| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | ST. VINCENT WILLIAMSPORT HOSPITAL | 47993 | 61 | 86,543 | $2.72M |
| 2 | ST. VINCENT WILLIAMSPORT HOSPITAL | 47993 | 36 | 94,640 | $1.09M |
| 3 | IEMA INDIANA | 47993 | 4 | 8,177 | $367K |
| 4 | INMAN, JON | 47993 | 5 | 4,132 | $104K |
| 5 | ROTRAMEL, STUART | 47993 | 1 | 12 | $690.75 |