SHOPKO STORES OPERATING CO. LLC
NPI: 1073565503
· NORFOLK, NE 68701
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
577 |
$21K |
| 2019 |
131 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
179 |
179 |
$8K |
| 92340 |
|
177 |
176 |
$8K |
| V2020 |
Vision svcs frames purchases |
169 |
168 |
$5K |
| 92004 |
|
47 |
47 |
$3K |
| 92015 |
|
86 |
85 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$516.76 |
| 92012 |
|
12 |
12 |
$419.04 |
| V2101 |
Single visn sphere 4.12-7.00 |
12 |
12 |
$203.70 |
| V2784 |
Lens polycarb or equal |
13 |
13 |
$77.32 |