Supplier
Shopko Stores Operating Co. LLC
Shopko Stores Operating Co. LLC was paid $26K by Medicaid between Jan 2018 and Dec 2019, across 9 billing codes. Its largest line is 92002, — 30% of everything it billed.
33Billing provider infoSHOPKO STORES OPERATING CO. LLC
NORFOLK, NE 68701
NORFOLK, NE 68701
33aNPI1073565503assigned 05/16/2006
33bProvider typeEyewear Supplier
28Total paid$26K
24GClaims708
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Eyewear Supplier providers in Nebraska
Rank by total paid#20 of 26
Median peer was paid$85K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BETTIGA, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 577 | $21K | |
| 2019 | 131 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 30% | 179 | 179 | $8K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 30% | 177 | 176 | $8K |
| V2020 | Frames, purchases | 18% | 169 | 168 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 47 | 47 | $3K |
| 92015 | Determination of refractive state | 5.0% | 86 | 85 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 13 | 13 | $516.76 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 12 | 12 | $419.04 |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 12 | 12 | $203.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 13 | 13 | $77.32 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
| Provider | Location | Paid |
|---|---|---|
| Shopko Stores Operating Co. LLC | Bellevue, NE | $466K |
| Shopko Stores Operating Co. LLC | North Platte, NE | $305K |
| Shopko Stores Operating Co. LLC | Lincoln, NE | $254K |
| Shopko Stores Operating Co. LLC | Omaha, NE | $225K |
| Shopko Stores Operating Co. LLC | Lincoln, NE | $167K |
| Shopko Stores Operating Co. LLC | Twin Falls, ID | $97K |
| Shopko Stores Operating Co. LLC | Lincoln, NE | $91K |
| Shopko Stores Operating Co. LLC | Saint Cloud, MN | $57K |
| Shopko Stores Operating Co. LLC | Lincoln, NE | $56K |
| Shopko Stores Operating Co. LLC | Racine, WI | $51K |
| Shopko Stores Operating Co. LLC | Grand Island, NE | $47K |
| Shopko Stores Operating Co LLC | Salem, OR | $46K |
| Shopko Stores Operating Co. LLC | Marshfield, WI | $43K |
| Shopko Stores Operating Co. LLC | Eau Claire, WI | $33K |
| Shopko Stores Operating Co. LLC | Beaver Dam, WI | $29K |
| Shopko Stores Operating Co. LLC | Green Bay, WI | $23K |
| Shopko Stores Operating Co. LLC | Boise, ID | $18K |
| Shopko Stores Operating Co. LLC | Monona, WI | $18K |
| Shopko Stores Operating Co. LLC | Worthington, MN | $13K |
| Shopko Stores Operating Co. LLC | Marshall, MN | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.