 14 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 16: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity. Counseling and/or cooGray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making. CounselinCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem focused history; an expanded problem focused examination; and straightforward medical decisiAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777

Page 15 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 17: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99211 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supEvans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 2

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 2

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 2

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 2

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777Peters, Myra D 208 E Brier (512) 756-5555 (Home) 1

Emerald City, TX 78611Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 2

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 2

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 2

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 2

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive history; a comprehensive examination; medical decision making of high cAdams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

Page 16 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 18: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a comprehensive history; a comprehensive examination; medical decision making of high cW right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 2

Emerald City, TX 77777Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 2

Emerald City, TX 77777Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 5

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 2

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 3

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 2

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 3

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 3

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 4

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 2

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 3

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 2

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 2

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 2

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 3

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 2

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 2

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 2

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 2

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 2

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 2

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 3

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 3

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 2

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 2

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 2

Emerald City, TX 77777

Page 17 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 19: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a detailed history; a detailed examination; medical decision making of moderate complexParker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 3

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 2

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 2

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 3

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 3

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 2

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 2

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 2

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 3

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 4

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 2

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 4

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 3

Emerald City, TX 77777

99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decisAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 3

Emerald City, TX 77777Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 4

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 4

Emerald City, TX 77777Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 5

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 4

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 5

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 4

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 4

Emerald City, TX 77777Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 4

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 2

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 5

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 3

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 5

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 4

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 3

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 6

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 4

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 4

Emerald City, TX 77777

Page 18 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 20: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decisGonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 3

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 4

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 5

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 3

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 2

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 5

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 5

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 5

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 4

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 3

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 5

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 2

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 3

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 2

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 4

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 5

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 3

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 4

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 4

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 2

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 4

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 5

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 3

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 3

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 4

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 5

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 4

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 3

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 4

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 2

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 3

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 7

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 2

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 5

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 3

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 2

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 5

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 4

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 5

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 5

Emerald City, TX 77777

Page 19 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 21: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: a problem focused history; a problem focused examination; straightforward medical decisThompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 5

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 2

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 3

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 6

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 2

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 2

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 3

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 2

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 3

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 2

Emerald City, TX 77777

99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused history; an expanded problem focused examination; medical dAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 3

Emerald City, TX 77777Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 2

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 3

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 3

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 2

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 2

Emerald City, TX 77777Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 4

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 3

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 3

Emerald City, TX 77777Cole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 2

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 2

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 3

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 3

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 2

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 2

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 2

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 3

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 2

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 4

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 3

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 2

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 4

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 3

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777

Page 20 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 22: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components: an expanded problem focused history; an expanded problem focused examination; medical dJones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 4

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 4

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 3

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 2

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 3

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 2

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 3

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 3

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 3

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 2

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 2

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 4

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 2

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 2

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 2

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 3

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 3

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 5

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 4

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 3

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 4

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 2

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 2

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 3

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 4

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 2

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 2

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 2

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 3

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 2

Emerald City, TX 77777

92544 Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recordingPerez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

22226 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777

Page 21 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 23: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

22226 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777

22216 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777

22212 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; thoracicCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777

93268 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; includes transmission, physician review and interpretationMorris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

93271 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; monitoring, receipt of transmissions, and analysisCollins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

93270 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection)Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

95004 Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, specify number of testsW allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

97001 Physical therapy evaluationAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777

90669 Pneumococcal conjugate vaccine, polyvalent, for children under five years, for intramuscular useBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

90712 Poliovirus vaccine, (any type(s)) (OPV), live, for oral useGonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

90713 Poliovirus vaccine, inactivated, (IPV), for subcutaneous usePatterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777

92542 Positional nystagmus test, minimum of 4 positions, with recordingJackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777

22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

Page 22 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 24: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

22844 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segmentsAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

22843 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segmentsLee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777

59430 Postpartum care only (separate procedure)Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777

94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPJones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

95115 Professional services for allergen immunotherapy not including provision of allergenic extracts; single injectionLopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

95117 Professional services for allergen immunotherapy not including provision of allergenic extracts; two or more injectionsHill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777

95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

92553 Pure tone audiometry (threshold); air and boneAnderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

92552 Pure tone audiometry (threshold); air onlyMyers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

70220 Radiologic examination, sinuses, paranasal, complete, minimum of three viewsCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777

70210 Radiologic examination, sinuses, paranasal, less than three viewsTaylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

72010 Radiologic examination, spine, entire, survey study, anteroposterior and lateral

Page 23 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 25: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

72010 Radiologic examination, spine, entire, survey study, anteroposterior and lateralCole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777

