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Grant Related - BOCC (004)
GRANT COUNTY COMMISSIONERS AGENDA MEETING REQUEST FORM (Must be submitted to the Clerk of the Board by 12:00pm on Thursday) REQUESTING DEPARTMENT: BOCC REQUEST SUBMITTED BY: Karrie Stockton CONTACT PERSON ATTENDING ROUNDTABLE: Kafl"12 Stockton CONFIDENTIAL INFORMATION: ❑YES ®NO DATE:12/03/2024 PHONE: 2g37 ,TYPE(S) O DOCUMENTS SUBMITTED. (CHECK ALL w a APPLY)__ []Agreement / Contract DAP Vouchers ❑Appointment / Reappointment ©ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El Emergency Purchase ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ® Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑ Minutes ❑ Ordinances ❑ Out of State Travel ❑ Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB , wy � Reimbursement request from Renew on the American Rescue Plan Act (ARPA) in the amount of $49,330.51 for Uninsured Services provided. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? ❑ YES ❑ NO 0 N/A DATE OF ACTION: i2` IO•Z� DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D2: D3: WITHDRAWN: 4/23/24 renewGrant Behavioral Health a Wellness PO Box 1057 Moses Lake, WA 98837 Phone (509) 765-9239 BILL TO: Grant County Attention: Karrie PO Box 37 Ephrata, WA 98823 THANK YOU FOR YOUR BUSINESS! DATE: November 26, 2024 ARPA 20024 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 733448 5/29/2024 12530141 Intake SUD EP SUD Client CLIENT DUE $ 250.00 12530141 Total $ 250.00 634323 10/4/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 5.00 638136 10/11/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 638137 10/11/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 639494 10/18/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 639495 10/18/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 642085 10/25/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 642086 10/25/2023 12531176 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 644083 10/27/2023 12531176 Individual MH QU Office Client CLIENT DUE $ 240.00 12531176 Total $ 560.00 686702 2/13/2024 12532452 Med Intake MH ML Telehealth Client CLIENT DUE $ 45.74 699757 3/13/2024 12532452 Individual MH ML Office Client CLIENT DUE $ 84.64 708191 4/3/2024 12532452 Individual MH ML Clnt Home Phone CLIENT DUE $ 88.88 738658 6/18/2024 12532452 Med Man MH ML Telehealth Fam+Client CLIENT DUE $ 45.65 12532452 Total $ 264.91 316280 3/3/2021 12532748 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12532748 Total $ 50.00 717115 4/26/2024 12533108 Individual MH ML Office Client CLIENT DUE $ 5.00 723276 5/10/2024 12533108 Individual MH ML Office Client CLIENT DUE $ 25.00 731518 5/31/2024 12533108 Individual MH ML Office Client CLIENT DUE $ 25.00 743938 7/3/2024 12533108 Individual MH ML Office Client CLIENT DUE $ 25.00 755711 8/2/2024 12533108 Individual MH ML Office Client CLIENT DUE $ 25.00 12533108 Total $ 105.00 756573 8/5/2024 12533302 CM MH QU Office Client CLIENT DUE $ 200.00 12533302 Total $ 200.00 718819 4/29/2024 12535615 Individual MH EP School Client TRANSFERRED $ 240.00 12535615 Total $ 240.00 732818 6/4/2024 12535861 Individual MH ML Office Client CLIENT DUE $ 68.88 12535861 Total $ 68.88 739503 6/21/2024 12537315 Individual MH EP Office Client CLIENT DUE $ 180.00 12537315 Total $ 180.00 675699 1/18/2024 12537768 Intake SUD ML NonResSUDFc Client CLIENT DUE $ 204.22 684125 2/7/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 23.46 689726 2/21/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 694304 3/4/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 23.46 700551 3/18/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 23.46 709293 4/8/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 714983 4/22/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 723987 5/13/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 732463 6/3/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 738125 6/17/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 745348 7/8/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 761336 8/19/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 16.00 766578 9/3/2024 12537768 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 12537768 Total $ 466.60 627708 9/19/2023 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 25.00 629635 9/21/2023 12537979 Individual MH EP Office Client CLIENT DUE $ 25.00 Page 1 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 641618 10/24/2023 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 25.00 647373 11/7/2023 12537979 Individual MH EP Office Client CLIENT DUE $ 25.00 656753 11/30/2023 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 25.00 657861 12/5/2023 12537979 Individual MH EP Office Client CLIENT DUE $ 25.00 662769 12/14/2023 12537979 Individual MH EP Office Client CLIENT DUE $ 25.00 669614 1/4/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 225.00 680467 1/30/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 691885 2/27/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 698013 3/12/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 703963 3/26/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 716622 4/25/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 734791 6/6/2024 12537979 Med Man MH Telehealth Hom Client CLIENT DUE $ 20.00 12537979 Total $ 520.00 583025 5/19/2023 12538137 Individual MH GC School Client CLIENT DUE $ 9.46 587855 6/2/2023 12538137 Individual MH GC School Client CLIENT DUE $ 88.88 605575 7/14/2023 12538137 Individual MH GC Office Client CLIENT DUE $ 172.22 627606 9/15/2023 12538137 Individual MH GC School Client CLIENT DUE $ 117.32 651070 11/15/2023 12538137 Individual MH GC School Client CLIENT DUE $ 24.06 662312 12/13/2023 12538137 Individual MH GC School Client CLIENT DUE $ 17.77 12538137 Total $ 429.71 709351 4/3/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 35.00 709352 4/3/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 70.00 714940 4/10/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 35.00 714941 4/10/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 70.00 715456 4/16/2024 12538142 SUD Svcs SUD EP SUD Client CLIENT DUE $ 80.00 716096 4/17/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 35.00 716097 4/17/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 70.00 719942 4/24/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 35.00 719943 4/24/2024 12538142 Group SUD EP SUD Client CLIENT DUE $ 70.00 12538142 Total $ 500.00 695477 3/6/2024 12538467 Med Man MH Telehealth Hom Client PAID $ - 710015 4/9/2024 12538467 Med Man MH Telehealth Hom Client CLIENT DUE $ 35.00 713162 4/17/2024 12538467 Med Man MH EP Telehealth Client CLIENT DUE $ 55.00 12538467 Total $ 90.00 653515 11/21/2023 12538929 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 162.70 655417 11/27/2023 12538929 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 657355 11/28/2023 12538929 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 655950 11/30/2023 12538929 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 160.00 657583 11/30/2023 12538929 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12538929 Total $ 427.70 