| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | PIH HEALTH DOWNEY HOSPITAL | DOWNEY, CA | 45 | $602.20 |
| 2 | POMONA VALLEY HOSPITAL MEDICAL CENTER | POMONA, CA | 29 | $305.35 |
| 3 | LANCASTER HOSPITAL CORPORATION | PALMDALE, CA | 12 | $220.43 |
| 4 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN | NEWPORT BEACH, CA | 16 | $0.00 |