| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | MEMORIAL HOSPITAL OF CONVERSE COUNTY | DOUGLAS | 22,281 | $984K |
| 2 | MEMORIAL HOSPITAL OF CARBON COUNTY | RAWLINS | 17,964 | $939K |
| 3 | NIOBRARA COUNTY HOSPITAL DISTRICT | LUSK | 5,638 | $412K |
| 4 | WASHAKIE MEDICAL CENTER | WORLAND | 3,220 | $281K |
| 5 | COMMUNITY HOSPITAL | TORRINGTON | 2,014 | $240K |