| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PRAIRIE CENTRAL CUSD NO 8 | 61739 | 9 | 34,429 | $486K |
| 2 | SOUTH EAST LIVINGSTON COUNTY AMBULANCE SERVICE, INC | 61739 | 3 | 2,150 | $356K |
| 3 | SAINT JAMES HOSPITAL | 61739 | 9 | 4,208 | $165K |
| 4 | WENGER, RACHEL | 61739 | 8 | 2,623 | $139K |
| 5 | STITES, KATELYN | 61739 | 5 | 1,132 | $48K |
| 6 | PRATHER, AMANDA | 61739 | 7 | 781 | $39K |
| 7 | HERRERA, KRISTA | 61739 | 2 | 416 | $23K |
| 8 | WORTHEN, ROBERT | 61739 | 1 | 213 | $12K |
| 9 | DUNAHEE, LORILEE | 61739 | 3 | 274 | $11K |
| 10 | WAYSTOUT, BRENTON | 61739 | 2 | 78 | $347.64 |
| 11 | RIEGER, MARY | 61739 | 1 | 14 | $252.33 |