72100 Radiologic examination, spine, lumbosacral; two or three viewsHarris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777

72090 Radiologic examination, spine; scoliosis study, including supine and erect studiesCox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777

72070 Radiologic examination, spine; thoracic, two viewsEdwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

69210 Removal impacted cerumen (separate procedure), one or both earsW ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

22852 Removal of posterior segmental instrumentationEvans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 1

Emerald City, TX 77777

30520 Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graftMurphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777

45330 Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

45339 Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare techniqueAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777

45331 Sigmoidoscopy, flexible; with biopsy, single or multipleAllen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 1

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 1

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777

45338 Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueEvans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777

86580 Skin test; tuberculosis, intradermalBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777

Page 24 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 26: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

86580 Skin test; tuberculosis, intradermalPatterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)Sullivan, George 759 Harry Blvd (817) 225-0692 (Home) 1

Emerald City, TX 77777

44361 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multipleBell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777

87210 Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 1

Emerald City, TX 77777

92541 Spontaneous nystagmus test, including gaze and fixation nystagmus, with recordingLopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 1

Emerald City, TX 77777

A9505 Supply of radiopharmaceutical diagnostic imaging agent, thallous chloride tl 201, per mciAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 1

Emerald City, TX 77777

90718 Tetanus and diphtheria toxoids (Td) adsorbed for use in individuals seven years or older, for intramuscular or jet injectionMiller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

97530 Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutesManning, Vincent L PO Box 1211 (512) 756-5555 (Home) 2

Emerald City, TX 78611

97112 Therapeutic procedure, one or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesKing, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777

97110 Therapeutic procedure, one or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityCarter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777

84443 Thyroid stimulating hormone (TSH)Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777

87220 Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777

42820 Tonsillectomy and adenoidectomy; under age 12Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777

Page 25 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 27: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

42820 Tonsillectomy and adenoidectomy; under age 12Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

42826 Tonsillectomy, primary or secondary; age 12 or overRobinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 1

Emerald City, TX 77777

63056 Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disk), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated interveCox, Kathy P O Box 1436 (817) 494-0347 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777

61862 Twist drill, burr hole, craniotomy, or craniectomy for stereotactic implantation of one neurostimulator array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray)Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777

92567 Tympanometry (impedance testing)Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesiaCarter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Evans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 1

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 1

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

76856 Ultrasound, pelvic (nonobstetric), B-scan and/or real time with image documentation; completeCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestationCampbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 1

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 1

Emerald City, TX 77777Miller, Carl H 476 Neil Drive (817) 257-8675 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 2

Emerald City, TX 77777

76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), one or more fetusesCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

Page 26 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 28: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

76830 Ultrasound, transvaginalCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 1

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 1

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 1

Emerald City, TX 77777

99499 Unlisted evaluation and management serviceBains, W esley D 620 Navajo Lane 1

Emerald City, TX 78681

97799 Unlisted physical medicine/rehabilitation service or procedureCarter, Harold 9 Clum Avenue (817) 738-0437 (Home) 1

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

44799 Unlisted procedure, intestineAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 1

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 1

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777

45999 Unlisted procedure, rectumRodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

22899 Unlisted procedure, spineCole, Dean 83 Main St (817) 381-3390 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777

43235 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 1

Emerald City, TX 77777

43258 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery orCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 1

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 1

Emerald City, TX 77777

43249 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with balloon dilation of esophagus (less than 30 mm diameter)King, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777

43239 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multipleHayes, Donald J 1327 W Barton (214) 561-4863 (Home) 1

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 1

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777

43255 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with control of bleeding, any methodBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 1

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 1

Emerald City, TX 77777

43245 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with dilation of gastric outlet for obstruction (eg, balloon, guide wire, bougie)Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 1

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 1

Emerald City, TX 77777

Page 27 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 29: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

43245 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with dilation of gastric outlet for obstruction (eg, balloon, guide wire, bougie)Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777

43243 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with injection sclerosis of esophageal and/or gastric varicesBaker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Edwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 1

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777

43248 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with insertion of guide wire followed by dilation of esophagus over guide wireEdwards, W alter 625 W Lozano Ave (817) 549-6073 (Home) 1

Emerald City, TX 77777

43247 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign bodyFord, Eric 9 Anita Avenue (817) 494-5595 (Home) 1

Emerald City, TX 77777

43250 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cauteryRussell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 1

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 1

Emerald City, TX 77777

43251 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 1

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 1

Emerald City, TX 77777

81003 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopyBennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 1

