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Home My WebLink About03-3617ERIE COUNTY MEDICAL CENTER IP Plaintiff GLENN HOCKENBERRY Defendant 1N THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 03,3q,'7 CIVIL DIVISION - LAW NOTICE YOU HAVE BEEN SUED IN COURT. IF YOU WISH TO DEFEND AGAINST THE CLAIM SET FORTH IN THE FOLLOWING PAGES, YOU MUST TAKE ACTION WITHIN TWENTY (20) DAYS AFTER THIS COMPLAINT AND NOTICE ARE SERVED, BY ENTERING A WRITTEN APPEARANCE PERSONALLY OR BY AN ATTORNEY AND FILING IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. YOU ARE WARNED THAT IF YOU FAIL TO DO SO THE CASE MAY PROCEED WITHOUT YOU AND A JUDGMENT MAY BE ENTERED AGAINST YOU BY THE COURT WITHOUT FURTHER NOTICE FOR ANY MONEY CLAIMED IN THE COMPLAINT OR FOR ANY OTHER CLAIM OR RELIEF REQUESTED BY THE PLAINTIFF. YOU MAY LOSE MONEY OR PROPERTY OR OTHER RIGHTS IMPORTANT TO YOU. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION TWO LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 or (800) 990-9108 ERIE COUNTY MEDICAL CENTER IP Plaintiff GLENN HOCKENBERRY Defendant 1N THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 03- CIVIL DIVISION -LAW COMPLAINT The Plaintift; ERIE COUNTY MEDICAL CENTER IP, by its attorneys, KNUPP, KODAK & IMBLUM, P.C., brings this action of Assumpsit against the Defendant to recover the sum of TEN THOUSAND, TWO HUNDRED TWENTY-NINE DOLLARS AND NINETEEN CENTS $10,229.19), along with interest thereon from November 24, 2002, upon a cause of action of which the tbllowing is a statement: 1. The Plaintiff, ERIE COUNTY MEDICAL CENTER IP, is a medical facility established and existing under the laws of the State of New York, having its principal office and place of business at 462 Grider Street, Buffalo, New York 14215. 2. The Defendant, GLENN HOCKENBERRY, is an adult individual residing at 350 G Street, Carlisle, Cumberland County, Pennsylvania 17013. 3. On the dates, in the amounts, and for the prices set forth in a true and correct copy of the Plaintiff's account history hereto attached, marked as Exhibit "A" and made a part hereof, Plaintiff provided medical care and services and medications of the kind and description set forth on said Exhibit to the total amount of Ten Thousand, Two Hundred Twenty-Nine Dollars and Nineteen Cents ($10,229.19). F:\USER\BONN1EJO\COM P\WORK\29460com.wpd:09Jun03 4. The prices charged for said medical care and services and medications provided were just and reasonable, were the legal and market prices therefor and were the prices which the Defendant promised and agreed to pay Plaintiff therefor. 5. The balance due and owing by Defendant to Plaintiff is the sum of Ten Thousand, Two Hundred Twenty-Nine Dollars and Nineteen Cents ($10,229.19), as appears by the account history hereto attached, made a part hereof and marked as Exhibit "A". 