| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | CHILDREN'S HOSPITAL OF WISCONSIN, INC. | MILWAUKEE, WI | 621 | $6K |
| 2 | LONG ISLAND JEWISH MEDICAL CENTER | NEW HYDE PARK, NY | 13 | $474.50 |
| 3 | UPMC CHILDREN'S HOSPITAL OF PITTSBURGH | PITTSBURGH, PA | 29 | $275.31 |
| 4 | MENNONITE GENERAL HOSPITAL INC | AIBONITO, PR | 19 | $0.00 |