| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | MILE BLUFF MEDICAL CENTER INC | 53950 | 9 | 12,899 | $540K |
| 2 | NEW LISBON SCHOOL DISTRICT | 53950 | 5 | 34,590 | $388K |
| 3 | TOURDOT, MACALL | 53950 | 1 | 758 | $66K |
| 4 | MARSCHALL, JANNA | 53950 | 1 | 197 | $22K |
| 5 | DEDRICK, GRADY | 53950 | 1 | 225 | $13K |
| 6 | NACHREINER, GLORIA | 53950 | 1 | 12 | $57.82 |