6. Plaintiff has frequently demanded payment from Defendant of said amount due and owing as aforesaid, but Defendant has refused and neglected and still refuses and neglects to pay said amount of any part thereof. WHEREFORE, Plaintiff brings this suit to recover from Defendant the sum ofTEN THOUSAND, TWO HUNDRED TWENTY-NiNE DOLLARS AND NINETEEN CENTS ($10,229.19), together with interest thereon from November 24, 2002. F:\USER\BONNIEJO\COMP\WORK\29460com.wpd:09Jun03 Respectfully submitted, Robert D. Kodak 407 North Front Street Post Office Box #11848 Harrisburg, PA 17108-1848 (717) 238-7151 Attorney ID No. 18041 Attorney for Plaintiff RUN DATE: 04/08/03 RUN TIME: 1056' Acct V00000793517 HOCKENBERRY,GLENN 350 G ST CARLISLE. PA 17013 (717)243-1100 (H)/(717)243-1100 (WI Date User Procedure 07/25/02 BILLING 5210560596 07/25/02 8MUNGER 5210561693 07/25/02 BMUNGER 5210921108 07/25/02 BILLING 6570850251 07/25/02 BILLING 6570850251 07/25/02 BMUNGER 6740000467 07/25/02 BMUNGER 6740970020 07/26/02 LRODRIGU 1017380170 07/26/02 JJOHNSOL 1017380170 07/26/02 SSTONEBR 1017380170 07/26/02 SSTONEBR 1017380170 07/26/02 BMUNGER 5210080001 07/26/02 8MUNGER 5210561693 07/26/02 BMUNGER 5210921108 07/27/02 LRODRIGU 5210080001 07/27/02 LROORIGU 5210561693 07/27/02 LROORIGU 5210921108 10/24/02 CDUGGAN ANYSSURCHG 8AR Database (BAR) **LIVE 5.2** Procedure~ by Service Date Guar 161-34-I630 HOCKENBERRY,GLENN 350 G ST CARLISLE. PA 17013 (7171243-1100 (HI Description Bill LEVOFLOXACIN 500 MG TAB OPIUM/BELLADON SUPP 30/16.2 MG - PYXIS CHG 750 -750 DBCUSATE 100 MG CAPSULE U/D (3X) - DOCUSATE 100 MG CAP FINASTERIDE 5 MG TABLET BULK - FINASTERIDE 5 MG TAB COMPLETE BLOOD CELL COUNT (SI COMPLETE BLOOD CELL COUNT (SI ADL EVALUATION 15 MINU SCREENING 15 MIN RM&BD SURGICAL BED - ROOM 778/SURG - flagged 07/30/02 RM&BD SURGICAL BED - ROOM 778/SURG - flagged 07/30/02 RM&BD SURGICAL BED - ROOM 778/SURG ($0.00 P/C) - offsetting flag 07/30/02 RM&BD SURGICAL BED - ROOM 778/SURG ($0.00 P/C) - offsetting flag 07/30/02 LEVOFLOXACIN 500 MG TAB BULK - LEVOFLOXACIN 500 MG TAB DOCUSATE 100 MG CAPSULE U/D (3X) - DOCUSATE 100 MG CAP FINASTERIOE 5 MG TABLET BULK - FINASTERIBE 5 MG TAB LEVOFLOXACIN 500 MG TAB BULK - LEVOFLOXACIN 500 MG TAB DOCUSATE 100 MG CAPSULE U/D (3X) - OOCUSATE 100 MG CAP FINASTERIDE 5 MG TABLET BULK - FINASTERIDE 5 MG TAB ADJ SP NYS SURCHARGE - FINAL - BILL # I Bch Date Num Journal 07/26/02 44 PHA 07/25/02 179 PHA 07/24/02 339 PHA 07/26/02 4 LAB 07/26/02 4 LAB 07/25/02 180 ITS 07/25/02 180 ITS 07/26/02 143 ADM 07/27/02 12 ADM 07/30/02 45 SYSTEM 07/30/02 45 SYSTEM 07/25/02 179 PHA 07/25/02 179 PHA 07/25/02 179 PHA 07/26/02 144 PHA 07/26/02 144 PHA 07/26/02 144 PHA 1 10/24/02 21 SYSTEM Amount 5.30 0.24 5.86 15.60 15.60 35,20 20.40 595.00 -595.00 -595.00 595.00 19.28 0.24 5.86 19,28 0,24 5.86 375,90 4451.68 4451.92 4457.78 4473.38 4488,98 4524,i8 4544.58 5139,58 4544,58 3949.58 4544.58 4563.86 4564.t0 4569.96 4589,24 4589.48 4595.24 497t.24 PAGE 3 RUN OATE: 04/08/03 PAGE i RUN TIME: 1055' Acct V00000793398 HOCKENBERRY,GLENN 350 G ST CARLISLE, PA 17013 (717)243-1100 (H)/(717)243-1100 (W) Date User Procedure 07/20/02 3JOHNSOL 1017380170 07/20/02 LRODRIGU 4539990708 07/20/02 