| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | AMISTAD OF SAN LUIS, INC | 81152 | 2 | 23,683 | $3.35M |
| 2 | VALLEY-WIDE HEALTH SYSTEMS, INC | 81152 | 21 | 10,849 | $1.67M |
| 3 | COUNTY OF COSTILLA | 81152 | 1 | 1,817 | $1.15M |
| 4 | COSTILLA COUNTY AMBULANCE DISTRICT | 81152 | 3 | 1,258 | $107K |
| 5 | COUNTY OF COSTILLA | 81152 | 4 | 450 | $6K |