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Billing entities under WALRAVEN, LISA
Every Medicaid billing NPI that lists WALRAVEN, LISA (ceo) as its authorized official in NPPES: 2 entities in 1 state, paid $2.46M combined.
28Combined paid$2.46M
33Billing entities2
24GClaims25,453
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | De Baca Family Practice Clinic | Fort Sumner, NM | Federally Qualified Health Center (FQHC) | $2.28M |
| 2 | De Baca Family Practice Clinic | Fort Sumner, NM | Federally Qualified Health Center (FQHC) | $181K |