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Billing entities under DITEODORO, JACK
Every Medicaid billing NPI that lists DITEODORO, JACK (owner) as its authorized official in NPPES: 2 entities in 1 state, paid $508K combined.
28Combined paid$508K
33Billing entities2
24GClaims63,222
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 | Stella Medical Care LLC | Stamford, CT | Skilled Nursing Facility | $457K |
| 2 | Jack V. Diteodoro M.D,llc | Stamford, CT | Exclusive Provider Organization | $50K |