40
1 Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other Carrier Number (UPI) Name County Claims MH count Claims AoD count Claims 413 CUYA CTY MH BD CUYA 1,833 46 0 0 978 CASA ALMA CUYA 0 0 8,899 222 989 ADDICT PRG MAHO MAHO 0 0 6,872 172 1007 ST RITA MEDICAL ALLE 0 0 9 0 1010 ASHLAND CCOADA ASHL 0 0 2,541 64 515 1017 LAKE RECOVERY ASHT 0 0 12,331 308 1,100 1018 TRI-CNTY MENTAL ATHE 74,474 1,862 500 13 22,947 1029 COMM COUNSELING BUTL 9,660 242 0 0 128 1032 ALC/CHEMICAL CN BUTL 0 0 1,388 35 1034 FORT HAMILTON BUTL 69 2 3,484 87 1039 MCKINLEY HALL CLAR 0 0 20,414 510 104 1043 UMADAOP-DAYTON MONT 0 0 876 22 1048 MH & REC CLINTO CLIN 19,541 489 4,448 111 1,571 1051 COUNSELING-COLU COLU 71,569 1,789 5,262 132 46,085 1052 FAM REC-LISBON COLU 66 2 7,893 197 1,222 1055 COSHOCTON BH COSH 0 0 4,443 111 1057 COUNSEL-CRAW CRAW 28,381 710 6,375 159 1059 MATURE - SUMM SUMM 0 0 6,201 155 1061 BROWN COUNSEL BROW 13,904 348 3,283 82 136 1068 UMADAOP-TOLEDO LUCA 0 0 687 17 1072 STELLA MARIS CUYA 0 0 1,416 35 1073 CNTR POINT II CUYA 0 0 31 1 1074 FRESH - CEDAR CUYA 0 0 1,240 31 1077 ORCA MEN-CUYA CUYA 0 0 1,847 46 1081 SHAKER HGT-CUYA CUYA 0 0 1,377 34 1082 BRIDGEWAY-DENIS CUYA 2,633 66 1,961 49 1084 FREE CLINIC CUYA 0 0 1,575 39 1086 CNTR POINT I CUYA 0 0 125 3 1090 BRIDGEWAY-UNBAR CUYA 21,080 527 5,476 137 1094 CLEVE TREATMENT CUYA 0 0 114,742 2,869 1100 HITCHCOCK CNTR CUYA 0 0 7,057 176 1104 ORCA WOMEN-CUYA CUYA 0 0 1,817 45 1106 SALVATION-CUYA CUYA 0 0 3,120 78 1110 METRO CENTER CUYA 3,928 98 794 20 prov_fy03_clms.XLS

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Page 1: Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly ...reports.mha.ohio.gov/macsis/claims/prov_fy03_clms.pdf2 Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other Carrier

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

413 CUYA CTY MH BD CUYA 1,833 46 0 0 978 CASA ALMA CUYA 0 0 8,899 222 989 ADDICT PRG MAHO MAHO 0 0 6,872 172

1007 ST RITA MEDICAL ALLE 0 0 9 0 1010 ASHLAND CCOADA ASHL 0 0 2,541 64 5151017 LAKE RECOVERY ASHT 0 0 12,331 308 1,1001018 TRI-CNTY MENTAL ATHE 74,474 1,862 500 13 22,9471029 COMM COUNSELING BUTL 9,660 242 0 0 1281032 ALC/CHEMICAL CN BUTL 0 0 1,388 35 1034 FORT HAMILTON BUTL 69 2 3,484 87 1039 MCKINLEY HALL CLAR 0 0 20,414 510 1041043 UMADAOP-DAYTON MONT 0 0 876 22 1048 MH & REC CLINTO CLIN 19,541 489 4,448 111 1,5711051 COUNSELING-COLU COLU 71,569 1,789 5,262 132 46,0851052 FAM REC-LISBON COLU 66 2 7,893 197 1,2221055 COSHOCTON BH COSH 0 0 4,443 111 1057 COUNSEL-CRAW CRAW 28,381 710 6,375 159 1059 MATURE - SUMM SUMM 0 0 6,201 155 1061 BROWN COUNSEL BROW 13,904 348 3,283 82 1361068 UMADAOP-TOLEDO LUCA 0 0 687 17 1072 STELLA MARIS CUYA 0 0 1,416 35 1073 CNTR POINT II CUYA 0 0 31 1 1074 FRESH - CEDAR CUYA 0 0 1,240 31 1077 ORCA MEN-CUYA CUYA 0 0 1,847 46 1081 SHAKER HGT-CUYA CUYA 0 0 1,377 34 1082 BRIDGEWAY-DENIS CUYA 2,633 66 1,961 49 1084 FREE CLINIC CUYA 0 0 1,575 39 1086 CNTR POINT I CUYA 0 0 125 3 1090 BRIDGEWAY-UNBAR CUYA 21,080 527 5,476 137 1094 CLEVE TREATMENT CUYA 0 0 114,742 2,869 1100 HITCHCOCK CNTR CUYA 0 0 7,057 176 1104 ORCA WOMEN-CUYA CUYA 0 0 1,817 45 1106 SALVATION-CUYA CUYA 0 0 3,120 78 1110 METRO CENTER CUYA 3,928 98 794 20

