| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BJC HEALTHCARE, LLC | 71454 | 36 | 82,346 | $2.82M |
| 2 | WINN COMMUNITY HEALTH CENTER, INC. | 71454 | 9 | 536 | $23K |
| 3 | WINN COMMUNITY HEALTH CENTER, INC. | 71454 | 8 | 346 | $10K |
| 4 | MONTGOMERY PHARMACY LLC | 71454 | 2 | 99 | $0.00 |
| 5 | COLVIN, BENJAMIN | 71454 | 2 | 91 | $0.00 |