I don't see what the problem is; the medical clinic accepts cash, and pennies are legal tender - good for all debts, public and private.
Nevertheless, the man was cited by local law enforcement for disorderly conduct and he could possibly be fined $140.
If the guy has any balls, he should pay the fine with 14,000 pennies!
"If a nation expects to be ignorant and free... it expects what never was, and never will be." -Thomas Jefferson