All Medicaid billing entities listing KHAMMYVONG, SOUPHALACK (ADMINISTRATOR/ DON) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $16.00M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | MID AMERICA HEALTHCARE CORP OF WISCONSIN | MILWAUKEE, WI | Home Health Agency | $16.00M |