Your Practice Name Run: Feb 24, 2003 VSS Medical Office System Page: 1 RECAP DATE: 01/30/03 VICKI G HENRY M.D. --PROVIDER-- I.D. Invoice Account Patient Name Charges Payments Write-Off Adjusted Transfrd A/R-Change --------------------------------------------------------------------------------------------------------------- 1 7 6 John M Allentown .76 .76 1 74 65 Susan Cuddles .16 .16 1 34 28 Sue Homecoming .16 .16 1 43 36 Wanda Newman .34 .34 1 197 1 Helena M Adells .00 .00 1 139 6 John M Allentown .40 .40 1 174 60 Mary Hendrikson 1.28 1.28 1 176 60 Mary Hendrikson 1.29 1.29 1 177 60 Mary Hendrikson 6.85 6.85 1 178 60 Mary Hendrikson 2.34 2.34 1 181 60 Mary Hendrikson 2.36 2.36 1 182 60 Mary Hendrikson 1.37 1.37 1 172 5 Margaret B Rabbini .69 .69 1 100 21 Mary Vase 1.25 1.25 1 221 1 Helena M Adells .00 .00 1 250 1 Helena M Adells 135.00 115.00 20.00 .00 1 252 1 Helena M Adells 170.00 60.00 .00 110.00 1 205 23 Michael B Byran 3.02 3.02 1 251 12 Rose M Fountin 1045.00 1045.00 1 231 25 Kathy Garfield 1.06 1.06 1 213 36 Wanda Newman 2.23 2.23 1 249 93 Test J Person 245.00 245.00 1 211 45 Judy A Polenski 1.50 1.50 1 223 5 Margaret B Rabbini .45 .45 1 214 26 Mary Skelly 2.10 2.10 1 215 26 Mary Skelly .13 .13 --------------------------------------------------------------------------------------------------------------- 1 VICKI G HENRY M.D. TOTALS 1624.74 175.00 20.00 .00 .00 1429.74 Your Practice Name Run: Feb 24, 2003 VSS Medical Office System Page: 2 RECAP DATE: 01/30/03 JOHN R CANDY M.D. --PROVIDER-- I.D. Invoice Account Patient Name Charges Payments Write-Off Adjusted Transfrd A/R-Change --------------------------------------------------------------------------------------------------------------- 12 212 3 Peter King 4.35 4.35 --------------------------------------------------------------------------------------------------------------- 12 JOHN R CANDY M.D. TOTALS 4.35 .00 .00 .00 .00 4.35 Your Practice Name Run: Feb 24, 2003 VSS Medical Office System Page: 3 RECAP DATE: 01/30/03 WILSON M PICKIT --PROVIDER-- I.D. Invoice Account Patient Name Charges Payments Write-Off Adjusted Transfrd A/R-Change --------------------------------------------------------------------------------------------------------------- 8 210 45 Judy A Polenski .83 .83 --------------------------------------------------------------------------------------------------------------- 8 WILSON M PICKIT TOTALS .83 .00 .00 .00 .00 .83