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Patients treated January 3, 20XX Patient Name Age Gender Primary Payer Allman, G 8 Male Medicaid Ali, M 54 Female Medicare UI AWN Y Archuleta,

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Patients treated January 3, 20XX Patient Name Age Gender Primary Payer Allman, G 8 Male Medicaid Ali, M 54 Female Medicare UI AWN Y Archuleta, J 45 Female Private Insurance Bergstrom, C 68 Female Medicare Butterfield, K 15 Male Private Insurance Cheung, H 22 Female Other Coppola, H 60 Male Medicare Crisp, J 79 Female Medicare 9 D'Onofrio, L 79 Male Medicare 10 Dozier, D 34 Female Uninsured 11 French, C 30 Male Private Insurance 12 Hill, J 44 Male Private Insurance 13 Gilmore, D 14 Male Medicaid 14 Hull, J 18 Female Private Insurance 15 Kapinos, Q 19 Male Uninsured 16 Lee, H 80 Female Medicare 17 Millen, P 33 Male Private Insurance 18 Moye, D 66 Female Medicare 19 Odrick, F 60 Female Private Insurance 20 Parks-Odom, S 75 Female Medicare 21 Parsons, J 49 Female Other 22 Pittman, S 55 Female Private Insurance 23 Powell, A 6 Male Private Insurance 24 Powell, D 72 Female Medicare 25 Royster, W 34 Male Uninsured 26 Scott, G 29 Female Other 27 Tapper, L 58 Female Private Insurance 28 Tays, B 62 Female Private Insurance 29 Verne, G 67 Male Medicare 30 Warner, N 27 Male Uninsured 31 Wisniewski, J 3 Male Private Insurance 32 Zorich, P 81 Female Medicare

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