SHOPKO STORES OPERATING CO. LLC
NPI: 1033162805
· SIOUX FALLS, SD 57110
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,201 |
$55K |
| 2019 |
233 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
487 |
439 |
$22K |
| 92014 |
|
197 |
194 |
$15K |
| V2199 |
Lens single vision not oth c |
318 |
294 |
$12K |
| 92004 |
|
145 |
138 |
$11K |
| 92250 |
|
287 |
280 |
$7K |