576865 5/4/2023 12540038 CM MH GC Office Clt Not Pr CLIENT DUE $ 40.00 585505 5/26/2023 12540038 CM MH GC Clnt Home Client CLIENT DUE $ 80.00 600734 7/6/2023 12540038 Individual MH GC Office Client CLIENT DUE $ 25.00 681842 2/1/2024 12540038 Individual MH CC School Client CLIENT DUE $ 25.00 688022 2/15/2024 12540038 Individual MH CC School Client CLIENT DUE $ 25.00 699025 3/12/2024 12540038 Individual MH CC School Client CLIENT DUE $ 25.00 723440 5/9/2024 12540038 Individual MH CC School Client CLIENT DUE $ 25.00 729781 5/23/2024 12540038 Individual MH CC School Client CLIENT DUE $ 25.00 745313 7/8/2024 12540038 Individual MH EP Office Client CLIENT DUE $ 25.00 Page 2 Service Service ID Date Service Client ID Type Program Location Recipient Status Insurance Due 752808 7/25/2024 12540038 Individual MH EP Office Client CLIENT DUE $ 25.00 12540038 Total $ 320.00 707473 4/1/2024 12540182 CM MH GC Office Client CLIENT DUE $ 120.00 721800 5/8/2024 12540182 CM MH GC Office Client CLIENT DUE $ 120.00 12540182 Total $ 240.00 661196 12/12/2023 12540607 Individual MH EP School Client CLIENT DUE $ 120.00 12540607 Total $ 120.00 710017 4/10/2024 12540631 Intake SUD ML NonResSUDFc Client CLIENT DUE $ 125.00 717766 4/29/2024 12540631 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 720777 5/6/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 723115 5/6/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 721321 5/7/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 723112 5/7/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 726368 5/14/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 726369 5/14/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 725514 5/16/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 725515 5/16/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 727313 5/21/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 727314 5/21/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 728664 5/23/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 1.00 730010 5/28/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE, $ 1.00 732887 6/4/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 732888 6/4/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 734060 6/6/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 734061 6/6/2024 12540631 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.30 12540631 Total $ 277.00 624326 9/8/2023 12541609 Out & Eng MH ML Office Client CLIENT DUE $ 37.50 632612 9/29/2023 12541609 Individual MH ML Office Client CLIENT DUE $ 180.00 12541609 Total $ 217.50 747987 7/15/2024 12541923 IOP-Ind SUD IOP EP SUD Client TRANSFERRED $ 80.00 12541923 Total $ 80.00 745292 7/8/2024 12542102 CM MH EP Office Client CLIENT DUE $ 10.00 750446 7/19/2024 12542102 CM MH EP OthrCommSet Phone CLIENT DUE $ 10.00 753693 7/29/2024 12542102 CM MH EP OthrCommSet Phone CLIENT DUE $ 10.00 12542102 Total $ 30.00 714961 4/19/2024 12542139 CM MH EP Office Client CLIENT DUE $ 120.00 720937 5/3/2024 12542139 CM MH EP Office Client CLIENT DUE $ 160.00 12542139 Total $ 280.00 677256 1/22/2024 12542631 Individual MH ML Office Client CLIENT DUE $ 13.80 680659 1/30/2024 12542631 Individual MH ML Office Client CLIENT DUE $ 13.80 12542631 Total $ 27.60 679590 1/29/2024 12542739 Individual MH ML Office Client CLIENT DUE $ 10.00 687007 2/13/2024 12542739 Individual MH ML Clnt Home Phone CLIENT DUE $ 10.00 12542739 Total $ 20.00 623512 9/5/2023 12542961 Individual MH ML Office Client CLIENT DUE $ 10.00 631569 9/27/2023 12542961 Individual MH ML Office Client CLIENT DUE $ 30.00 639816 10/18/2023 12542961 Individual MH ML Office Client CLIENT DUE $ 30.00 651385 11/15/2023 12542961 Individual MH ML Office Client CLIENT DUE $ 30.00 705643 3/25/2024 12542961 Individual MH ML Office Client CLIENT DUE $ 120.00 Page 3 Service Service ID Date Service Client ID Type Program Location Recipient Status Insurance Due 12542961 Total $ 220.00 605713 7/20/2023 12543139 CM MH EP Office Client PAID $ - 613008 8/9/2023 12543139 CM MH EP Clnt Home Phone CLIENT DUE $ 73.00 629118 9/20/2023 12543139 CM MH EP Office Client CLIENT DUE $ 160.00 12543139 Total $ 233.00 710441 4/9/2024 12543350 CM MH ML Office Phone CLIENT DUE $ 80.00 12543350 Total $ 80.00 683053 2/5/2024 12543386 Group SUD ML NonResSUDFc Client CLIENT DUE $ 20.00 749702 7/18/2024 12543386 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 20.00 12543386 Total $ 40.00 683041 2/5/2024 12543400 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 12543400 Total $ 25.00 686026 2/13/2024 12543455 Individual MH ML Office Client CLIENT DUE $ 34.44 692189 2/28/2024 12543455 Individual MH ML Clnt Home Phone CLIENT DUE $ 23.46 707049 4/2/2024 12543455 Discharge MH ML Office Phone CLIENT DUE $ 9.90 12543455 Total $ 67.80 624675 9/11/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 34.25 627590 9/18/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 91.81 630364 9/25/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 91.81 633195 10/2/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 3.90 638517 10/16/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 3.90 640901 10/23/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 3.90 647453 11/7/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.79 650141 11/14/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.79 653043 11/21/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.79 654926 11/28/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.79 659016 12/5/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 91.81 661809 12/12/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 91.81 668982 12/19/2023 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 91.81 668124 1/2/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 674723 1/9/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 676739 1/16/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 677481 1/23/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 681801 1/30/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 683829 2/6/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 686489 2/13/2024 12543491 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 690039 2/22/2024 12543491 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 88.88 12543491 Total $ 851.30 566999 4/11/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 25.00 567603 4/12/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 569774 4/18/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 570449 4/19/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 571032 4/20/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 572786 4/25/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 573331 4/26/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 573928 4/27/2023 12543594 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 120.00 573899 4/27/2023 12543594 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 578047 5/8/2023 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 578048 5/8/2023 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 Page 4 Service Service ID Date 580657 5/15/2023 580658 5/15/2023 583271 5/22/2023 583272 5/22/2023 588603 6/5/2023 588604 6/5/2023 591679 6/12/2023 591680 6/12/2023 596882 6/26/2023 596883 6/26/2023 598856 6/30/2023 599324 7/3/2023 599325 7/3/2023 601648 7/10/2023 601649 7/10/2023 604059 7/17/2023 604060 7/17/2023 606766 7/24/2023 606767 7/24/2023 609667 7/31/2023 609668 7/31/2023 612641 8/7/2023 612642 8/7/2023 614883 8/14/2023 614884 8/14/2023 617163 8/21/2023 617164 8/21/2023 617438 8/22/2023 619917 8/28/2023 619918 8/28/2023 624676 9/11/2023 624677 9/11/2023 626722 9/14/2023 627591 9/18/2023 627592 9/18/2023 630365 9/25/2023 630366 9/25/2023 638518 10/16/2023 640902 10/23/2023 643628 10/30/2023 646838 11/6/2023 649444 11/13/2023 652349 11/20/2023 654533 11/27/2023 657968 12/4/2023 684386 2/8/2024 685945 2/12/2024 691624 2/26/2024 694510 3/4/2024 Service Insurance Client ID Type Program Location Recipient Status Due 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 SUD Svcs SUD ML Office Client CLIENT DUE $ 80.