| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | THE BROOKDALE HOSPITAL MEDICAL CENTER | BROOKLYN, NY | 64 | $752.40 |
| 2 | BENEFIS HOSPITALS, INC. | GREAT FALLS, MT | 371 | $162.24 |
| 3 | DRISCOLL CHILDRENS HOSPITAL | EDINBURG, TX | 33 | $0.00 |
| 4 | LEE MEMORIAL HEALTH SYSTEM | FT MYERS, FL | 40 | $0.00 |