Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO. LLC

NPI: 1164474698 · GRAND ISLAND, NE 68803 · Eyewear Supplier · NPI assigned 05/16/2006

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

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

$47K
Total Medicaid Paid
1,344
Total Claims
1,344
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
NPI Enumeration Date05/16/2006

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 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
SHOPKO STORES OPERATING CO. LLC MARSHALL MN $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 815 $29K
2019 529 $18K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 235 235 $16K
V2020 Frames, purchases 327 327 $14K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 215 215 $6K
92015 Determination of refractive state 293 293 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 96 96 $3K
92002 86 86 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 92 92 $802.24