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 120.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 Page 5 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 697569 3/11/2024 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 700669 3/18/2024 12543594 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 702625 3/22/2024 12543594 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 12543594 Tota l $ 31045.73 626373 9/13/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.53 629311 9/20/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 631885 9/27/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 634814 10/4/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 637786 10/11/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 639905 10/18/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 642712 10/25/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 645417 11/1/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 648490 11/8/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 651218 11/15/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 652988 11/21/2023 12543616 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 36.00 659251 12/6/2023 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 26.24 673008 1/10/2024 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 678656 1/24/2024 12543616 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 687440 2/14/2024 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 698975 3/13/2024 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 703703 3/25/2024 12543616 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 710364 4/10/2024 12543616 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12543616 Total $ 590.77 603454 7/14/2023 12543678 Individual MH EP Office Client CLIENT DUE $ 25.00 631710 9/28/2023 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 637383 10/12/2023 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 648369 11/9/2023 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 692344 2/28/2024 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 700811 3/19/2024 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 713098 4/17/2024 12543678 Individual MH EP School Client CLIENT DUE $ 25.00 12543678 Total $ 175.00 656537 11/30/2023 12543878 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 13.00 667792 1/2/2024 12543878 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 673576 1/8/2024 12543878 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 674685 1/9/2024 12543878 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 673523 1/11/2024 12543878 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 672659 1/11/2024 12543878 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 30.00 697201 3/11/2024 12543878 SUD CM SUD ML NonResSUDFc Phone CLIENT DUE $ 40.00 12543878 Total $ 471.00 626364 9/13/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 629083 9/20/2023 12543957 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 629305 9/20/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 629306 9/20/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 631881 9/27/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 631882 9/27/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 634810 10/4/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 634811 10/4/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 637782 10/11/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 637783 10/11/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 Page 6 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 639928 10/18/2023 12543957 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 639901 10/18/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 639902 10/18/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 642708 10/25/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 642709 10/25/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 645378 11/1/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 645379 11/1/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 648486 11/8/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 648487 11/8/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 651247 11/15/2023 12543957 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 651214 11/15/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 651215 11/15/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 655705 11/29/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 655706 11/29/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 655779 11/30/2023 12543957 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 659252 12/6/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 659253 12/6/2023 12543957 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12543957 Total $ 11527.50 584555 5/16/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 5.00 603134 7/5/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 602725 7/12/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 605742 7/19/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 608353 7/26/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 610582 8/2/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 613308 8/9/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 616166 8/16/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 618597 8/23/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 620871 8/30/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 634865 10/4/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 637695 10/11/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 639773 10/18/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 642603 10/25/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 105.00 645543 11/1/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 648523 11/8/2023 12543998 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 648329 11/9/2023 12543998 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 160.00 12543998 Total $ 11530.00 640701 10/23/2023 12544178 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 641489 10/24/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 641975 10/25/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 642677 