| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | BELLIN MEMORIAL HOSPITAL INC | 54201 | 22 | 12,203 | $249K |
| 2 | DOOR COUNTY MEMORIAL HOSPITAL | 54201 | 4 | 332 | $12K |
| 3 | GORZ, JOHN | 54201 | 4 | 428 | $10K |
| 4 | VANDEN AVOND, AMBER | 54201 | 1 | 286 | $6K |
| 5 | ALGOMA HOMETOWN PHARMACY LLC | 54201 | 6 | 246 | $3K |
| 6 | HAYES, NATHAN | 54201 | 5 | 149 | $628.19 |
| 7 | LAKESHORE VISION CENTERS, LTD | 54201 | 1 | 12 | $104.67 |