| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | RITE AID OF PENNSYLVANIA LLC | 17319 | 24 | 27,837 | $707K |
| 2 | WELLSPAN MEDICAL GROUP | 17319 | 9 | 4,764 | $215K |
| 3 | RITE AID CORPORATION | 17319 | 25 | 6,955 | $170K |
| 4 | WAL-MART STORES EAST LP | 17319 | 10 | 1,599 | $43K |
| 5 | GLASSFORD, KENNETH | 17319 | 2 | 60 | $10K |
| 6 | NEWBERRY TOWNSHIP FIRE DEPARTMENT | 17319 | 2 | 24 | $6K |
| 7 | PATEL, ARCHANA | 17319 | 1 | 47 | $3K |
| 8 | DEVELIN, EDWARD | 17319 | 1 | 47 | $2K |
| 9 | LOHSS, SHANE | 17319 | 1 | 31 | $2K |
| 10 | PATER, DAVID | 17319 | 1 | 28 | $2K |
| 11 | ADAMSKI, JOSHUA | 17319 | 2 | 341 | $605.40 |
| 12 | THRIFT DRUG INC | 17319 | 1 | 54 | $260.00 |