10/26/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 644240 10/31/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 645128 11/1/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 645583 11/2/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 647466 11/7/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 648161 11/8/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 648855 11/9/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 650073 11/14/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 650604 11/15/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 651577 11/16/2023 12544178 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 Page 7 Service Service ID Date 652179 11/20/2023 656136 11/30/2023 659452 12/7/2023 662822 12/14/2023 662944 12/15/2023 665742 12/21/2023 667275 12/28/2023 688147 1/4/2024 671354 1/4/2024 679047 1/25/2024 679048 1/25/2024 680000 1/26/2024 681910 2/1/2024 681911 2/1/2024 684938 2/8/2024 684939 2/8/2024 687755 2/15/2024 687756 2/15/2024 691428 2/22/2024 691429 2/22/2024 691640 2/23/2024 693331 2/29/2024 693332 2/29/2024 696426 3/7/2024 696427 3/7/2024 699472 3/14/2024 699473 3/14/2024 702565 3/21/2024 702566 3/21/2024 705552 3/28/2024 705553 3/28/2024 706646 3/29/2024 708472 4/4/2024 708473 4/4/2024 711193 4/11/2024 711194 4/11/2024 715445 4/23/2024 701723 3/20/2024 713954 4/16/2024 608039 7/26/2023 608134 7/27/2023 608293 7/27/2023 610373 8/1/2023 611163 8/2/2023 611338 8/3/2023 612830 8/8/2023 Service Client ID Type Program Location Insurance Recipient Status Due 12544178 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 50.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544178 Group SUD ML Office Client CLIENT DUE $ 35.00 12544178 Group SUD ML Office Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544178 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 12544178 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544178 Total $ 21632.50 12544216 Individual MH ML Office Client CLIENT DUE $ 69.32 12544216 Total $ 69.32 12544310 Individual MH ML Office Client CLIENT DUE $ 30.00 12544310 Total $ 30.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 100.00 12544372 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 Page 8 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 613418 8/9/2023 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 613978 8/10/2023 12544372 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 614755 8/11/2023 12544372 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 616419 8/17/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 616420 8/17/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 618894 8/24/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 618895 8/24/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 621254 8/31/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 621255 8/31/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 623666 9/7/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 623667 9/7/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 626673 9/14/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 626674 9/14/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 629738 9/21/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 629739 9/21/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 632195 9/28/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 632196 9/28/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 635202 10/5/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 635203 10/5/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 636334 10/6/2023 12544372 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 637976 10/12/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 637977 10/12/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 640118 10/19/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 640119 10/19/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 642652 10/26/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 642653 10/26/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 645805 11/2/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 645806 11/2/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 649535 11/9/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 649536 11/9/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 651676 11/16/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 651677 11/16/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 653287 11/22/2023 12544372 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 656119 11/30/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 656120 11/30/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 659439 12/7/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 659440 12/7/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 662807 12/14/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 662808 12/14/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 662991 12/15/2023 12544372 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 665726 12/21/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 665727 12/21/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 667260 12/28/2023 12544372 Group SUD. ML NonResSUDFc Client CLIENT DUE $ 35.00 667261 12/28/2023 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 671338 1/4/2024 12544372 Group SUD ML NonResSUDFc Client CLIENT DUE $ 5.00 670154 1/5/2024 12544372 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544372 Total $ 21772.50 695297 3/5/2024 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 55.00 699708 3/12/2024 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 Page 9 Service Service ID Date 699709 3/12/2024 706902 4/1/2024 706903 4/1/2024 720310 4/9/2024 716316 4/9/2024 716317 4/9/2024 712660 4/16/2024 712661 4/16/2024 718507 4/30/2024 718508 4/30/2024 721521 5/7/2024 721522 5/7/2024 724476 5/14/2024 724477 5/14/2024 644260 10/31/2023 645147 11/1/2023 645599 11/2/2023 648180 11/8/2023 648870 11/9/2023 650086 11/14/2023 650615 11/15/2023 651590 11/16/2023 653101 11/21/2023 653777 11/22/2023 656218 11/30/2023 658238 12/5/2023 658598 12/6/2023 659465 12/7/2023 666279 12/27/2023 666486 12/27/2023 666997 12/28/2023 668212 1/2/2024 669036 1/3/2024 670107 1/4/2024 672001 1/9/2024 672784 1/10/2024 673244 1/11/2024 674272 1/16/2024 675217 1/17/2024 675941 1/18/2024 677407 1/23/2024 677460 1/23/2024 678259 1/24/2024 678736 1/25/2024 683513 2/6/2024 685875 2/7/2024 689115 2/14/2024 Service Client ID Type Program Location Insurance Recipient Status Due 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 87.50 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 52.50 12544423 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12544423 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12544423 Total $ 870.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 1.90 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 16.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12544449 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 16.