| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PANHANDLE PUBLIC HEALTH DISTRICT | 69348 | 12 | 9,294 | $215K |
| 2 | SAND CANYON THERAPY LLC | 69348 | 2 | 704 | $30K |
| 3 | BOX BUTTE GENERAL HOSPITAL | 69348 | 1 | 17 | $1K |
| 4 | KEYSTONE RX CORPORATION INC | 69348 | 7 | 375 | $4.54 |
| 5 | KEYSTONE HEALTH LLC | 69348 | 2 | 31 | $0.00 |