SHOPKO STORES OPERATING CO LLC
NPI: 1124214556
· ROUNDUP, MT 59072
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/19/2007
$274.56
Total Medicaid Paid
Provider Details
| Authorized Official | NEUMANN, LORIE (DIR 3D PARTY CONTRACT & CA, HEALTH) |
| NPI Enumeration Date | 09/19/2007 |
Related Entities
Other providers sharing the same authorized official: NEUMANN, LORIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
28 |
$274.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
28 |
26 |
$274.56 |