| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | HSP40248F | SALINAS, CA | 177 | $772.90 |
| 2 | SOUTHERN OHIO MEDICAL CENTER | PORTSMOUTH, OH | 1,568 | $390.12 |
| 3 | SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION | SUNNYSIDE, WA | 20 | $130.60 |
| 4 | BAXTER COUNTY REGIONAL HOSPITAL, INC | MOUNTAIN HOME, AR | 34 | $15.53 |
| 5 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL, INC | NEW BRUNSWICK, NJ | 102 | $2.00 |
| 6 | JERSEY CITY MEDICAL CENTER | JERSEY CITY, NJ | 45 | $1.00 |
| 7 | FROEDTERT SOUTH, INC. | PLEASANT PRAIRIE, WI | 45 | $0.89 |
| 8 | THE TOLEDO HOSPITAL | TOLEDO, OH | 131 | $0.56 |
| 9 | MAINEHEALTH | BIDDEFORD, ME | 392 | $0.00 |
| 10 | ST FRANCIS HOSPITAL, INC. | GREENVILLE, SC | 44 | $0.00 |
| 11 | MAINEHEALTH | PORTLAND, ME | 86 | $0.00 |
| 12 | ST FRANCIS HOSPITAL INC | GREENVILLE, SC | 12 | $0.00 |
| 13 | GUNDERSEN LUTHERAN MEDICAL CENTER INC | LA CROSSE, WI | 235 | $0.00 |
| 14 | HOLLAND COMMUNITY HOSPITAL | HOLLAND, MI | 58 | $0.00 |
| 15 | SHC MEDICAL CENTER TOPPENISH | TOPPENISH, WA | 12 | $0.00 |