| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | JOHN FITZGIBBON MEMORIAL HOSPITAL INC. | 65349 | 3 | 2,662 | $180K |
| 2 | SUMMERS PHARMACY OF SLATER, LLC | 65349 | 3 | 322 | $22K |
| 3 | SLATER AMBULANCE DISTRICT | 65349 | 1 | 17 | $3K |
| 4 | JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. | 65349 | 1 | 25 | $473.90 |