| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | WRAY COMMUNITY DISTRICT HOSPITAL | 80758 | 18 | 25,003 | $1.23M |
| 2 | WRAY COMMUNITY LONG TERM CARE INC | 80758 | 1 | 342 | $629K |
| 3 | HERTNEKY, RANDY | 80758 | 8 | 5,966 | $201K |
| 4 | WRAY COMMUNITY DISTRICT HOSPITAL | 80758 | 17 | 8,992 | $78K |
| 5 | FOLTMER DRUG LLC | 80758 | 2 | 563 | $9K |
| 6 | MORRISON OPTOMETRIC ASSOCIATES PA | 80758 | 4 | 149 | $3K |
| 7 | HAJEK, MICHAEL | 80758 | 1 | 21 | $1K |
| 8 | CITY OF WRAY | 80758 | 1 | 39 | $899.85 |