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

1116 COMM ACTION CUYA 0 0 68,322 1,708 1118 CROSSROADS-BELM BELM 0 0 11,508 288 1119 NEW DIREC-PEPPE CUYA 0 0 9,167 229 1151121 CATH CHAR-EUCLI CUYA 0 0 8,442 211 1122 REC RES-NOBLE CUYA 7 0 382 10 1123 WOMENS REC-GREE GREE 0 0 7,585 190 1124 CN FAM/CHL TAYL CUYA 2,096 52 0 0 361131 PROJ CARE-CUYA CUYA 0 0 74 2 1135 DARKE CNTY M/H DARK 9,154 229 0 0 7371138 MAUMEE VALLEY DEFI 34,354 859 0 0 14,3221140 FIVE COUNTY DEFI 0 0 19,864 497 5,5171144 RECOV AND PREV DELA 0 0 8,110 203 241147 NORD LORA 109,532 2,738 1,582 40 6,5471148 UMADAOP-WARREN TRUM 0 0 230 6 1161 CONCORD FRAN 14,107 353 1,197 30 1,4161164 ST VINC FAMILY FRAN 64,759 1,619 208 5 11167 DUBLIN COUNSEL FRAN 5,211 130 109 3 2111168 FIRELANDS-ERIE ERIE 22,887 572 2,440 61 4,4821169 CSN-TWIN VALLEY FRAN 67,131 1,678 0 0 1174 UMADAOP-CLEVE CUYA 0 0 2,084 52 1175 COLS HEALTH DPT FRAN 0 0 12,019 300 1183 MARYHAVEN FRAN 11,493 287 52,339 1,308 1184 HOUSE HOPE-ADRS FRAN 0 0 5,304 133 1186 NORTH CMTY COUN FRAN 21,443 536 1,113 28 4,3351190 HANNA NEIL/SCW FRAN 1,544 39 0 0 1195 NRTHWEST COUNS FRAN 7,994 200 2,582 65 1,8901197 NORTH CENTRA MH FRAN 110,604 2,765 17,191 430 11,5561212 PROJECT LINDEN FRAN 0 0 7,220 181 1220 FAM ADD-GALL GALL 0 0 2,266 57 1221 WOODLAND-GALL GALL 20,700 518 0 0 3161224 RAVENWOOD MHC GEAU 23,184 580 3,566 89 10,5361225 AOD CENTER-GEAU GEAU 0 0 1,687 42 1041234 GUERNSEY HEALTH GUER 0 0 1,685 42 6391246 ORCA MARY-CUYA CUYA 0 0 2,543 64

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

1248 FAM SER-CINCIN HAMI 3,022 76 0 0 1249 TALBERT HOUSE HAMI 5,656 141 15,821 396 1258 CROSSROADS CNTR HAMI 5,730 143 49,799 1,245 11267 ALCOHOLISM COUN HAMI 0 0 13,157 329 1270 PROSPECT HOUSE HAMI 0 0 5,579 139 1274 CATH SOC-SW HAMI 618 15 0 0 41281 TALBERT 281CARE HAMI 11,984 300 0 0 1285 CNT CHEM ADD TX HAMI 0 0 10,727 268 1290 CENTURY-SOUTH HANC 26,007 650 5,111 128 4,3651299 FRS COUNSELING HIGH 0 0 7,797 195 1,3011311 FREEDOM CENTER KNOX 0 0 5,735 143 1,0251316 AOD CENTER-LAKE LAKE 0 0 8,768 219 3121318 CROSSROADS-LAKE LAKE 24,630 616 734 18 11,6521322 ALC PREV-LICK LICK 0 0 11,170 279 1329 MARION HOSPITAL MARI 216 5 0 0 1337 SASI LUCA 1,971 49 36,080 902 2,3961342 COURT DIAGNOSTC LUCA 534 13 0 0 1345 LUTHERAN SS LUCA 1,639 41 0 0 1350 RESCUE LUCA 22,102 553 0 0 1357 CONNECTING PT LUCA 33,272 832 1 0 2,9751359 COMPASS-LUCA LUCA 0 0 39,335 983 1363 FAM SER-MAHO MAHO 3,226 81 0 0 1501365 NEIL KENNEDY MAHO 0 0 8,721 218 8071366 MERIDIAN SERV MAHO 2,002 50 32,127 803 1381 COUNSEL-MARI MARI 46,095 1,152 13,297 332 2,1891383 AOD DEPENDENCY MEDI 0 0 7,994 200 1,1011387 GATEWAY OUTRECH MERC 0 0 3,164 79 1,2751390 MIAMI CNTY M/H MIAM 40,685 1,017 6,405 160 3,2611396 EASTWAY MONT 121,103 3,028 93 2 2,4771399 DAY-MONT BEHAV MONT 29,629 741 5,165 129 34,7901400 CADAS MONT 0 0 13,792 345 3581402 PROJECT CURE MONT 0 0 44,612 1,115 1407 NOVA HOUSE MONT 0 0 22,356 559 1418 A0D COUN-MORR MORR 0 0 2,638 66 217

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

1422 MUSKINGUM BH MUSK 0 0 5,255 131 1425 NOBLE BH NOBL 0 0 822 21 1361429 PERRY COUNSEL PERR 5,660 142 0 0 381431 PERRY BH PERR 0 0 731 18 1433 PICKAWAY RECOV PICK 0 0 8,086 202 741436 BEHAV CONN-GYPS WOOD 0 0 5,738 143 2,1881446 RECOVERY-PIKE PIKE 0 0 4,612 115 2061452 TOWNHALL II PORT 407 10 7,958 199 1,2231454 PATHWAYS-LOCUST PUTN 4,029 101 69 2 2,3561463 SCIOTO PAINT VL ROSS 113,268 2,832 5,927 148 12,4291465 TALBERT ALTERNA HAMI 0 0 27,137 678 1471 SHAWNEE MH SCIO 71,534 1,788 0 0 40,8921472 LORA CNTY A/D LORA 0 0 27,413 685 1,3291491 QUEST REC SVCS STAR 0 0 16,686 417 1,0901492 CRISIS CENTER STAR 14,987 375 5,683 142 7081494 QUEST MENS STAR 0 0 4,345 109 3791495 FAM SOL-SUMM SUMM 755 19 0 0 1498 AKRON HLTH DEPT SUMM 0 0 11,482 287 1501 FAM SER-SUMMIT SUMM 492 12 0 0 321505 IBH AOD REHAB SUMM 0 0 10,407 260 1507 TURNING PT-PAUL PAUL 0 0 3,058 76 2,2541508 COMM DRUG BOARD SUMM 0 0 112,490 2,812 1512 EDWIN SHAW HOSP SUMM 0 0 3,309 83 1520 TUSC-CARROLL PG TUSC 0 0 4,423 111 1031536 STEPS AT LIBERT WAYN 0 0 13,196 330 3751537 YOUR HUMAN RES WAYN 0 0 3,598 90 111547 MORGAN BH MORG 0 0 528 13 1548 HARBOR HOUSE TUSC 575 14 4,359 109 1563 NEIGHBOR HOUSE FRAN 0 0 4,929 123 11565 CSN-SAGA MEDINA MEDI 14,601 365 0 0 2991567 WOMEN-STORER CUYA 0 0 3,633 91 1636 MIAMI CNTY RECV MIAM 0 0 5,790 145 2,1051686 FAIRFIELD M C FAIR 195 5 0 0 1802 COMPDRUG FRAN 0 0 178,248 4,456

