| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MALLATT, KEITH | 66739 | 10 | 19,667 | $674K |
| 2 | GALENA USD499 | 66739 | 5 | 5,054 | $169K |
| 3 | MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | 66739 | 7 | 229 | $43K |
| 4 | ELITE PAIN MANAGEMENT, LLC | 66739 | 2 | 912 | $24K |
| 5 | STATELINE SURGERY CENTER, LLC | 66739 | 2 | 29 | $22K |
| 6 | ORTHOPAEDIC SPECIALISTS OF THE FOUR STATES LLC | 66739 | 6 | 404 | $6K |
| 7 | GALENA NURSING & REHAB, LLC | 66739 | 11 | 12,633 | $585.60 |
| 8 | THREE AMIGOS APOTHECARY LLC | 66739 | 4 | 56 | $0.00 |