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Billing entities under KELLY, RANDALL
Every Medicaid billing NPI that lists KELLY, RANDALL (owner) as its authorized official in NPPES: 2 entities in 1 state, paid $4.38M combined.
28Combined paid$4.38M
33Billing entities2
24GClaims123,373
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 | Equinox Clinics LLC | Eugene, OR | Addiction Medicine (Preventive Medicine) Physician | $4.32M |
| 2 | New Life Wellness LLC | Hermiston, OR | Medical Specialty Clinic/Center | $59K |