Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO. LLC

NPI: 1174575500 · SAINT CLOUD, MN 56301 · 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

$57K
Total Medicaid Paid
6,576
Total Claims
6,038
Beneficiaries
10
Codes Billed
2018-01
First Month
2019-05
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 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

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

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