| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PANA COMMUNITY HOSPITAL ASSOCIATION | 62075 | 4 | 5,590 | $280K |
| 2 | NOKOMIS CUSD 22 | 62075 | 6 | 5,734 | $105K |
| 3 | SPRINGFIELD CLINIC, LLP | 62075 | 1 | 1,182 | $80K |
| 4 | NOKOMIS-WITT AREA AMBULANCE SERVICE INC | 62075 | 2 | 328 | $21K |
| 5 | NOKOMIS-WITT AREA AMBULANCE SERVICE | 62075 | 2 | 57 | $6K |