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 49.41 12544449 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 19.40 12544449 Total $ 995.11 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 Page 10 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 689704 2/21/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 693438 2/28/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 701611 3/13/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 701690 3/20/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 704687 3/27/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 709337 4/3/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 708071 4/4/2024 12544794 SUD Svcs SUD QU SUD Client CLIENT DUE $ 8.00 714929 4/10/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 716085 4/17/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 719929 4/24/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 720012 5/1/2024 12544794 Group SUD EP SUD Client CLIENT DUE $ 3.12 721699 5/8/2024 12544794 SUD Svcs SUD EP SUD Client CLIENT DUE $ 16.00 12544794 Total $ 61.44 672967 1/11/2024 12544797 Intake MH ML Office Client TRANSFERRED $ 40.00 12544797 Total $ 40.00 689158 2/21/2024 12544905 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 20.00 692057 2/27/2024 12544905 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 694966 3/5/2024 12544905 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 698295 3/12/2024 12544905 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 701371 3/19/2024 12544905 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 12544905 Total $ 120.00 689306 2/20/2024 12544911 Group SUD ML NonResSUDFc Client CLIENT DUE $ 29.04 692056 2/27/2024 12544911 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12544911 Total $ 60.25 616607 8/18/2023 12544943 CM MH QU Office Client TRANSFERRED $ 160.00 12544943 Total $ 160.00 698010 3/12/2024 12545076 Individual MH GC Office Client CLIENT DUE $ 30.00 703255 3/25/2024 12545076 Med Man MH Telehealth Hom Client CLIENT DUE $ 30.00 711362 4/11/2024 12545076 Individual MH GC Office Client CLIENT DUE $ 30.00 12545076 Total $ 90.00 706652 4/1/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 706653 4/1/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 710710 4/8/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 710711 4/8/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 713738 4/15/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 713739 4/15/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 719030 4/22/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 719031 4/22/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 717073 4/26/2024 12545083 Intake MH QU Office Client CLIENT DUE $ 220.00 717816 4/29/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 717817 4/29/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 720701 5/6/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 720702 5/6/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 722706 5/9/2024 12545083 Individual MH QU Office Client CLIENT DUE $ 90.00 725667 5/15/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 35.00 725668 5/15/2024 12545083 Group SUD EP SUD Client CLIENT DUE $ 70.00 725274 5/16/2024 12545083 SUD Svcs SUD EP SUD Client CLIENT DUE $ 80.00 728826 5/23/2024 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 728827 5/23/2024 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 Page 11 Service Service Insurance Service ID Date Client ID Type Program Location Recipient Status Due 729873 5/28/2024 729874 5/28/2024 731186 5/30/2024 731187 5/30/2024 732161 6/3/2024 732162 6/3/2024 734169 6/6/2024 734170 6/6/2024 735327 6/10/2024 735857 6/11/2024 735858 6/11/2024 738134 6/13/2024 738135 6/13/2024 738732 6/17/2024 738733 6/17/2024 739261 6/20/2024 739262 6/20/2024 739993 6/24/2024 741383 6/27/2024 728873 5/22/2024 731249 5/29/2024 734200 6/5/2024 737019 6/12/2024 741793 6/26/2024 744324 7/3/2024 747158 7/10/2024 749983 7/17/2024 752633 7/24/2024 755300 7/31/2024 661494 12/12/2023 661970 12/13/2023 662591 12/14/2023 663594 12/18/2023 664390 12/19/2023 664874 12/20/2023 665475 12/21/2023 668219 1/2/2024 669043 1/3/2024 670114 1/4/2024 671848 1/9/2024 672002 1/9/2024 675093 1/17/2024 678356 1/24/2024 681103 1/31/2024 684217 2/7/2024 685199 2/9/2024 687691 2/14/2024 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP-Ind SUD IOP EP Office Client CLIENT DUE $ 80.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 35.00 12545083 IOP SUD IOP EP SUD Client CLIENT DUE $ 175.00 12545083 IOP-Ind SUD IOP EP SUD Client CLIENT DUE $ 80.00 12545083 Individual MH QU Office Client CLIENT DUE $ 46.32 12545083 Total $ 3, 221.32 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Group SUD ML NonResSUDFc Client CLIENT DUE $ 10.00 12545124 Total $ 100.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 33.75 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545142 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12545142 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12545142 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 97.00 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 12545142 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 Page 12 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 689607 2/21/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 692770 2/28/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 696372 3/6/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 696563 3/8/2024 12545142 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 698704 3/13/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 702093 3/20/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 704808 3/27/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 707776 4/3/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 710526 4/10/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 713441 4/17/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 716884 4/24/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 719745 5/1/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 723128 5/8/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 725523 5/15/2024 12545142 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 728608 5/22/2024 12545142 Group SUD ML NonResSUDFc Client TRANSFERRED $ 31.21 12545142 Tota l $ 11509.74 621118 8/31/2023 12545144 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 10.73 12545144 Total $ 10.73 715097 4/23/2024 12545256 Intake SUD EP SUD Client CLIENT DUE $ 156.25 724275 5/14/2024 12545256 SUD Svcs SUD EP SUD Client CLIENT DUE $ 120.00 728237 5/22/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 35.00 728238 5/22/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 70.00 731164 5/29/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 35.00 731165 5/29/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 70.00 733706 6/5/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 35.00 733707 6/5/2024 12545256 Group SUD EP SUD Client CLIENT DUE $ 70.00 12545256 Total $ 591.25 637051 10/11/2023 12545335 CM MH ML School Client TRANSFERRED $ 120.00 652896 11/21/2023 12545335 CM MH MI -School Client TRANSFERRED $ 120.00 12545335 Total $ 240.00 705611 3/20/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 23.70 705908 3/27/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 