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Billing entities under COSTLEY, JERRY
Every Medicaid billing NPI that lists COSTLEY, JERRY (executive director) as its authorized official in NPPES: 3 entities in 1 state, paid $1.25M combined.
28Combined paid$1.25M
33Billing entities3
24GClaims15,151
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | De Novo Services LLC | Salt Lake City, UT | Addiction (Substance Use Disorder) Counselor | $918K |
| 2 | Disabled Rights Action Committee | Salt Lake City, UT | Voluntary or Charitable Agency | $228K |
| 3 | Metamorphosis Salt Lake City, INC. | Salt Lake City, UT | Methadone Clinic | $102K |