| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC. | MILWAUKEE, WI | 129 | $77.07 |
| 2 | MERCY HEALTH YOUNGSTOWN LLC | YOUNGSTOWN, OH | 57 | $8.22 |
| 3 | YALE NEW HAVEN HOSPITAL | NEW HAVEN, CT | 50 | $7.68 |
| 4 | HENRY FORD HEALTH SYSTEM | DETROIT, MI | 13 | $0.00 |