Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SHOPKO STORES OPERATING CO. LLC

NPI: 1083667786 · RICE LAKE, WI 54868 · Eyewear Supplier · NPI assigned 05/17/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BETTIGA, MICHAEL controls 20+ related entities in our dataset. Read more

$74K
Total Medicaid Paid
2,669
Total Claims
2,439
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: BETTIGA, MICHAEL

ProviderCityStateTotal 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 NORFOLK NE $26K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,945 $52K
2019 724 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 575 488 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 460 411 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 830 800 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 144 140 $7K
92250 348 300 $6K
V2020 Frames, purchases 119 114 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 70 68 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 76 71 $2K
92341 33 33 $864.22
92310 14 14 $0.00