| # | Provider | Location | Claims | Total Paid |
|---|---|---|---|---|
| 1 | VIRGINIA MEDICAL SPECIALIST, PLC | CHESAPEAKE, VA | 28 | $379.84 |
| 2 | OUR LADY OF BELLEFONTE HOSPITAL INC | ASHLAND, KY | 15 | $170.55 |
| 3 | CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION | PARKERSBURG, WV | 14 | $0.00 |
| 4 | ASCENSION ALL SAINTS HOSPITAL, INC | RACINE, WI | 52 | $0.00 |