Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC was paid $74K by Medicaid between Jan 2018 and May 2019, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO. LLC
RICE LAKE, WI 54868
33aNPI1083667786assigned 05/17/2006
33bProvider typeEyewear Supplier
28Total paid$74K
24GClaims2,669
24DCodes billed10
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Eyewear Supplier providers in Wisconsin

Rank by total paid#8 of 61
Median peer was paid$18K
This provider vs. median4.2×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,945$52K
2019724$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 575 488 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 460 411 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 22% 830 800 $17K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8.9% 144 140 $7K
92250 7.6% 348 300 $6K
V2020 Frames, purchases 5.2% 119 114 $4K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4.4% 70 68 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.2% 76 71 $2K
92341 1.2% 33 33 $864.22
92310 0% 14 14 $0.00

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)
Same official

Other billing entities under BETTIGA, MICHAEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.