| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | COASTAL MANAGEMENT GROUP | CHARLESTON, SC | 126 | $346.96 |
| 2 | METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P. | SAN ANTONIO, TX | 635 | $262.18 |
| 3 | BON SECOURS ST. FRANCIS XAVIER HOSPITAL INC. | CHARLESTON, SC | 21 | $115.45 |
| 4 | EASTERN IDAHO HEALTH SERVICES INC | IDAHO FALLS, ID | 651 | $0.00 |