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

1838 QUEST ALLIANCE STAR 0 0 506 13 551849 AMETHYST FRAN 0 0 16,062 402 1850 CHOICES FRAN 855 21 0 0 631875 LUTHERAN MIN-25 CUYA 0 0 424 11 1879 MADISON CTY HOS MADI 0 0 119 3 1880 DIRECTIONS YTH FRAN 10,563 264 1,937 48 51881 HOUSE HOPE OPDF FRAN 0 0 3,336 83 1882 APPLESEED ASHL 14,029 351 0 0 3,2541883 TCN BEHAVIORAL GREE 57,548 1,439 26,607 665 38,0701888 COMM TREAT CNTR STAR 0 0 704 18 1898 CLEV CLINIC A/D CUYA 0 0 434 11 1942 UMADAOP-LORA LORA 0 0 1,515 38 1967 HOUSE HOPE-4TH FRAN 0 0 5,691 142 1987 CLARK SHERIFF CLAR 0 0 198 5 1997 ALT PATHS INC MEDI 13,024 326 0 0 5,1282105 BEREA-E 32ND ST CUYA 6,813 170 329 8 2126 CATH SOC-FRAN FRAN 224 6 0 0 2286 REC RES-DETROIT CUYA 23 1 984 25 2292 URBAN OZ PREVEN SUMM 0 0 2,427 61 2293 EVE-WASH WASH 0 0 208 5 2306 QUEST WOMENS STAR 0 0 6,707 168 492334 MVH INPT-BNFREE MONT 0 0 2,041 51 2379 CHILDRENS REHAB TRUM 405 10 0 0 2408 DAYBREAK MONT 10,937 273 918 23 2409 SPFLD HSNG AUTH CLAR 0 0 200 5 2426 CHALLENGE-CUYA CUYA 0 0 632 16 2435 E CLEVE NEIGHOR CUYA 0 0 802 20 2447 BELLEFAIRE-FAIR CUYA 32,686 817 1,750 44 92466 HUMADAOP-CUYA CUYA 0 0 2,232 56 2503 CHURCHILL-CHURC MAHO 5,346 134 0 0 3122505 FAR WEST CENTER CUYA 8,881 222 0 0 342515 COMPASS HOUSE LORA 0 0 20,415 510 3,7532516 SOJOURNER BUTL 0 0 40,963 1,024 40,9212523 ROSEMONT FRAN 20,388 510 0 0 18,127

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

2526 BOYS VILLAGE WAYN 21,017 525 1,984 50 4232529 LIFESPAN BUTL 1,102 28 0 0 2532 BELMONT PINES TRUM 1,861 47 0 0 742536 SYNTAXIS YTH HM FRAN 0 0 514 13 2541 RECOVERY CNTR FAIR 0 0 5,900 148 572546 DARKE CNTY RECV DARK 0 0 2,392 60 1,0082549 E SIDE IWO PRG CUYA 0 0 11,131 278 2563 CANTON KIDS STAR 0 0 98 2 2589 NETCARE FRAN 116,407 2,910 4,521 113 1672891 BURDMAN GP-MAHO MAHO 12,193 305 0 0 2905 ODYS FREEDOM CN DELA 0 0 18,047 451 2915 AFRICENTRIC PDS FRAN 0 0 5,218 130 2925 MIRACLE VILLAGE CUYA 0 0 2,521 63 112962 TASC-CUYA CUYA 0 0 12,174 304 2996 FIRST STEP HOME HAMI 0 0 36,644 916 3006 REC RES-W 28TH CUYA 25,942 649 2,121 53 3042 MH TAYLOR-MULTI CUYA 37,254 931 0 0 63057 AWAKENINGS BELM 0 0 3,901 98 3058 STANTON VILLA PERR 0 0 3,142 79 3060 BEHAV CONN-DEVL WOOD 0 0 5,456 136 3513067 CHILD FOCUS INC CLER 20,129 503 0 0 4,4043102 BRIDGEWAY CUYA 14,746 369 0 0 3126 HARBOR LUCA 63,920 1,598 2 0 10,3613153 BUCKEYE RANCH FRAN 28,556 714 1,119 28 29,5563164 HUCK HOUSE FRAN 10,414 260 0 0 5773188 COLUMBUS AREA FRAN 82,815 2,070 4,786 120 1,2733234 KIDS HELPING CLER 0 0 890 22 1583249 CLERMONT RECOV CLER 0 0 14,328 358 1,7163270 FAM SER-CLER CLER 361 9 0 0 3284 COMP COUNSELING BUTL 9,431 236 338 8 733299 CATH CHAR-DEFI DEFI 160 4 556 14 33314 FAM SER NW OHIO LUCA 4,403 110 0 0 5693319 UMADAOP-AKRON SUMM 0 0 2,697 67 3340 UNISON BHG LUCA 105,412 2,635 2,908 73 35,683

