All Medicaid billing entities listing KOSTELIC, JON (MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Kentucky | 1 | $61K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BLUEGRASS REGIONAL IMAGING LLC | LEXINGTON, KY | Diagnostic Radiology Physician | $61K |