Provider Admin
Billed | Provider | Type Of Entry | Entry Date | Procedure Date | Patient Name | Male Procedure | Female Procedure | Boost Dose | Lot Numbers | Estradiol 6mg | Estradiol 10mg | Estradiol 12.5mg | Estradiol 15mg | Estradiol Dosage | Testosterone 12.5mg | Testosterone 25mg | Testosterone 37.5mg | Testosterone 50mg | Testosterone 87.5mg | Testosterone 100mg | Testosterone 200mg | Testosterone Dosage | Received Estradiol 6mg | Received Estradiol 10mg | Received Estradiol 12.5mg | Received Estradiol 15mg | Received Testosterone 12.5mg | Received Testosterone 25mg | Received Testosterone 37.5mg | Received Testosterone 50mg | Received Testosterone 87.5mg | Received Testosterone 100mg | Received Testosterone 200mg | id |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Y | revive_admin | Record Useage | 12/18/2024 | 12/18/2024 | Nate Wilson | 1 | J256 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 1200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | ||
No | revive_admin | Receive Order | 12/18/2024 | 12/15/2024 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 11 | |||||||
No | revive_admin | Record Useage | 12/18/2024 | 12/18/2024 | Rhys Wilson | 1 | J5635 | 0 | 0 | 0 | 0 | 0 | 2 | 1 | 6 | 3 | 4 | 1 | 1 | 1075 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | ||
No | revive_admin | Record Useage | 12/18/2024 | 12/17/2024 | Elise Wilson | 1 | 1 | 1 | 0 | 0 | 16 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 | |||
revive_admin | Receive Order | 12/20/2024 | 12/20/2024 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 14 | ||||||||
revive_admin | Record Useage | 12/20/2024 | 12/20/2024 | Test Patient | 1 | j456, j234 | 1 | 3 | 15 | |||||||||||||||||||||||||
revive_admin | Record Useage | 12/20/2024 | 12/20/2024 | Nate Wilson | 1 | j234 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 0 | 16 | ||||||||||||||||
Revive Oxford | Record Useage | 12/20/2024 | 12/19/2024 | Test Patient | 1 | j2345 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 6 | 17 | ||||||||||||||||
Revive Oxford | Receive Order | 12/20/2024 | 12/18/2024 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 18 | |||||||||||||||||||
Revive Oxford | Receive Order | 12/20/2024 | 12/20/2024 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 19 | |||||||||||||||||||
Revive Oxford | Record Useage | 12/20/2024 | 12/20/2024 | Test Patient | 1 | j234 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 20 | ||||||||||||||||
revive_admin | Record Useage | 12/27/2024 | 12/26/2024 | James Wilson | 1 | J544356 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 | 1 | 21 | ||||||||||||||||
revive_admin | Receive Order | 12/27/2024 | 12/27/2024 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 22 | |||||||||||||||||||
cscott | Record Useage | 12/28/2024 | 12/28/2024 | Clifton Scott | 1 | 1234566, | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 9 | 23 | ||||||||||||||||
Revive Starkville | Receive Order | 12/30/2024 | 10/01/2024 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 200 | 24 | |||||||||||||||||||
No | Revive Starkville | Record Useage | 12/30/2024 | 12/01/2024 | Johnny McGhee | 1 | J12345 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | 2400 | 25 | |||||||||||||
No | Revive Starkville | Record Useage | 12/30/2024 | 12/03/2024 | Lisa Gilliland | 1 | J12345; J09876 | 0 | 0 | 1 | 0 | 12.5 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 150 | 26 | |||||||||||||
No | Revive Starkville | Record Useage | 12/30/2024 | 12/04/2024 | Autumn Jordan | 1 | J12345; J09876 | 0 | 1 | 0 | 0 | 10 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 150 | 27 | |||||||||||||
Yes | revive_admin | Receive Order | 01/03/2025 | 01/03/2025 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 28 | ||||||||||||||||||
No | Revive Starkville | Receive Order | 01/10/2025 | 01/10/2025 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | ||||||||||||||||||
No | revive_demo | Receive Order | 01/10/2025 | 01/10/2025 | 10 | 10 | 10 | 10 | 20 | 20 | 20 | 20 | 20 | 50 | 100 | 34 | ||||||||||||||||||