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

3345 ZEPF COMM CNTR LUCA 78,691 1,967 0 0 36,0993392 COM COUNSEL-ASH ASHT 24,740 619 0 0 4273395 TURNING POINT MARI 2,202 55 0 0 3397 CATH SER-ASHT ASHT 2,815 70 0 0 6973422 PART FOR YOUTH MONT 716 18 3,198 80 3423 PROJECT IMPACT MONT 0 0 1,231 31 3444 CSN-NORTHCOAST SUMM 19,176 479 0 0 3455 WESTERN RESERVE LAKE 1,564 39 0 0 3458 NEIGHBOR-MENTOR LAKE 15,330 383 608 15 1,8043461 LUCY IDOL LORA 2,462 62 0 0 3488 CHILD GUIDE CTR SUMM 49,279 1,232 0 0 7,4053570 CHILD/ADOL SERV STAR 64,953 1,624 0 0 10,4753593 REHAB OF N CNTR RICH 7,746 194 0 0 3783637 TALBERT SAMI HAMI 15,455 386 0 0 2,7573676 SOUTH COMMUNITY MONT 88,610 2,215 0 0 3,6283952 SAMARITAN BH MONT 18,572 464 0 0 2234158 THE CENTER-RICH RICH 73,231 1,831 3,416 85 21,9234372 HLTH REC-MEIG MEIG 0 0 2,322 58 1244618 JEWISH F/S-BEAC CUYA 10,286 257 0 0 14841 YOUTH SER-CUYA CUYA 0 0 1,681 42 4893 COMM ACTION YTH RICH 0 0 1,476 37 5005 UMADAOP-MANSFLD RICH 0 0 2,777 69 6070 NE OH HLTH-CHAG CUYA 46,387 1,160 1,189 30 6093 SIX COUNTY-MUSK MUSK 20,487 512 0 0 3596331 E CLEVE TALK 2 CUYA 0 0 1,915 48 6370 FAM RES-LIMA ALLE 18,455 461 5,003 125 6,0746541 STUDENT SERVICE BELM 0 0 3,007 75 6662 BAYSHORE ERIE 3,451 86 3,632 91 6626663 COMM ASSESSMEN CUYA 0 0 3,869 97 6689 GIVING TREE OTTA 14,693 367 158 4 2,3136691 IKRON HAMI 3,605 90 0 0 1506694 D V SHELT-STAR STAR 0 0 2,700 68 6702 CN FAM/CHL ROCK CUYA 13,901 348 0 0 1,2516703 CN FAM/CHL RIDG CUYA 13,429 336 0 0 1,743

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

6704 CN FAM/CHL LAKE CUYA 8,109 203 0 0 7236707 TBI - OSU FRAN 0 0 4,985 125 6708 NOVA BH-CANTON STAR 86,953 2,174 1,277 32 53,8336723 SOUTHEAST INC FRAN 104,604 2,615 7,295 182 2,7926745 FIRELANDS-HURO HURO 11,058 276 4,017 100 1,5776748 FRESH ATTITUDE LUCA 0 0 2,062 52 6751 CN FAM/CHL BRID CUYA 3,226 81 0 0 2316755 HLTH REC-ATHEN ATHE 3,847 96 50,677 1,267 7,0836756 CONSOLDTED-LOGA LOGA 26,425 661 7,084 177 2,9046761 TALBOT HS-CLARK CLAR 0 0 732 18 6779 ORIANA HOUSE SUMM 0 0 14,853 371 6782 COVENANT-CUYA CUYA 0 0 898 22 6783 TRAN LIVING BUTL 87,917 2,198 0 0 6792 BEHAVIORAL HLTH JEFF 0 0 3 0 6796 CRI HAMI 151,995 3,800 0 0 6799 CNTR POINT III CUYA 0 0 107 3 6805 REC RES-COLLEGE CUYA 106 3 11,700 293 56816 ADELANTE LUCA 0 0 1,030 26 6817 METROHEALTH CUYA 493 12 0 0 6828 CENTER FORENSIC BUTL 12,948 324 0 0 66830 FIRELANDS-SENE SENE 51,761 1,294 6,096 152 3,0906838 UMADAOP-AKRN TX SUMM 0 0 3,827 96 6846 COUNSELING-SCIO SCIO 9,950 249 21,568 539 6848 MATT TALBOT CUYA 0 0 2,484 62 6853 CATH CHAR-LAKE LAKE 486 12 0 0 406854 CATH CHAR-GEAU GEAU 621 16 99 2 6857 NORTHCOAST LAKE 1,907 48 330 8 936868 TALBERT WOMEN HAMI 0 0 2,174 54 6871 BEREA-202 E BAG CUYA 17,728 443 0 0 6872 BEREA-3235 PROS CUYA 2,460 62 503 13 6878 FREEDOMHAL-CRAW CRAW 0 0 1,599 40 6883 PAINT CREEK ROSS 0 0 3,753 94 6888 HORIZON HOUSE PORT 0 0 2,443 61 6894 SAM CRISISCARE MONT 31,837 796 14,600 365 445

