REDONE FISCAL AGENT INC
NPI: 1841983533
· ROCHESTER, MN 55901
· Contractor
· NPI assigned 05/30/2023
$215K
Total Medicaid Paid
Provider Details
| Authorized Official | HASSAN, OMAR (CEO) |
| NPI Enumeration Date | 05/30/2023 |
Related Entities
Other providers sharing the same authorized official: HASSAN, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
3,169 |
$215K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2028 |
Specialized supply, not otherwise specified, waiver |
3,169 |
62 |
$215K |