All Medicaid billing entities listing BOUCHER, JASON (CFO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maryland | 2 | $4K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ELLICOTT KIDNEY CENTER LLC | ELLICOTT CITY, MD | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $4K |
| 2 | ELLICOTT CITY DIALYSIS CENTER LLC | ELLICOTT CITY, MD | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $53.12 |