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

6901 NORCEN BH HAMI 17,213 430 448 11 6910 MH/A&D MADISON MADI 15,012 375 715 18 4,6906912 LAURELWOOD-WILL LAKE 1,733 43 98 2 6914 LAURELWOOD-MEN LAKE 1,262 32 168 4 6915 LAURELWOOD-CHA CUYA 774 19 25 1 6924 UNIVERSITY MED MONT 0 0 8,055 201 6938 SHELBY COUNSEL SHEL 8,276 207 2,059 51 496945 NOVA BH-MASSILL STAR 0 0 23 1 236947 NOVA BH-ALLIANC STAR 0 0 1,492 37 1,4926949 YORK AVE TREAT TRUM 0 0 1,568 39 6955 FRESH - SHAKER CUYA 0 0 263 7 6958 MHS CLARK CLAR 139,145 3,479 1,526 38 52,6016967 CORNELL ABRAXAS RICH 0 0 36,257 906 3,6696971 TALBERT COMPASS HAMI 0 0 1,290 32 6972 REC RES-RIDGE LORA 0 0 3,009 75 4156973 REC RES-CHESTER CUYA 0 0 3,681 92 36977 REC RES-BROAD LORA 19 0 0 0 6989 E SIDE CATH SHE CUYA 0 0 3,586 90 7015 REC RES-EUC400 CUYA 0 0 187 5 7026 BUTL BH SERV BUTL 12,351 309 0 0 1977033 MH TAYLOR CUYA 6,544 164 0 0 1,1607051 MH TAYLOR-ADULT CUYA 19,483 487 0 0 7063 JEFF BH SYS JEFF 40,930 1,023 8,418 210 49,0537065 CATH SOC-SIDNEY SHEL 449 11 4 0 367073 FOUNDATIONS B/H MERC 11,622 291 0 0 5,5087094 ENRICHMENT-MARI MARI 1,075 27 361 9 7095 FAM RES-FINDLAY HANC 15,970 399 9 0 5,4617099 CATH CHAR-STATE CUYA 13,914 348 2,143 54 7111 FIVE CO-FULTON FULT 0 0 5,366 134 2,9997114 BEREA-3121 EUCL CUYA 0 0 12 0 7116 PSYCH & PSYCH LORA 0 0 474 12 7137 NEW BEGINNINGS RICH 0 0 5,538 138 5577140 WORTHINGTON CNT WASH 5,827 146 2,052 51 4537152 DAY-MONT SOJOUR MONT 0 0 2,822 71 2,822

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

7158 FRESH START VI CUYA 0 0 3,483 87 7167 ST VINC ROCKSID CUYA 0 0 176 4 7175 MATT TLBT WOMEN CUYA 0 0 3,260 82 7190 FIRST STEP-FULT HAMI 128 3 0 0 8009 TALBERT-ADAPT HAMI 0 0 17,877 447 8018 ST VINCENT CUYA 0 0 3,331 83 8033 N CANTON PLYHSE STAR 0 0 16 0 8199 CLARK JUVENILE CLAR 0 0 225 6 8215 COLEMAN - PORTG PORT 69,180 1,730 0 0 3,8378258 CHILDREN HSP GD FRAN 40,056 1,001 193 5 6628305 GLAD HOUSE HAMI 300 8 0 0 8310 COUNSELING-TUSC TUSC 6,129 153 748 19 1,2358434 CONSOLDTED-UNIO UNIO 8,953 224 3,023 76 1,1008465 CLAR PREV ACADY CLAR 0 0 130 3 8468 PHILIO INC LUCA 0 0 182 5 8471 FORUM HEALTH MAHO 423 11 0 0 8475 HOPE HOUSE STAR 0 0 583 15 8493 MATURE - STARK STAR 0 0 662 17 8496 NORTHCOAST-ASHT ASHT 9,293 232 1,369 34 2,0239019 CATH CHAR-25TH CUYA 158 4 4,162 104 9038 CENTRAL CM/VERN HAMI 0 0 31,969 799 9425 FAM GUID-LAWR LAWR 5,572 139 2,869 72 344

10001 COVA FRAN 16,181 405 0 0 6,38410009 CATH CHAR-LUCAS LUCA 2,310 58 0 0 2510016 PLACES MONT 20,599 515 0 0 10018 ST. JOE-DAYTON MONT 24,262 607 0 0 20710019 CSN-NEW DIMEN MONT 35,267 882 0 0 10020 FAM SER-DAYTON MONT 1,384 35 0 0 10021 COMM SERV-STARK STAR 2,758 69 0 0 3510022 CSN-COM TX TEAM STAR 25,674 642 0 0 10023 TRILLIUM SOLU STAR 3,855 96 141 4 10024 NE OH BH-STARK STAR 3,593 90 0 0 210026 CHILD HOS MED SUMM 1,160 29 0 0 6010027 PORTAGE PATH SUMM 51,832 1,296 0 0

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10028 BLICK CLINIC SUMM 11,527 288 0 0 93710030 COMM BEHAV HLTH CUYA 24,081 602 0 0 610032 PASTOR COUN SER SUMM 6,253 156 0 0 10033 COMM SUPPORT SUMM 150,621 3,766 0 0 6,78510034 NE OH BEHAVIORA SUMM 1,671 42 0 0 10036 PORTAGE CHLD CN PORT 16,768 419 0 0 5,18910037 F & C SERV-PORT PORT 3,454 86 0 0 70410038 COUNSELING CNTR WAYN 44,728 1,118 0 0 10039 EVERY WOMAN WAYN 758 19 0 0 8510040 OUTREACH COMM WAYN 9,553 239 0 0 10041 CATH CHAR-WAYNE WAYN 541 14 0 0 10042 CHRISTIAN CHILD WAYN 5,802 145 0 0 18810043 PEP POS ED PROG CUYA 2,044 51 0 0 10044 PEP SAGAMORE RD CUYA 8,446 211 0 0 10045 PEP HOPEWELL DT CUYA 7,394 185 0 0 10046 PEP W SHORE DT CUYA 7,225 181 0 0 10047 PEP W BRIDGE DT CUYA 9,214 230 0 0 10049 PEP GREENVIEW CUYA 9,345 234 0 0 10050 PEP EARLY INT E CUYA 3,227 81 0 0 10053 PEP GRP HOME E CUYA 3,065 77 0 0 10054 PEP GRP HOME W CUYA 1,269 32 0 0 10056 COUNSEL SOURCE HAMI 15,730 393 0 0 6,10310057 CHILD DIAG CNTR BUTL 1,280 32 0 0 10058 CATH SOC-BUTL BUTL 3,111 78 0 0 4410059 JEWISH VOCATION WARR 493 12 0 0 10060 NEW HOUSING WARR 15,470 387 8 0 10061 COMMUNITY MH-WC WARR 33,555 839 9,811 245 2,68510062 CLERMONT COUNS CLER 41,703 1,043 0 0 2,45110063 CATH CHAR-MEDIN MEDI 2,484 62 0 0 10010064 NORTHLAND MEDI 6,308 158 0 0 1,07710065 BEN-EL CHAM CHAM 12,561 314 0 0 1,35610071 COMMUNITY MH-DO TUSC 22,284 557 2,385 60 4,60610072 CORNERSTNE-TUSC TUSC 33,387 835 0 0 10077 CATH CHAR-ASHL ASHL 514 13 324 8 41