No | Grenada Clinic Family Health | Receive Order | 01/15/2025 | 01/15/2025 | 12 | 9 | 10 | 5 | 10 | 7 | 13 | 12 | 0 | 18 | 51 | 37 | ||||||||||||||||||
No | revive_demo | Receive Order | 01/15/2025 | 01/15/2025 | 5 | 4 | 5 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 38 | ||||||||||||||||||
No | Tupelo Wellness | Receive Order | 01/15/2025 | 01/15/2025 | 7 | 3 | 7 | 6 | 10 | 9 | 0 | 16 | 0 | 9 | 48 | 39 | ||||||||||||||||||
No | Omnis Health | Receive Order | 01/16/2025 | 01/15/2025 | 17 | 12 | 13 | 17 | 20 | 19 | 31 | 21 | 23 | 8 | 5 | 41 | ||||||||||||||||||
Billed | Provider | Entry Date | Procedure Date | |||||||||||||||||||||||||||||||
∑ = 1 | ∑ = 7 | ∑ = 2 | ∑ = 3 | ∑ = 2 | ∑ = 1 | ∑ = 6 | ∑ = 5 | ∑ = 4 | ∑ = 38 | ∑ = 35 | ∑ = 220 | ∑ = 206 | ∑ = 213 | ∑ = 206 | ∑ = 233 | ∑ = 223 | ∑ = 232 | ∑ = 237 | ∑ = 211 | ∑ = 253 | ∑ = 472 |
Received Orders
Provider | Entry Date | Procedure Date | Type Of Entry | Received Estradiol 6mg | Received Estradiol 10mg | Received Estradiol 12.5mg | Received Estradiol 15mg | Received Testosterone 12.5mg | Received Testosterone 25mg | Received Testosterone 37.5mg | Received Testosterone 50mg | Received Testosterone 87.5mg | Received Testosterone 100mg | Received Testosterone 200mg | id |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Revive Starkville | 12/30/2024 | 10/01/2024 | Receive Order | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 200 | 24 |
Revive Starkville | 12/30/2024 | 12/01/2024 | Record Useage | 25 | |||||||||||
Revive Starkville | 12/30/2024 | 12/03/2024 | Record Useage | 26 | |||||||||||
Revive Starkville | 12/30/2024 | 12/04/2024 | Record Useage | 27 | |||||||||||
revive_admin | 12/18/2024 | 12/15/2024 | Receive Order | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 6 | 11 |
revive_admin | 12/18/2024 | 12/17/2024 | Record Useage | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13 |
revive_admin | 12/18/2024 | 12/18/2024 | Record Useage | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 |
revive_admin | 12/18/2024 | 12/18/2024 | Record Useage | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 |
Revive Oxford | 12/20/2024 | 12/18/2024 | Receive Order | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 18 |
Revive Oxford | 12/20/2024 | 12/19/2024 | Record Useage | 17 | |||||||||||
revive_admin | 12/20/2024 | 12/20/2024 | Receive Order | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 12 | 14 |
revive_admin | 12/20/2024 | 12/20/2024 | Record Useage | 15 | |||||||||||
revive_admin | 12/20/2024 | 12/20/2024 | Record Useage | 16 | |||||||||||
Revive Oxford | 12/20/2024 | 12/20/2024 | Receive Order | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 15 | 19 |
Revive Oxford | 12/20/2024 | 12/20/2024 | Record Useage | 20 | |||||||||||
revive_admin | 12/27/2024 | 12/26/2024 | Record Useage | 21 | |||||||||||
revive_admin | 12/27/2024 | 12/27/2024 | Receive Order | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 22 |
cscott | 12/28/2024 | 12/28/2024 | Record Useage | 23 | |||||||||||
revive_admin | 01/03/2025 | 01/03/2025 | Receive Order | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 10 | 28 |
Revive Starkville | 01/10/2025 | 01/10/2025 | Receive Order | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 |
revive_demo | 01/10/2025 | 01/10/2025 | Receive Order | 10 | 10 | 10 | 10 | 20 | 20 | 20 | 20 | 20 | 50 | 100 | 34 |
Grenada Clinic Family Health | 01/15/2025 | 01/15/2025 | Receive Order | 12 | 9 | 10 | 5 | 10 | 7 | 13 | 12 | 0 | 18 | 51 | 37 |
revive_demo | 01/15/2025 | 01/15/2025 | Receive Order | 5 | 4 | 5 | 0 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 38 |
Tupelo Wellness | 01/15/2025 | 01/15/2025 | Receive Order | 7 | 3 | 7 | 6 | 10 | 9 | 0 | 16 | 0 | 9 | 48 | 39 |
Omnis Health | 01/16/2025 | 01/15/2025 | Receive Order | 17 | 12 | 13 | 17 | 20 | 19 | 31 | 21 | 23 | 8 | 5 | 41 |
Provider | Entry Date | ||||||||||||||
∑ = 220 | ∑ = 206 | ∑ = 213 | ∑ = 206 | ∑ = 233 | ∑ = 223 | ∑ = 232 | ∑ = 237 | ∑ = 211 | ∑ = 253 | ∑ = 472 |