BILLING 5210282209 07/20/02 BILLING 5210282209 07/20/02 BILLING 5210282225 07/20/02 BILLING 5210282225 07/20/02 BILLING 5210282506 07/20/02 BILLING 5210282787 07/20/02 BILLING 5210285756 07/20/02 BMUNGER 5975500250 07/20/02 BMUNGER 5975992830 07/20/02 MMCLAUGH 6330100230 07/20/02 MMCLAUGH 5400001020 07/20/02 MMCLAUGH 6400514510 07/20/02 MMCLAUGH 6410000004 07/20/02 MMCLAUGH 6410000005 07/20/02 JSOHNSOL 6500090181 07/20/02 BMUNGER 6500710200 07/20/02 JJOHNSOL 6510721940 07/20/02 JOOHNSOL 6510741700 07/20/02 BILLING 6570024090 07/20/02 BILLING 6570857301 07/20/02 MMCLAUGH 6577868500 07/20/02 MMCLAUGH 6577869992 07/20/02 BILLING 6620883051 07/21/02 LRODRIGU 4537000009 07/21/02 LRODRIGU 4537000036 07/21/02 LRODRIGU 4537000038 07/21/02 LRODRIGU 4527000056 07/21/02 LRODRIGU 4539940101 07/21/02 LRODRIGU 4539946506 07/21/02 LRODRIGU 4539946642 07/21/02 LRODRIGU ,5210080001 07/21/02 LROORIGU 5210400744 07/21/02 LRODRIGU 5210560596 BAR Database (BAR) **LIVE 5,2** Procedures by Setvice Date Guar i61-34-1630 HOCKENBERRY GLENN 350 G ST CARLISLE, PA 17013 (717)243-1100 (H) Description Bill Bch Date RM&BD SURGICAL BED - ROOM 07/20/02 778/SURG REQUEST RESPIRATORY SERVZCES 07/21/02 FENTANYL 50 MCG/I ML 2 ML VIAL 07/21/02 (2X) - PYXIS CHG OR -ANES FENTANYL 50 MCG/1 ML 2 ML VIAL 07/21/02 (2X) - PYXIS CHG OR -ANES FENTANYL 50 MCG/1 ML 5 ML VIAL 07/21/02 (2X) - PYXIS CRG OR -ANES FENTANYL 50 MCG/1 ML 5 ML VIAL 07/21/02 - PYXIS CHG OR -ANES MIDAZOLAM 2 MG/2 ML VIAL - 07/21/02 PYXIS CHG OR -ANES PROPOFOL 10 MG/ML 20 ML AMPULE 07/21/02 - PYXIS CHG OR -ANES KETOROLAC 30MG/1 ML VIAL - 07/21/02 PYXIS CHG OR -ANES I.V, START - SALINE LOCK 07/22/02 LEVEL 3 - INTERMEDIATE 07/22/02 RECOVERY 1 - 2 HOUR 07/23/02 SURGERY EACH 30 MIN (4X) 07/22/02 CASE CART - MINOR 07/22/02 ANESTHESIA/30 MINUTES (4X) 07/22/02 ANESTHESIA GENERAL SUPPLIES 07/22/02 NON-IONIC CONTRAST (GEN-5OML) 07/20/02 (3X) - NON-IONIC CONTRAST 50ML CHEST PA & LAT VIEWS 07/22/02 CT PELVIS W&WO CONTRAST 07/20/02 CT ABDOMEN W&WO CONTRAST 07/20/02 PRO TIME 07/21/02 PARTIAL THROMBOPLASTIN PAT. 07/21/02 A8 DETECTION SCREEN 07/22/02 ABO & RHD TYPING 07/22/02 LEVEL IV 07/24/02 PATIENT TEACHING 07/21/02 PERIPHERAL IV DISCONTINUED 07/21/02 STERILE SPONGE 07/21/02 TAPE 07/2i/02 INCENTIVE SPIROMETER 07/21/02 PT TEACHING RX PER HOUR 07/2i/02 PRIORITY RT 07/21/02 LEVOFLOXACIN 500 MG TAB BULK - 07/21/02 LEVOFLOXACIN 500 MG TAB KCL 20 MEQ TABLET BULK (2X) - 07/21/02 POTASSIUM CHLORIDE 20 MEQ TABCR OPIUM/BELLADON SUPP 30/16,2 MG 07/21/02 (6X) - BELLADONNA Journal AOM ITS PHA PHA PHA PNA PHA PHA PHA 17 12 12 12 12 12 12 12 127 ITS 127 ITS 10 GEN 97 GEN 97 GEN 97 GEN 97 GEN 10 ITS 127 ITS 10 ITS 10 ITS lO LA8 10 LAB 100 GEN 100 GEN 24 LA8 17 ITS 17 ITS 17 ITS 17 ITS 17 ITS 17 ITS 17 ITS 16 PHA 16 PHA 16 PHA Amount 595.00 0,00 3,84 -3~84 5.58 -2.79 14~38 32.53 9.10 6.80 135.00 300.00 1200.00 360.00 260.00 96.00 277.44 74.79 462.94 462.94 11.70 16.80 9.90 20.10 80.00 0.00 12.00 0.08 O.O0 78.58 40.71 40.71 19,28 1.68 30,96 595.00 595.00 598,84 595.00 