| SS00046005... | 0 | | Q526: Medical/Psych Consultation Svcs | $6,988.00 | 2004 | 5181202 |
| SS00046005... | SS26063023... | 0 | | Q999: Other Medical Services | $3,635.50 | 2006 | 10542751 |
| SS00046005... | SS26063026... | 0 | | Q999: Other Medical Services | $24,721.40 | 2006 | 10599652 |
| SS00046005... | SS26073041... | 0 | | Q999: Other Medical Services | $21,813.00 | 2007 | 13861308 |
| SS00046005... | SS26073048... | 0 | | Q999: Other Medical Services | $727.10 | 2007 | 13887675 |
| SS00046005... | SS26073054... | 0 | | Q999: Other Medical Services | $22,248.00 | 2007 | 14090239 |
| SS00046005... | 5 | | Q526: Medical/Psych Consultation Svcs | $7,416.00 | 2007 | 15983751 |
| SS00046005... | 4 | | Q526: Medical/Psych Consultation Svcs | $0.00 | 2007 | 16066160 |
| SS00046005... | SS26083068... | 0 | | Q999: Other Medical Services | $14,832.00 | 2008 | 16916038 |
| SS00046005... | SS26083077... | 0 | | Q999: Other Medical Services | $7,416.00 | 2008 | 17042310 |
| SS00046005... | SS26083082... | 0 | | Q999: Other Medical Services | $17,510.00 | 2008 | 17130525 |
| SS00046005... | SS26083095... | 0 | | Q999: Other Medical Services | $17,510.00 | 2008 | 17272742 |
| SS00046005... | 6 | | Q526: Medical/Psych Consultation Svcs | $8,755.00 | 2008 | 20519468 |