| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | MAINEHEALTH | PORTLAND, ME | 466 | $181.16 |
| 2 | ADIRONDACK MEDICAL CENTER | SARANAC LAKE, NY | 185 | $0.00 |
| 3 | SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER INC | CAMBRIDGE, OH | 154 | $0.00 |
| 4 | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER | CLEVELAND, OH | 20 | $0.00 |
| 5 | ALBANY MEDICAL CENTER HOSPITAL | ALBANY, NY | 15 | $0.00 |