600,58 597.79 612.17 644.70 653.80 660,60 795.60 1095,60 2295.60 2655.60 2915.60 301t,60 3289.04 3363.83 3826.77 4289.71 4301,41 4318.21 4328.11 4348.21 4428.21 4428.21 4440.2t 4440,29 4440.29 4518,87 4569.58 4600.29 4619.57 4621.25 4652.21 ERIE COUNTY MEDICAL CBH~ER HEALTHCARE NETWORK 462 GriderStreet · Buffalo · NewYork · 14215 RUN DATE: 04/08/03 RUN TIME~ 1055, Acct V00000793398 HOCKENBERRY,GLENN 350 G ST BAR Database (BAR) **LIVE 52** Procedures by Se.r¥ice Date Guar 161-34-1620 HOCXENBERRY,GLBNN 350 G ST PACE 2 CARLISLE, PA 17013 (717)243-1100 (H)/(717)243-1100 (W) CARLISLE, PA 17013 (717)243-1100 (H) Date User Procedure 07/21/02 BILLING 5210560596 07/21/02 BILLING 5210560596 07/21/02 BILLING 5210560596 07/21/02 LRODRIGU 5210921108 07/21/02 BILLING 6560800511 07/21/02 BILLING 6560820401 07/21/02 BILLING 6560821502 07/21/02 BILLING 6560822501 07/21/02 BILLING 6560823101 07/21/02 BILLING 6560825651 07/21/02 BILLING 6560829471 07/21/02 BILLING 6560836901 07/21/02 BILLING 6560837351 07/21/02 BILLING 6560840751 07/21/02 BILLING 6560841001 07/21/02 BILLING 6560841552 07/21/02 BILLING 6560844501 07/21/02 BILLING 6560844601 07/21/02 BILLING 6560845201 07/21/02 BILLING 6570850251 I0/24/02 CDUGGAN ANYSSURCHG Description Bill Bch Date Num Journal Amount ALKALOIDS/OPIUM 30 MG SU OPIUM/BELLADON SUPP 30/16 2 MG 07/22/02 40 PHA 5.30 - PYXIS CHG 7S0 -7S0 OPIUM/BELLADON SUPP 30/16,2 MG 07/22/02 40 PHA 5,30 - PYXIS CHG 7S0 -7S0 OPIUM/BELLADON SUPP 30/16.2 MG 07/22/02 40 PHA 5.30 - PYXIS CHG 7S0 -7S0 FINASTERIDE 5 MG TABLET BULK - 07/21/02 16 PHA 5.86 FINASTERIOE 5 MG TAB ELECTROLYTES 07/22/02 20 LAB 13,00 BODY FLUID ALBUMLN 07/22/02 20 LAB 9.30 AMYLASE SERUM 07/22/02 20 LAB 14.90 B0DY FLUID BILIRUBIN 07/22/02 20 LAB 9.30 CALCIUM, SERUM 07/22/02 20 LAB 13.75 CREATININE. SERUM 07/22/02 20 LAB 9.30 GLUCOSE RANDOM 07/22/02 20 LAB 7.70 LIPASE SERUM 07/22/02 20 LA8 13.60 MAGNESIUM SERUM 07/22/02 20 LAB 11.20 ALKALINE PHOSPNATASE, SERUM 07/22702 20 LAB 11,60 PHOSPHORUS SERUM 07/22/02 20 LAB t3.75 PROTEIN TOTAL SERUM 07/22/02 20 LAB 9.30 ASPARTATE AMINOTRANSFERASE 07/22/02 20 LAB 12.40 ALANINE AMINOTRANSFERASE 07/22/02 20 LAB 12,40 BODY FLUID UREA NITROGEN 07/22/02 20 LAB 9.30 COMPLETE BLOOD CELL COUNT (S) 07/22/02 20 LA8 15,60 ADO SP NYS SURCHARGE - FINAL - I 10/24/02 21 SYSTEM 397.58 BILL # i 4657.51 466281 4668,11 4673.97 4686,97 4696.27 4711,17 4720,47 4734,22 4743,52 4751,22 4764,82 4776.02 4787,62 4801.37 4810.67 4823.07 4835,47 4844,77 4860,37 5257.95 of ERIE COUNTY MEDICAL CENTER IP, vmfy that the ~tat~m~nts made In the arc.going document are me and correct. I understand that false statements herein arc maclc subject to thc penalties of 1 $ Pa. C. S. §4904, relating to unswom falsification to authorities. Dated: Ju~y 8, 2003 By: Tit]c: ERIE COUNTY MEDICAL CENTER Dir ~ctor of Pati OEBRA A McDONALD NOTARYPOBLiC STATE OF NEW YORK ~,~ Q~NJFIL=D IN ERIE COUNTY 29460 P:~USE. R~O'NNIE IO\COM2~WORI(~29460corn ,wpd: 09,1un03 SHERIFF'S RETURN CASE NO: 2003-03617 P COMMONWEALTH OF