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Top 20 Facilities

# OF CLAIMANTS

# OF

CLAIMS

MEMBER PAID

% PLAN PAID OF

TOTAL PLAN

PAID

PLAN PAID

IN NETWORK?

PROVIDER NAME

1

57

$0.00

1.55 %

$57,107.92

Yes

CAMPBELLTON GRACEVILLE

HOSPITA

1

104

$4,147.67

1.54 %

$56,692.33

Yes

BIO MEDICAL APPLICATIONS OF

TE

2

8

$4,022.15

1.52 %

$55,805.60

Yes

GORDON HOSPITAL

1

3

$1,137.92

1.42 %

$52,210.54

Yes

NEWBERRY COUNTY MEMO

7

11

$2,171.39

1.37 %

$50,600.88

Yes

Parkridge Medical Center

2

19

$862.96

1.24 %

$45,490.73

Yes

HAMILTON MEDICAL CENTER

INC

1

23

$1,976.93

1.17 %

$43,245.07

No

SELAH HOUSE

9

16

$10,497.48

1.13 %

$41,585.11

Yes

Parkridge East Hospital

879

1,816

$661,837.05

46.29 %

$1,704,894.44

Remaining Facilities

Page 40 of 41

Incurred: 2/1/2016 to 1/31/2017

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