| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | DECATUR HEALTH SYSTEMS INC | 67749 | 4 | 4,090 | $534K |
| 2 | DECATUR HEALTH SYSTEMS INC | 67749 | 7 | 682 | $16K |
| 3 | OBERLIN USD 294 | 67749 | 2 | 525 | $14K |
| 4 | COUNTY OF DECATUR | 67749 | 5 | 642 | $7K |
| 5 | RICE, P.A. | 67749 | 1 | 26 | $88.00 |
| 6 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 67749 | 2 | 24 | $0.00 |