Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC was paid $57K by Medicaid between Jan 2018 and May 2019, across 10 billing codes. Its largest line is V2020, Frames, purchases — 37% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO. LLC
SAINT CLOUD, MN 56301

33aNPI1174575500assigned 05/16/2006

33bProvider typeEyewear Supplier

28Total paid$57K

24GClaims6,576

24DCodes billed10

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Eyewear Supplier providers in Minnesota

Rank by total paid#42 of 90

Median peer was paid$43K

This provider vs. median1.3×

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

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

Year	Claims	Paid
2018	4,941	$20K
2019	1,635	$38K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	37%	1,734	1,582	$21K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	23%	1,331	1,209	$13K
92340	Fitting of spectacles, except for aphakia; monofocal	12%	892	808	$7K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.3%	375	353	$4K
92015	Determination of refractive state	6.1%	806	772	$3K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	5.8%	290	271	$3K
92370		3.7%	615	553	$2K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.8%	221	209	$2K
V2784	Lens, polycarbonate or equal, any index, per lens	1.1%	224	194	$623.78
92341		<1%	88	87	$321.64

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

Full network →

Provider	Location	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	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
Shopko Stores Operating Co. LLC	Marshall, MN	$11K

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