Emerald City, TX 77777

81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopyKing, Kelly 2802 Condesa St (973) 509-1055 (Home) 1

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 1

Emerald City, TX 77777

81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopyAdams, Matthew 1214 W inding W ay (214) 534-8814 (Home) 2

Emerald City, TX 77777Adams, Tracy L 2601 W ilson Rd (817) 548-8967 (Home) 4

Emerald City, TX 77777Allen, Jason 1402 VermontApt 132 (817) 494-8255 (Home) 5

Emerald City, TX 77777Anderson, Daniel 98 Park Gate Driv (817) 494-1550 (Home) 3

Emerald City, TX 77777Bailey, Jonathon 33530 Paloma Dr (817) 940-1960 (Home) 3

Emerald City, TX 77777Baker, Michelle 80 Dellwood Road (817) 494-1925 (Home) 1

Emerald City, TX 77777Bell, Beth K 57 Frieda Lane (817) 388-4868 (Home) 1

Emerald City, TX 77777Bennett, Dorothy 1609 Sundown Dr (972) 548-2575 (Home) 4

Emerald City, TX 77777Brown, Brenda 3584 Pine Ridge (817) 463-0888 (Home) 3

Emerald City, TX 77777Campbell, Susan S 699 East W oodbridge (817) 636-4950 (Home) 2

Emerald City, TX 77777Carter, Harold 9 Clum Avenue (817) 738-0437 (Home) 4

Emerald City, TX 77777Carter, Patricia 56 Yorktown Road (817) 329-8236 (Home) 3

Emerald City, TX 77777Collins, W illiam T 667 N Missouri (972) 778-0089 (Home) 1

Emerald City, TX 77777Cook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 2

Emerald City, TX 77777Cox, Kathy P O Box 1436 (817) 494-0347 (Home) 2

Emerald City, TX 77777Davis, Brian P O Box 952 (817) 855-1578 (Home) 1

Emerald City, TX 77777

Page 28 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 30: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopyEvans, Terry 944 Ellis Parkway (817) 381-1005 (Home) 2

Emerald City, TX 77777Ford, Eric 9 Anita Avenue (817) 494-5595 (Home) 2

Emerald City, TX 77777Garcia, Gary 401 E Lincoln (972) 634-7228 (Home) 7

Emerald City, TX 77777Gonzalez, Michael 4402 GlasscockApt 315 (817) 985-0451 (Home) 2

Emerald City, TX 77777Graham, Evelyn 27579 Kornegay Rd (817) 548-7084 (Home) 4

Emerald City, TX 77777Gray, Juan 355 Freddy Fender Ln (817) 968-5193 (Home) 1

Emerald City, TX 77777Gray, Meredith 89 Harmony Avenue (817) 787-8683 (Home) 4

Emerald City, TX 77777Green, Mark 1009 Lori Lane (214) 755-4271 (Home) 2

Emerald City, TX 77777Hall, Janice 16349 Jimenez Rd (817) 671-2081 (Home) 2

Emerald City, TX 77777Harris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777Hayes, Donald J 1327 W Barton (214) 561-4863 (Home) 2

Emerald City, TX 77777Hernandez, Karen 506 W Roosevelt (817) 826-8056 (Home) 3

Emerald City, TX 77777Hill, Larry 57 Clifford Stree (817) 541-7818 (Home) 1

Emerald City, TX 77777Jackson, Debra 2280 W Bus 77Apt 227 (214) 722-4135 (Home) 1

Emerald City, TX 77777Johnson, Alice 30661 Turner Rd (817) 549-9845 (Home) 3

Emerald City, TX 77777Jones, Betty G 402 W Roosevelt (817) 512-0879 (Home) 3

Emerald City, TX 77777Jones, Laura 802 E Circle DrApt 23 (214) 412-1580 (Home) 3

Emerald City, TX 77777King, Kelly 2802 Condesa St (973) 509-1055 (Home) 4

Emerald City, TX 77777Lee, Jack 800 E Robertson StApt 52 (817) 525-9468 (Home) 4

Emerald City, TX 77777Lewis, Helen 589 Florida Grove (817) 634-2412 (Home) 3

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Martinez, Gloria 414 W Cyress (214) 835-1308 (Home) 5

Emerald City, TX 77777Miller, Sandy 186 Lydia George (817) 738-1733 (Home) 1

Emerald City, TX 77777Mitchell, Rebecca S 1402 VermontApt 124 (817) 985-0403 (Home) 2

Emerald City, TX 77777Moore, Carolyn 6705 Figueroa Ct (817) 316-5234 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777Morris, Madison J 314 E Lincoln (817) 830-4335 (Home) 4