707530 4/3/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 720233 4/10/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 720275 4/17/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 715959 4/24/2024 125453.54 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 718953 5/1/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 721867 5/8/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 726311 5/14/2024 12545354 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 11.34 726323 5/15/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 8.00 728057 5/22/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.18 730329 5/29/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.18 733544 6/5/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.18 736335 6/12/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.18 738079 6/17/2024 12545354 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 11.34 741823 6/26/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.18 744149 7/3/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 747055 7/10/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 749923 7/17/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 Page 13 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 751999 7/24/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 755404 7/31/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 758086 8/7/2024 12545354 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.68 758633 8/12/2024 12545354 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12545354 Total $ 557.36 655478 11/27/2023 12545407 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 90.00 656161 11/28/2023 12545407 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 656472 11/30/2023 12545407 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545407 Total $ 160.00 747151 7/10/2024 12545557 Group SUD ML NonResSUDFc Client CLIENT DUE $ 30.00 749977 7/17/2024 12545557 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 749978 7/17/2024 12545557 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 750168 7/18/2024 12545557 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 160.00 12545557 Total $ 295.00 642782 10/26/2023 12545633 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 45.00 645042 11/1/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 645043 11/1/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 647598 11/7/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 647599 11/7/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 650176 11/14/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 650177 11/14/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 653300 11/21/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 653301 11/21/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 654795 11/28/2023 12545633 SUD Svcs. SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 654881 11/28/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 654882 11/28/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 658071 12/5/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 658072 12/5/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 664344 12/19/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 664345 12/19/2023 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 664812 12/20/2023 12545633 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 668509 1/2/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 671815 1/9/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 674318 1/16/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 677579 1/23/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 680613 1/30/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 683616 2/6/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 686556 2/13/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 689305 2/20/2024 12545633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 689577 2/21/2024 12545633 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 25.00 12545633 Total $ 11165.00 645734 11/2/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 2.00 650670 11/14/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 649946 11/14/2023 12545650 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 651331 11/15/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 651557 11/16/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 653151 11/21/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 653707 11/22/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 654968 11/28/2023 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 Page 14 Service ID Service Service Insurance Date Client ID Type Program Location Recipient Status Due 656006 11/29/2023 656076 11/30/2023 658714 12/5/2023 660764 12/6/2023 659237 12/7/2023 663767 12/12/2023 663837 12/13/2023 664225 12/14/2023 664847 12/19/2023 665439 12/20/2023 665659 12/21/2023 667098 12/27/2023 667149 12/28/2023 667195 12/28/2023 671194 1/3/2024 671259 1/4/2024 672024 1/9/2024 671680 1/9/2024 672396 1/10/2024 674129 1/16/2024 675182 1/17/2024 675715 1/18/2024 677720 1/24/2024 682127 1/31/2024 682128 1/31/2024 683800 2/7/2024 683801 2/7/2024 686815 2/14/2024 686816 2/14/2024 689876 2/21/2024 689877 2/21/2024 692914 2/28/2024 692915 2/28/2024 695222 3/6/2024 695223 3/6/2024 699630 3/13/2024 699631 3/13/2024 705624 3/20/2024 705625 3/20/2024 705925 3/27/2024 705926 3/27/2024 707547 4/3/2024 707548 4/3/2024 720250 4/10/2024 720251 4/10/2024 720290 4/17/2024 720291 4/17/2024 717322 4/19/2024 715974 4/24/2024 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 192.50 12545650 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 192.50 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 122.50 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 12545650 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 12545650 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 87.50 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 Page 15 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 715975 4/24/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 718966 5/1/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 718967 5/1/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 721876 5/8/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 721877 5/8/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 728069 5/22/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 728070 5/22/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 730339 5/29/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 730340 5/29/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 735085 6/5/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 55.00 736351 6/12/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 736352 6/12/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 741833 6/26/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 741834 6/26/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 744157 7/3/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 744159 7/3/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 747064 7/10/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 