NPI: 1346709037 · GLEN BURNIE, MD 21061 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/13/2019
| Authorized Official | PAULL, JONATHAN (GC/CCO) |
| NPI Enumeration Date | 03/13/2019 |
Other providers sharing the same authorized official: PAULL, JONATHAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| DIALYZE DIRECT TN, LLC | MEMPHIS | TN | $227K |
| CORR HEALTH WI, SC | MILWAUKEE | WI | $914.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 663 | $12K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 663 | 39 | $12K |