| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | SHERIDAN COUNTY HOSPITAL | 67740 | 14 | 5,364 | $899K |
| 2 | MAUCK MEDICAL CLINIC, LLC | 67740 | 2 | 616 | $18K |
| 3 | HOXIE COMMUNITY SCHOOLS | 67740 | 2 | 296 | $10K |
| 4 | SHERIDAN COUNTY HOSPITAL | 67740 | 9 | 201 | $7K |
| 5 | SHERIDAN COUNTY EMS | 67740 | 2 | 105 | $875.97 |