| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | OCONTO HOSPITAL & MEDICAL CENTER INC | 54174 | 18 | 8,930 | $185K |
| 2 | BELLIN MEMORIAL HOSPITAL INC | 54174 | 3 | 1,186 | $55K |
| 3 | SURING PUBLIC SCHOOL DISTRICT | 54174 | 4 | 2,326 | $26K |
| 4 | BAY AT SURING HEALTH AND REHABILITATION CENTER LLC | 54174 | 2 | 77 | $5K |
| 5 | BERNDT, CHRISTINE | 54174 | 2 | 121 | $5K |