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10078 NE OH ADOPTION TRUM 66 2 0 0 10085 PATHWAYS LAKE 29,464 737 0 0 10,11410086 SENIOR RIGHTS TRUM 4,060 102 0 0 10088 RIVER BEND TRUM 14,706 368 0 0 3510094 CSN-SAGA WARREN TRUM 10,093 252 0 0 10095 CSN-CHILD PROG TRUM 6,334 158 0 0 10097 MENTAL HLTH SVC CUYA 52,393 1,310 0 0 52,31310098 MHS HOMELESS I CUYA 1,230 31 0 0 1,22910099 MHS HOMELESS II CUYA 1,616 40 0 0 1,61510101 DIAG AND EVAL MAHO 23,460 587 0 0 1,83110102 EASTERN MH MAHO 17,751 444 0 0 9,59510103 TURNING PNT CSL MAHO 27,263 682 1,043 26 9,03610104 CATH COMM-MAHO MAHO 244 6 0 0 510105 CATH COMM-TRUM TRUM 132 3 0 0 610110 WOMENSAFE GEAU 277 7 0 0 10112 EL CENTRO LORA 252 6 0 0 10115 LINCOLN COUNSEL LORA 7,149 179 0 0 35510116 CATH SOC-LORA LORA 33 1 0 0 10117 APPLEWOOD-22ND CUYA 7,912 198 0 0 16010118 SAFE HARBOR LORA 598 15 0 0 10119 FAM SER-LORA LORA 1,888 47 0 0 1610120 VALLEY COUNSEL TRUM 67,363 1,684 0 0 15,84410123 BEECH ACRES HAMI 19,402 485 0 0 14,94110124 CANCER FAMILY HAMI 86 2 0 0 10125 CENTRAL CLINIC HAMI 27,802 695 0 0 40010126 COURT CLINIC HAMI 5,577 139 0 0 10127 CENTRAL COMM HAMI 79,775 1,994 0 0 10128 LIGHTHOUSE-HAMI HAMI 2,500 63 0 0 10130 CATH SOC-SUMM SUMM 395 10 0 0 10131 NEIGHBOR-CHARDN GEAU 531 13 0 0 10136 FREE STORE HAMI 2,398 60 0 0 10137 QC/M INC HAMI 103,228 2,581 0 0 4,72610138 CHILDRENS HOME HAMI 25,578 639 0 0 1,38810139 MH ACCESS POINT HAMI 4,856 121 0 0 211

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10142 ABUSE CENTER HENR 3,167 79 0 0 8110147 QUADCO WILL 2,332 58 0 0 10148 FIRST CALL-HENR HENR 7,368 184 0 0 1,98510149 FOUR COUNTY FULT 9,561 239 0 0 2,44510150 CNTR CH/FA-HAMI HAMI 40,837 1,021 0 0 2,59910151 ST JOSEPH-HAMI HAMI 173 4 0 0 10152 ST ALOY - HAMI HAMI 12,561 314 0 0 16410153 TALBERT UJIMA HAMI 2,185 55 0 0 10810154 PSYC EMERGENCY HAMI 10,636 266 0 0 10155 CORE BEH HEALTH HAMI 76,305 1,908 0 0 23,93210156 TENDER MERCIES HAMI 4,441 111 0 0 10157 PRESLY RDG-HAMI HAMI 5,023 126 0 0 10159 SALVATION-HAMI HAMI 2,698 67 0 0 10163 THOMPKINS-NWCON MUSK 19,480 487 0 0 2,15710167 D V EDNA BROOKS ATHE 2,595 65 0 0 2,59510168 VOLUNTEERS-ERIE ERIE 313 8 87 2 35910169 OAKHOUSE OTTA 1,609 40 0 0 10172 FAM SER-JEFF JEFF 875 22 0 0 4810175 ST JOSEPH-BUTL BUTL 8,150 204 0 0 14810177 YWCA RES PROG BUTL 5,071 127 0 0 10178 YOUTH ADVC-FRAN FRAN 6,365 159 1,294 32 10180 WOMEN'S TRI CO BELM 8,510 213 0 0 8810181 COMM MH-BELM BELM 43,292 1,082 0 0 1,46310182 MOUNDBUILDERS LICK 96,430 2,411 0 0 33,45410189 SIX COUNTY-NOBL NOBL 2,212 55 0 0 6710190 SIX COUNTY-MORG MORG 3,499 87 0 0 7210191 SIX COUNTY-GUER GUER 9,528 238 0 0 1810192 SIX COUNTY-COSH COSH 4,666 117 0 0 2510193 THE WOODLANDS LICK 1,191 30 0 0 210194 MID-OHIO PSYC FAIR 11,056 276 121 3 77010195 NEW HORIZONS FAIR 31,033 776 0 0 2,08910196 LIGHTHOUSE-FAIR FAIR 2,350 59 0 0 10199 CENTRAL OH MH DELA 47,842 1,196 0 0 4,49110200 CONSUMERS HELP SCIO 9 0 0 0

