| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SACRED MOUNTAIN MEDICAL SERVICES INC | 86045 | 10 | 25,973 | $8.60M |
| 2 | TUBA CITY REGIONAL HEALTH CARE CORPORATION | 86045 | 52 | 76,284 | $6.21M |
| 3 | TRC - FOUR CORNERS DIALYSIS CLINICS LLC | 86045 | 22 | 176,473 | $5.18M |
| 4 | TUBA CITY REGIONAL HEALTH CARE CORPORATION | 86045 | 9 | 2,697 | $738K |
| 5 | SEQUEL TSI OF AZ, LLC | 86045 | 3 | 2,963 | $458K |
| 6 | TUBA CITY REGIONAL HEALTH CARE CORPORATION | 86045 | 19 | 3,955 | $151K |
| 7 | NAVAJO EXPRESS | 86045 | 2 | 888 | $77K |
| 8 | TUBA CITY REGIONAL HEALTH CARE CORPORATION | 86045 | 7 | 939 | $13K |
| 9 | KRISTOFIC, DEANNA | 86045 | 1 | 14 | $677.60 |
| 10 | SKAGGS, JULIE | 86045 | 1 | 54 | $458.62 |
| 11 | PENG, LIN | 86045 | 7 | 377 | $404.67 |
| 12 | DICELLO, ANTHONY | 86045 | 14 | 4,152 | $0.00 |