| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BRODSTONE MEMORIAL HOSPITAL | 68978 | 4 | 8,498 | $791K |
| 2 | BRODSTONE MEMORIAL HOSPITAL | 68978 | 33 | 17,154 | $621K |
| 3 | SUPERIOR PHYSICAL THERAPY LLC | 68978 | 3 | 488 | $14K |
| 4 | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 68978 | 2 | 28 | $0.00 |