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10205 BEECH BROK-LAND CUYA 18,163 454 0 0 3,32710206 BEECH BROK-SHAK CUYA 21,382 535 0 0 2,65910210 LUTHERN HOMES LUCA 2,014 50 0 0 10213 MED COLEG-GLEND LUCA 8,278 207 0 0 47310216 CN FAM/CHL CENT CUYA 4,368 109 0 0 17610217 CATH CHAR-DETRO CUYA 749 19 0 0 10223 ELDERLY UNITED CLAR 2,259 56 0 0 10228 MH TAYLOR-BUCKE CUYA 3,853 96 0 0 39410229 MH TAYLOR-MARYM CUYA 4,233 106 0 0 10230 CHILDREN'S AID CUYA 14,016 350 0 0 2410231 PROJECT WOMAN CLAR 2,661 67 0 0 10232 SPECT-5506 DETR CUYA 3,709 93 0 0 10233 SPECT -W 99TH CUYA 4,949 124 0 0 10236 SPECT-14219 TRI CUYA 2,701 68 0 0 10237 SPECT-WOODWORK CUYA 5,017 125 0 0 10241 SPECT -MILES CUYA 3,237 81 0 0 10242 SPECT-FRANKLIN CUYA 3,453 86 0 0 10243 SPECT -WESTGATE CUYA 3,084 77 0 0 10244 BRIDGEWAY-81ST CUYA 4,579 114 0 0 10245 BRIDGEWAY-BRIDG CUYA 275 7 0 0 10246 BRIDGEWAY-8315D CUYA 6,653 166 0 0 10247 BRIDGEWAY-LAKEW CUYA 6,168 154 0 0 10248 BRIDGEWAY-CLARK CUYA 5,606 140 0 0 10250 BRIDGEWAY-11422 CUYA 2,316 58 0 0 10252 BELLEFAIRE-MARK STAR 204 5 0 0 10254 BELLEFAIRE-WOOD CUYA 632 16 0 0 10255 BENJAMIN-CHAGRI CUYA 304 8 0 0 10257 BENJAMIN-2373 CUYA 4,621 116 0 0 10258 CHRISTIAN-LORA CUYA 6,740 169 0 0 10260 CHRISTIAN-DENI CUYA 1,352 34 0 0 10262 BEREA-3416 PROS CUYA 4,212 105 0 0 10263 BEREA-MADISON CUYA 2 0 0 0 10264 BEREA-15040 EUC CUYA 370 9 3 0 10265 BEREA-285 E BAG CUYA 1,471 37 0 0

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10266 BEREA-303 E BAG CUYA 2,343 59 0 0 710272 EPILEPSY - CUYA CUYA 2,074 52 0 0 10277 WESTWOOD BHVRL VANW 14,187 355 1,968 49 3,61710279 MARSH FOUNDATIO VANW 4,119 103 0 0 89410292 BUCKEYE FAMILY MARI 295 7 0 0 10295 CHILD SERV-WOOD WOOD 22,158 554 0 0 4,16110304 PAULDING M/H PAUL 7,882 197 0 0 2,61810313 EMERALD DEVELOP CUYA 2,956 74 0 0 10314 BRIDGEWAY-MAGNO CUYA 37,786 945 0 0 10315 BRIDGEWAY-130TH CUYA 3,694 92 0 0 10316 BRIDGEWAY-WEST CUYA 4,688 117 0 0 10318 BRIDGEWAY-POINT CUYA 5,018 125 0 0 210321 APPLEWOOD-SOM CUYA 1,160 29 0 0 6210322 APPLEWOOD-CEN CUYA 1,802 45 0 0 14910323 APPLEWOOD-JONES CUYA 9,801 245 0 0 17710327 PSYCARE-MARKET TRUM 7,132 178 0 0 1010330 EXCEL DEVELOP HAMI 4,181 105 0 0 10331 SAFY-HAMI HAMI 293 7 0 0 10343 CSN-SUMM BH HAMI 10,934 273 0 0 10344 CSN-ANCHORING HAMI 5,618 140 0 0 10346 VISIT NURSE-CUY CUYA 7,168 179 40 1 10348 BEHAV CONN-PROS WOOD 30,356 759 0 0 14,63910350 FAM SER-WOOD WOOD 1,555 39 0 0 49810352 ST JOSEPH-ALTER HAMI 14,307 358 0 0 8810353 ST JOSEPH-ACT HAMI 21,058 526 0 0 2910354 CSN-SMHS JEFF JEFF 6,043 151 0 0 10355 CSN-WASH MH SER WASH 20,598 515 0 0 10356 CSN-SUPVISD LIV GUER 3,036 76 0 0 10357 CSN-SMHS GUER GUER 23,810 595 0 0 10360 ACHIEV CTR-CLEV CUYA 641 16 0 0 18810361 ACHIEV CTR-LAKE CUYA 254 6 0 0 5310362 PRESLY RDG-LORA LORA 2,236 56 0 0 33010363 APPLEWOOD-LORA LORA 21,115 528 0 0 1,32110364 SAMARITAN-EATON PREB 3,621 91 0 0 574

