| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MENOMINEE INDIAN TRIBE OF WISCONSIN | 54135 | 67 | 115,030 | $3.28M |
| 2 | CALLIS, MARY | 54135 | 4 | 5,450 | $342K |
| 3 | MENOMINEE INDIAN SCHOOL DISTRICT | 54135 | 5 | 23,218 | $277K |
| 4 | COUNTY OF MENOMINEE | 54135 | 3 | 3,644 | $199K |
| 5 | COUNTY OF MENOMINEE | 54135 | 3 | 1,781 | $113K |
| 6 | COUNTY OF MENOMINEE | 54135 | 1 | 90 | $5K |
| 7 | COUNTY OF MENOMINEE | 54135 | 1 | 66 | $4K |