Is this a breech of my medical records and hippa compliance?

It sounds like the billing company got access to your records for billing purposes. Based on what you've said, it doesnt sound like a violation.

There are not private rights of action UNDER HIPAA. That means that no one can sue another person based solely on the HIPAA statute. Instead, HIPAA...

Can I be requested / strongly urged to take the flue shot and if I decline be required to sign a release for my record

Probably. Not enough info to tell for sure, but it doesn't sound that bad.

Is it legal for a clinic to destroy a patient's xrays without consent? These films were the first to diagnose my condition.

It depends on how old the xrays are.

Can I sue a dentist who gave me another patients treatment plan printout with all the patients information listed on printout?

Why would you sue? YOU haven't been damaged. If you are thinking about the HIPAA law, you should know that there are no private rights of action...

What recorse do I have when an unauthorized PHI is made?

Your recourse? Other than firing the employee if intentional? HIPAA does not include a private right of action, so you cannot sue anyone under it....

What law was broken?

Lots of laws. Possibly including identity theft, violations of both state/DC and federal laws related to drugs, insurance fraud, HIPAA violations,...

Counter suing following a medical negligence claim

Possibly, but it is difficult. Call a local attorney about it.

DO I need a lawyer

Yes he or she can fire you. They can treat who they please for the most part. Just find another doctor.

My doctor (10 yrs) refuses to provide me copies of my medical records.She is not responding to a registered letter sent Dec. 7,

You have an absolute right to a copy of your medical record, with VERY limited exceptions. Call your son to help with the request. Otherwise,...