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Billing entities under KELLEY, RANDALL
Every Medicaid billing NPI that lists KELLEY, RANDALL (administrator) as its authorized official in NPPES: 2 entities in 2 states, paid $96K combined.
28Combined paid$96K
33Billing entities2
24GClaims2,807
States2
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 | Memorial Medical Center of West Michigan | Pentwater, MI | Primary Care Clinic/Center | $96K |
| 2 | Caromont Medical Group INC | Charlotte, NC | Family Medicine Physician | $593.86 |