BILLS — SYNTHETIC — NOT REAL ACCOUNTS

1) Denver West ER
   DOS: 12 March 2026
   CPT mixed ER eval
   Amount: $2,410.00
   Status on statement: OPEN / patient balance $2,410.00

2) Peak Spine PT
   DOS: 18 March 2026 – 22 April 2026 (16 visits)
   Amount: $1,920.00
   Status on statement: $480.00 OPEN, remainder paid

3) Peak Spine PT (duplicate of visit 4 April 2026)
   Amount: $120.00
   Status: OPEN
   Note: same DOS and CPT as a line already in item 2

4) Front Range Imaging — lumbar MRI
   DOS: 28 March 2026
   Amount: $1,150.00
   Status: PAID
   Record in this packet: none
