All Medicaid billing entities listing MANIS, AUTUMN (ADMIN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $20K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PLATINUM MANAGEMENT LLC | DEARBORN, MI | Surgery Physician | $20K |