SHOPKO STORES OPERATING CO. LLC
NPI: 1063464063
· BILLINGS, MT 59102
· 156FX1800X
$194K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,741 |
$147K |
| 2019 |
1,264 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
769 |
746 |
$68K |
| 92340 |
|
2,529 |
2,452 |
$62K |
| 92014 |
|
374 |
361 |
$33K |
| 92250 |
|
1,164 |
1,138 |
$28K |
| 92341 |
|
155 |
154 |
$4K |
| V2799 |
Misc vision item or service |
14 |
14 |
$96.00 |