SHOPKO STORES OPERATING CO. LLC
NPI: 1164474698
· GRAND ISLAND, NE 68803
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
815 |
$29K |
| 2019 |
529 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
235 |
235 |
$16K |
| V2020 |
Vision svcs frames purchases |
327 |
327 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
215 |
215 |
$6K |
| 92015 |
|
293 |
293 |
$4K |
| 92012 |
|
96 |
96 |
$3K |
| 92002 |
|
86 |
86 |
$3K |
| V2784 |
Lens polycarb or equal |
92 |
92 |
$802.24 |