All Medicaid billing entities listing COSTA, JOSE (CEO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Illinois | 1 | $5K |
| Puerto Rico | 1 | $4K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FOR EYES OPTICAL OF PA | CALUMET CITY, IL | Eyewear Supplier | $5K |
| 2 | FOR EYES OPTICAL OF PUERTO RICO, LLC | MAYAGUEZ, PR | Eyewear Supplier | $4K |