All Medicaid billing entities listing IDAHOSA, VICTOR (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $1.30M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | WAVERLY MEDICAL ASSOCIATES LLC | WAVERLY, NY | Psychiatry Physician | $1.30M |