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10365 WASH CO RECOVER WASH 0 0 3,147 79 10369 QC/M-CAREER SVC HAMI 1,741 44 0 0 16010381 CSN-SAGAMR-MAHO MAHO 9,429 236 0 0 10384 INTEGRATED SERV ATHE 8,728 218 0 0 10385 OAK RIDGE LAWR 36,509 913 0 0 3110386 CSN-SAGAMR-WALL SUMM 1,056 26 0 0 10390 JEWISH F/S-UHSE CUYA 1,067 27 0 0 10392 TRI-STATE BEHAV BELM 10,305 258 0 0 47510394 FAM SER NW-OTTA OTTA 115 3 0 0 4610395 BRIDGEWAY-CANTE CUYA 1,580 40 0 0 10400 CAMELOT CARE HAMI 2,196 55 0 0 23410405 SPECT-BRUSH CUYA 4,364 109 0 0 10406 SPECT-SILSBY CUYA 371 9 0 0 10407 SPECT-EUCLID CUYA 3,498 87 0 0 10408 CSN-SUMM TRMNT SUMM 15,911 398 0 0 10409 CSN-LAKE RESDNT LAKE 4,445 111 0 0 10410 NE OH ST JAMES CUYA 3,092 77 0 0 10411 SPECT-CLINTON CUYA 2,321 58 0 0 10412 SPECT-13220 EUC CUYA 2,730 68 0 0 10415 BELLEFAIRE-LORA LORA 2,851 71 0 0 110422 BRIDGEWAY-STCLA CUYA 737 18 0 0 10427 SPECT-21860 RIV CUYA 1,191 30 0 0 10428 SPECT-2519 DETR CUYA 3,447 86 0 0 10434 CHRISTIAN-DETRO CUYA 95 2 0 0 10436 BEREA-GARFIELD CUYA 549 14 0 0 10437 BEREA-DETROIT CUYA 912 23 0 0 10440 FAMILY LIFE RICH 9,444 236 1,700 43 72010441 LUTHERN SS-ALLE ALLE 24,066 602 4,382 110 1,49110442 YOUTH ADVC-HAMI HAMI 2,137 53 0 0 10445 NORTH POINT BELM 13,502 338 0 0 40110460 FAR WEST-AMHERS LORA 2,123 53 0 0 3110478 BEREA-COLLINWOO CUYA 0 0 43 1 10482 BEACON-CLEVE CUYA 651 16 0 0 10494 JEWISH FAM SRVS FRAN 520 13 0 0 94

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10496 BELLFLOWER CNTR CUYA 881 22 0 0 10501 FAM SRV SPRINGF CLAR 1,313 33 32 1 11510502 CSN-NCOAST-SPNT CUYA 15,164 379 0 0 10503 COMM SOLUTIONS TRUM 262 7 7,010 175 2010510 TALBERT-BRIDGE HAMI 2,556 64 0 0 6610522 BAIR FOUNDATION PORT 4,486 112 0 0 6910544 JEWISH-FAIRLAWN SUMM 13 0 0 0 10572 LIGHTHOUSE-ASHT ASHT 128 3 340 9 10576 MHS EAST-MADISN HAMI 640 16 0 0 4710578 SAFY-ALLEN ALLE 4,175 104 0 0 10583 PEP 3134 EUCLID CUYA 20,166 504 0 0 10584 WSIDE ECUMENICL CUYA 1,286 32 0 0 10607 BRIDGEWAY-LORAI CUYA 6,423 161 0 0 10608 CN FA/CH-8101EU CUYA 16,170 404 0 0 85910624 CHRISTIAN-6800D CUYA 104 3 0 0 10626 LIGHTHOUSE DAY HAMI 0 0 357 9 10627 NE OH HLTH-MCCR CUYA 10,285 257 0 0 10628 HOPEWELL CRISIS CLIN 14,754 369 84 2 1,98910633 BELLEFAIRE-BUCK CUYA 728 18 0 0 10635 PATHWAYS-ELYRIA LORA 687 17 0 0 3710637 BEREA-ST CLAIR CUYA 0 0 83 2 10644 CENTRAL CM/520 HAMI 95 2 0 0 10648 PSYCHOBIOLOGY CUYA 174 4 0 0 10650 OESTERLEN CLAR 11,270 282 0 0 25810651 ST ANTHONYVILLA LUCA 0 0 13,504 338 2,89810652 MARIE DYER-EATO PREB 0 0 4,067 102 6610658 PEP TREMONT AV CUYA 17,208 430 0 0 10660 JEWISH F/S-GREE CUYA 79 2 0 0 10666 CONSUMER PROTE CUYA 2,991 75 0 0 10674 BELLEFAIRE-MAGN CUYA 1,442 36 0 0 610675 ST ALOY - BUTL BUTL 6,451 161 0 0 28810681 MH SUPORT & SER MONT 1,283 32 0 0 10684 WORTHINGTON-ATH ATHE 1,733 43 0 0 17810685 CAMBRIDGE CNSLG GUER 2,269 57 0 0 58

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Provider Short PROVF FY'03 MH Weekly FY'03 AOD Weekly Other CarrierNumber (UPI) Name County Claims MH count Claims AoD count Claims

10686 ASTOP INC ALLE 0 0 202 5 10697 COLEMAN - STARK STAR 89 2 0 0 10706 QUEST-LINCOLNWY STAR 0 0 3,995 100 38910985 COMPREH BH-MAHO MAHO 885 22 0 0 10987 BELLEFAIRE-9205 CUYA 18 0 0 0 10990 INTG SV-ROWETON ROSS 5,724 143 0 0 410992 ST FRAN ACADEMY HAMI 1,391 35 0 0 10993 HORIZON SERVICE BUTL 257 6 14,631 366 10999 CNTR RSTR EMPOW CLAR 0 0 173 4 11001 INTGRTED YOUTH GREE 15,541 389 78 2 11005 NE OH HURON HOS CUYA 4,026 101 0 0 11013 FLORES HOUSE CUYA 1,379 34 0 0 11014 NOVA BH-LAVERY STAR 0 0 147 4 14711016 BEECH BROK-MERC CUYA 5,596 140 0 0 1,54011022 HOMES FOR KIDS TRUM 1,971 49 0 0 411023 TRAVCO MAHO 0 0 502 13 11024 MH TAYLOR-NOBLE CUYA 3,774 94 0 0 11028 UNITED METH CHI FRAN 1,979 49 0 0 11032 RANJAN MEDI 1,106 28 0 0 211131 PORTAGE PATHPES SUMM 5,732 143 0 0

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