| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | HENRY COUNTY HEALTH CENTER, INC. | 52645 | 3 | 3,641 | $292K |
| 2 | MCPHERON, ROBERT | 52645 | 10 | 5,617 | $260K |
| 3 | TRUTH FOUNDATION INC. | 52645 | 3 | 1,500 | $64K |
| 4 | HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL | 52645 | 3 | 1,339 | $50K |
| 5 | NEW LONDON FAMILY HEALTH LC | 52645 | 3 | 1,086 | $33K |
| 6 | POTHITAKIS, MARK | 52645 | 6 | 1,766 | $32K |
| 7 | GRABER, SYLVIA | 52645 | 2 | 122 | $5K |
| 8 | RICHMOND, JESSI | 52645 | 1 | 67 | $2K |