| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | PENN FOUNDATION, INC. | 18964 | 2 | 122,639 | $8.63M |
| 2 | INDIAN CREEK FOUNDATION | 18964 | 22 | 91,633 | $7.38M |
| 3 | CHILDREN'S HOSPITAL OF PHILADELPHIA | 18964 | 45 | 40,936 | $1.61M |
| 4 | GRAND VIEW HOSPITAL | 18964 | 10 | 5,682 | $197K |
| 5 | ORTHODONTIC SPECIALISTS OF THE INDIAN VALLEY, PLLC | 18964 | 2 | 343 | $87K |
| 6 | FOOT AND ANKLE ASSOCIATES LLP | 18964 | 2 | 826 | $5K |