All Medicaid billing entities listing TETRO, IDA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $318K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | 112 GVR MEDICAL, PC | FOREST HILLS, NY | Family Medicine Physician | $318K |