| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | ST ELIZABETH MEDICAL CENTER, INC | EDGEWOOD, KY | 136 | $149.09 |
| 2 | CAYUGA MEDICAL CENTER AT ITHACA | ITHACA, NY | 179 | $25.61 |
| 3 | REGENTS OF THE UNIVERSITY OF MICHIGAN | ANN ARBOR, MI | 638 | $25.09 |
| 4 | GUNDERSEN LUTHERAN MEDICAL CENTER INC | LA CROSSE, WI | 1,352 | $7.42 |
| 5 | FORREST COUNTY GENERAL HOSPITAL | HATTIESBURG, MS | 279 | $4.20 |
| 6 | SAINT FRANCIS HOSPITAL AND MEDICAL CENTER | HARTFORD, CT | 2,777 | $0.00 |
| 7 | BRONSON METHODIST HOSPITAL | KALAMAZOO, MI | 94 | $0.00 |
| 8 | AVITA ONTARIO HOSPITAL | ONTARIO, OH | 33 | $0.00 |
| 9 | VHS CHILDRENS HOSPITAL OF MICHIGAN INC | DETROIT, MI | 141 | $0.00 |
| 10 | YALE NEW HAVEN HOSPITAL | NEW HAVEN, CT | 2,927 | $0.00 |
| 11 | BRONSON BATTLE CREEK HOSPITAL | BATTLE CREEK, MI | 169 | $0.00 |
| 12 | COUNTY OF SAN MATEO | SAN MATEO, CA | 13 | $0.00 |