| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ST LUKES CLINIC - WOOD RIVER LLC | 83340 | 26 | 15,946 | $717K |
| 2 | ST LUKES WOOD RIVER MEDICAL CENTER LTD | 83340 | 51 | 19,901 | $174K |
| 3 | BLAINE COUNTY | 83340 | 2 | 554 | $47K |
| 4 | LOOMIS, AUTUMN | 83340 | 3 | 303 | $26K |
| 5 | BODLE, CHRISTOPHER | 83340 | 3 | 210 | $13K |
| 6 | AESTHETIC EYE PC | 83340 | 1 | 12 | $68.97 |