PENNSYLVAIqIA: COUNTY OF CUMBERLAND ERIE COUNTY MEDICAL CENTER IP VS HOCKENBERRY GLENN - REGULAR BRIAN BARRICK , Cumberland County, Pennsylvania, says, the within COMPLAINT & NOTICE HOCKENBERRY GLENN DEFENDANT , at 1543:00 HOURS, at 350 G STREET CARLISLE, PA 17013 GLENN HOCKENBERRY a true and attested copy of COMPLAINT & NOTICE Sheriff or Deputy Sheriff of who being duly sworn according to was served upon on the 1st day of August by handing to the together with , 2003 and at the same time directing His attention to the contents thereof. Sheriff's Costs: Docketing 18.00 Service 3.45 Affidavit .00 Surcharge 10.00 .00 31.45 Sworn and Subscribed to before me this ~ ? day of 0~,~ ~ A.D. ! Prothonotary ' ~ ' So Answers: R. Thomas Kline 08/04/2003 ~ KNUPP KODAK ~BLUM Deputy Sheriff ERIE COUNTY MEDICAL CENTER IP Plaintiff VS. GLENN HOCKENBERRY Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : : NO. 03-3617 Civil Term : CIVIL ACTION - LAW ANSWER TO COMPLAINT AND NOW, comes the Defendant, Glenn Hockenberry, by and through his attorney, Gregory J. Katshir, Esquire, with the following Answer to Complaint and avers as follows: ANSWER 1. Paragraph one (1) of the Complaint is admitted. 2. Paragraph two (2) of the Complaint is admitted. 3. Paragraph three (3) of the Complaint is admitted in part and denied in part. It is admitted that Plaintiff provided medical care, services and medication. However, it is denied that the prices set forth in the account history are fair and reasonable and that Defendant agreed to pay said amounts and strict proof thereof is demanded at the time of trial. 4. Paragraph 4 of the Complaint is specifically denied and proof thereof is demanded at the time of trial. By way of further answer, it is denied that the prices charged were just and reasonable and that Defendant promised and agreed to pay Plaintiff 5. Paragraph 5 of the Complaint sets forth a legal conclusion to which no responsive pleading is required. 6. Paragraph 6 of the Complaint is admitted in part and denied in part. It is admitted that Plaintiff has demanded payment from Defendant and Defendant has failed and refused to pay. It is denied t~, -t said amount is due and owing from Defendant to Plaintiff. WHEREFORE, Defendant requests this Honorable Court to dismiss Plaintiffs Complaint. Gregory J. ed, katshir, Esquire Attorney, for Defendant PA ID#61967 900 Market Street Lemoyne PA 17043 (717) 763-8133 VERIFICATION OF KNOWLEDGE, INFORMATION AND BELIEF I verify that the facts set forth in the foregoing Answer to Complaint are true and correct to the best of my knowledge, information and belief. I understand that false averments herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Date: Glenn Hockenberry ~ CERTIFICATION OE SERVICE I hereby certify that a true and correct copy of the foregoing Answer to Complaint was served upon the following via First Class mail, on ~,~/o) , postage prepaid as follows: Robert D. Kodak, Esquire 407 North Front Street P.O. Box 11848 Harrisburg PA 17108