| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | WELLSVILLE USD 289 | 66092 | 6 | 3,200 | $44K |
| 2 | ADVENTHEALTH RANSOM MEMORIAL, INC. | 66092 | 9 | 922 | $34K |
| 3 | RANSOM MEMORIAL HOSPITAL | 66092 | 2 | 112 | $13K |
| 4 | LEWIS, KELSEY | 66092 | 1 | 12 | $153.15 |
| 5 | AUBURN PHARMACY INC | 66092 | 1 | 27 | $0.00 |