All Medicaid billing entities listing SHIVELY, THEODORE (MEMBER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Michigan | 1 | $708K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | PRIMECARE URGENT CARE PLLC | NOVI, MI | Urgent Care Clinic/Center | $708K |