747065 7/10/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 749930 7/17/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 749931 7/17/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 752006 7/24/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 752007 7/24/2024 12545650 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545650 Total $ 41587.00 661469 12/11/2023 12545687 Individual MH ML Office Client CLIENT DUE $ 5.61 6769,13 1/22/2024 12545687 Individual MH EP Office Client CLIENT DUE $ 117.32 12545687 Total $ 122.93 667797 1/2/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 25.00 669747 1/4/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 673584 1/8/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 674689 1/9/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 676812 1/16/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 675599 1/18/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 676585 1/22/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 676422 1/22/2024 12545830 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 677127 1/23/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 679022 1/25/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 679677 1/29/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 680292 1/30/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 687137 2/5/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 683943 2/6/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 689359 2/20/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 688748 2/20/2024 12545830 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 690567 2/22/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 691175 2/26/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 691750 2/27/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 692991 2/29/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 694538 3/4/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 694815 3/5/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 705964 3/7/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 Page 16 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 697241 3/11/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 697995 3/12/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 699812 3/12/2024 12545830 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 699321 3/14/2024 12545830 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 12545830 Total $ 59095.00 683630 2/6/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 686566 2/13/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 689315 2/20/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 692065 2/27/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 741180 6/25/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 4.20 746512 7/9/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 749666 7/16/2024 12545870 Group SUD ML NonResSUDFc Client CLIENT DUE $ 31.21 751486 7/23/2024 12545870 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 12545870 Total $ 231.46 667724 1/2/2024 12545895 Intake SUD ML NonResSUDFc Client CLIENT DUE $ 104.22 688217 2/16/2024 12545895 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 23.46 698060 3/12/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 698927 3/13/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 699526 3/14/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 701081 3/19/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 701904 3/20/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 702435 3/21/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 704274 3/26/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 704946 3/27/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 705498 3/28/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 7060.05 3/29/2024 12545895 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 27.32 707436 4/2/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 707862 4/3/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 1.00 708344 4/4/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 1.00 710111 4/9/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 710646 4/10/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 711313 4/11/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 712870 4/16/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 713480 4/17/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 714156 4/18/2024 12545895 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 714713 4/19/2024 12545895 IOP-Ind SUD IOP ML NonResSUDFc Phone CLIENT DUE $ 16.00 725870 5/16/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 729616 5/23/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 731212 5/30/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 734682 6/6/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 737366 6/13/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 739494 6/20/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 741927 6/27/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 750216 7/18/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 752742 7/25/2024 12545895 Group SUD ML NonResSUDFc Client CLIENT DUE $ 6.24 12545895 Total $ 352.36 675112 1/18/2024 12545944 Intake SUD ML Office Client CLIENT DUE $ 25.00 681417 2/1/2024 12545944 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 690055 2/22/2024 12545944 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 80.00 Page 17 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 692077 2/27/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 692078 2/27/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 694992 3/5/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 1.00 698261 3/12/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 1.00 700843 3/19/2024 12545944 SUD Svcs SUD ML Office Client CLIENT DUE $ 10.00 704211 3/26/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 704212 3/26/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 707497 4/2/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 707498 4/2/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 710167 4/9/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 710168 4/9/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 712980 4/16/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 712981 4/16/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 715632 4/23/2024 12545944 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 10.30 718689 4/30/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 718690 4/30/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 722957 5/7/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 722958 5/7/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 725441 5/14/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 725442 5/14/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 727671 5/21/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 7.70 727672 5/21/2024 12545944 Group SUD ML NonResSUDFc Client CLIENT DUE $ 2.30 12545944 Total $ 352.30 701083 3/19/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 85.00 701906 3/20/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 