| # | Provider | ZIP | Codes | Claims | Total Paid |
|---|---|---|---|---|---|
| 1 | CUMBERLAND MEMORIAL HOSPITAL INC | 54889 | 3 | 850 | $24K |
| 2 | AMERY REGIONAL MEDICAL CENTER, INC | 54889 | 3 | 198 | $11K |
| 3 | DEFLORIAN, TIMOTHY | 54889 | 2 | 617 | $10K |
| 4 | SCHOOL DISTRICT OF TURTLE LAKE | 54889 | 2 | 81 | $836.20 |
| 5 | ERICKSON, LISA | 54889 | 1 | 12 | $0.00 |