Emerald City, TX 77777Murphy, Sophia 3614 Los Alamos Cr (817) 661-1403 (Home) 2

Emerald City, TX 77777Myers, Christopher W 74 Tyler Avenue (817) 636-9137 (Home) 2

Emerald City, TX 77777Parker, Teresa 2305 W Adrain St (817) 634-6632 (Home) 3

Emerald City, TX 77777Patterson, Susie 2109 E GrimesApt 806 (817) 548-7886 (Home) 1

Emerald City, TX 77777Perez, Richard 654 New Dover (817) 841-7793 (Home) 1

Emerald City, TX 77777Perez, Sharon 15508 Turner St (817) 636-4004 (Home) 4

Emerald City, TX 77777Peterson, Joann T P O Box 530483 (817) 388-6059 (Home) 4

Emerald City, TX 77777Reed, Lori 661 W hitney St (817) 442-4049 (Home) 4

Emerald City, TX 77777Roberts, Samuel 2828 E GrimesApt 134 (817) 792-0030 (Home) 2

Emerald City, TX 77777Robinson, Gregory 1375 Henderson Rd (817) 574-2906 (Home) 4

Emerald City, TX 77777Rodgers, Joshua 476 Neil Drive (817) 549-2436 (Home) 2

Emerald City, TX 77777Rodriquez, Heather D 610 W aterford Tow (972) 943-6729 (Home) 4

Emerald City, TX 77777Russell, Emily 9 Sugarwood W ay (214) 647-4543 (Home) 2

Emerald City, TX 77777Sanchez, Jessica 4402 GlasscockApt 513 (817) 878-0248 (Home) 3

Emerald City, TX 77777Smith, Albert L 2402 Ed Carey Dr (817) 830-8007 (Home) 2

Emerald City, TX 77777Sterwart, Joe 885 Diane Court (817) 921-6849 (Home) 3

Emerald City, TX 77777

Page 29 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List

Page 31: Input Parameters - Quatris Healthco...22845 Anterior instrumentation; 2 to 3 vertebral segments Adams, Matthew 1214 Winding Way (214) 534-8814 (Home) 1 Emerald City, TX 77777 Adams,

Address Number Of VisitsPhone NumberName

81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopySullivan, George 759 Harry Blvd (817) 225-0692 (Home) 5

Emerald City, TX 77777Taylor, Catherine 21509 Flores Rd (817) 918-0493 (Home) 4

Emerald City, TX 77777Thomas, David 6046 Cowan Lp (817) 548-1606 (Home) 1

Emerald City, TX 77777Thompson, Frank 702 Chip And DaleApt 136 (817) 679-9281 (Home) 6

Emerald City, TX 77777Turner, Scott 1701 Lovett Rd (817) 283-3175 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 3

Emerald City, TX 77777W allace, Richard P O Box 3388 (214) 822-0919 (Home) 1

Emerald City, TX 77777W hite, Edward P O Box 531693 (817) 297-5415 (Home) 4

Emerald City, TX 77777W illiams, Barbara 3309 Lazy Palm Drive (817) 225-2005 (Home) 2

Emerald City, TX 77777W ilson, Carol 1118 Sunset Dr (817) 549-1623 (Home) 6

Emerald City, TX 77777W right, Frances T P O Box 530655 (817) 767-9563 (Home) 2

Emerald City, TX 77777W right, Kenneth P 65 Fairview Road (817) 388-5244 (Home) 4

Emerald City, TX 77777Young, Judy 147 Maria Street (817) 364-2180 (Home) 2

Emerald City, TX 77777

81025 Urine pregnancy test, by visual color comparison methodsCook, Jennifer 802 E Pierce AveApt A (817) 548-2141 (Home) 1

Emerald City, TX 77777Lopez, Maria 61 Poplar Street (817) 738-7314 (Home) 1

Emerald City, TX 77777Morgan, Cheryl 402 E Taylor (817) 541-1045 (Home) 1

Emerald City, TX 77777

90716 Varicella virus vaccine, live, for subcutaneous useHarris, Elizabeth 625 W Lozano Ave (817) 442-0843 (Home) 1

Emerald City, TX 77777

63090 Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segmentGreen, Mark 1009 Lori Lane (214) 755-4271 (Home) 1

Emerald City, TX 77777W alker, James 401 Pintail St (817) 962-1451 (Home) 1

Emerald City, TX 77777

Number Of Patients 78

Page 30 of 3002/23/2005 12:05 pm Practice Name HerePatient Procedures List