| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | ALVAREZ, AVELINO | LAREDO, TX | 669 | $536.48 |
| 2 | CHILDREN'S HOSPITAL | NEW ORLEANS, LA | 13 | $43.56 |
| 3 | EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC | FARRAGUT, TN | 39 | $0.00 |
| 4 | OPTION 1 NUTRITION SOLUTIONS, LLC | CHANDLER, AZ | 265 | $0.00 |