| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MOSAIC | 67439 | 3 | 48,475 | $8.10M |
| 2 | ELLSWORTH COUNTY MEDICAL CENTER | 67439 | 14 | 10,492 | $1.24M |
| 3 | HERZOG, MARK | 67439 | 12 | 12,153 | $368K |
| 4 | ELLSWORTH COUNTY MEDICAL CENTER | 67439 | 22 | 10,427 | $178K |
| 5 | GWINNER, GRANT | 67439 | 10 | 5,487 | $120K |
| 6 | MARK A.HERZOG | 67439 | 9 | 2,754 | $75K |
| 7 | COUNTY OF ELLSWORTH | 67439 | 9 | 1,609 | $24K |
| 8 | KYLE GWINNER OD LLC | 67439 | 6 | 1,157 | $20K |
| 9 | USD 327 ELLSWORTH | 67439 | 1 | 63 | $922.91 |
| 10 | COUNTY OF ELLSWORTH | 67439 | 1 | 13 | $56.10 |
| 11 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 67439 | 4 | 109 | $0.00 |