157.50 702390 3/21/2024 12545952 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 702437 3/21/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 192.50 704275 3/26/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 704947 3/27/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 192.50 705499 3/28/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 707438 4/2/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 707864 4/3/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 708345 4/4/2024 12545952 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 709153 4/8/2024 12545952 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 80.00 717038 4/25/2024 12545952 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 717039 4/25/2024 12545952 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 719854 5/2/2024 12545952 Group SUD ML NonResSUDFc Client CLIENT DUE $ 35.00 719855 5/2/2024 12545952 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 12545952 Total $ 11837.50 686921 2/13/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 170.00 687384 2/15/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 689361 2/20/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 690569 2/22/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 691176 2/26/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 691752 2/27/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 692993 2/29/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 694540 3/4/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 694817 3/5/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 705966 3/7/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 Page 18 Service Service Service ID Date Client ID Type Program Location Recipient Status Insurance Due 697243 3/11/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 697999 3/12/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 699323 3/14/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 700170 3/18/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 140.00 703572 3/19/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 705732 3/21/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 703478 3/25/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 705438 3/26/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 705131 3/28/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 706328 4/1/2024 12545955 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 210.00 12545955 Total $ 4,090.00 717627 3/5/2024 12545977 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 22.30 695136 3/5/2024 12545977 IOP SUD IOP ML NonResSUDFc Client PAID $ - 697949 3/11/2024 12545977 IOP-Ind SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 698662 3/12/2024 12545977 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 698663 3/12/2024 12545977 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 22.30 699885 3/14/2024 12545977 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 7.70 699886 3/14/2024 12545977 IOP SUD IOP ML NonResSUDFc Client CLIENT DUE $ 22.30 12545977 Total $ 90.00 686520 2/14/2024 12546065 Intake SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 689147 2/21/2024 12546065 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 15.00 691631 2/27/2024 12546065 Discharge SUD ML NonResSUDFc Client CLIENT DUE $ 40.00 12546065 Total $ 125.00 670059 1/5/2024 12546128 Intake SUD ML NonResSUDFc Client CLIENT DUE $ 118.75 12546128 Total $ 118.75 751735 7/24/2024 12546309 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 160.00 12546309 Total $ 160.00 684557 2/8/2024 12546326 Intake MH ML Office Client CLIENT DUE $ 30.00 688243 2/16/2024 12546326 Individual MH ML Office Client CLIENT DUE $ 30.00 696826 3/8/2024 12546326 Individual MH ML Office Client CLIENT DUE $ 30.00 702894 3/22/2024 12546326 Individual MH ML Office Client CLIENT DUE $ 30.00 12546326 Total $ 120.00 731213 5/30/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 27.50 731214 5/30/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 70.00 734683 6/6/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 737367 6/13/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 739495 6/20/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 741928 6/27/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 747513 7/11/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 752743 7/25/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 755591 8/1/2024 12546505 Group SUD ML NonResSUDFc Client CLIENT DUE $ 25.55 758373 8/8/2024 12546505 SUD Svcs SUD ML NonResSUDFc Client CLIENT DUE $ 30.00 12546505 Total $ 306.35 699664 3/15/2024 12546590 Intake MH ML Office Fam+Client CLIENT DUE $ 17.04 724266 5/14/2024 12546590 Individual MH ML Office Client CLIENT DUE $ 17.22 731627 5/29/2024 12546590 Individual MH ML Clnt Home Phone CLIENT DUE $ 8.89 732617 6/3/2024 12546590 Individual MH ML Office Client CLIENT DUE $ 11.73 747653 7/10/2024 12546590 Individual MH ML Office Client CLIENT DUE $ 11.73 751216 7/22/2024 12546590 Individual MH ML Office Client CLIENT DUE $ 11.73 Page 19 Service ID Service Date Service Client ID Type Program Location Recipient Status Insurance Due 12546590 Tota l $ 78.34 718617 4/30/2024 12546600 Group MH ML Office Client CLIENT DUE $ 65.00 721656 5/7/2024 12546600 Group MH ML Office Client CLIENT DUE $ 105.00 12546600 Total $ 170.00 738989 6/18/2024 12546633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 5.00 743423 7/2/2024 12546633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 89.00 746096 7/9/2024 12546633 Group SUD ML NonResSUDFc Client CLIENT DUE $ 21.00 12546633 Total $ 115.00 771737 9/17/2024 12546720 Intake SUD ML NonResSUDFc Client COMPLETED $ 250.00 12546720 Total 730406 5/29/2024 12546724 SUD Svcs SUD EP Telehealth Client 734172 6/6/2024 12546724 IOP SUD IOP EP SUD Client 738735 6/17/2024 12546724 IOP SUD IOP EP SUD Client 738749 6/18/2024 12546724 IOP SUD IOP EP SUD Client 739264 6/20/2024 12546724 IOP SUD IOP EP SUD Client 12546724 Tota l 719282 5/2/2024 12546851 Intake MH QU Tele Home Client 736437 6/12/2024 12546851 CM MH ML Office Phone 744685 7/5/2024 12546851 CM MH ML Clnt Home Client 747807 7/11/2024 12546851 CM MH ML Office Phone 752711 7/25/2024 12546851 CM MH ML Clnt Home Phone 754901 7/31/2024 12546851 CM MH ML Clnt Home Client 12546851 Tota l 752655 7/25/2024 12547121 SUD Svcs SUD ML NonResSUDFc Client 754773 7/31/2024 12547121 SUD Svcs SUD ML NonResSUDFc Client 757926 8/7/2024 12547121 Group SUD ML NonResSUDFc Client 757927 8/7/2024 12547121 Group SUD ML NonResSUDFc Client 12547121 Total 772366 9/18/2024 12547555 Intake MH ML Office Client 774377 9/23/2024 12547555 Individual MH ML Office Client 12547555 Tota l Grand Total $ 250.00 CLIENT DUE $ 10.00 CLIENT DUE $ 10.00 CLIENT DUE $ 10.00 CLIENT DUE $ 10.00 CLIENT DUE $ 10.00 $ 50.00 CLIENT DUE $ 15.00 CLIENT DUE $ 15.00 CLIENT DUE $ 15.00 CLIENT DUE $ 15.00 CLIENT DUE $ 15.00 CLIENT DUE $ 15.00 $ 90.00 CLIENT DUE $ 80.00 CLIENT DUE $ 160.00 CLIENT DUE $ 35.00 CLIENT DUE $ 70.00 $ 345.00 CLIENT DUE $ 35.00 CLIENT DUE $ 35.00 ARPA 2024 Clients Start Date End Date Amount 82 3/9/2021 9/23/2024 $ 49,330.51 $ 49,330.51 Page 20