SHOPKO STORES OPERATING CO. LLC
NPI: 1174575500
· SAINT CLOUD, MN 56301
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,941 |
$20K |
| 2019 |
1,635 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,734 |
1,582 |
$21K |
| V2100 |
Lens spher single plano 4.00 |
1,331 |
1,209 |
$13K |
| 92340 |
|
892 |
808 |
$7K |
| 92014 |
|
375 |
353 |
$4K |
| 92015 |
|
806 |
772 |
$3K |
| V2200 |
Lens spher bifoc plano 4.00d |
290 |
271 |
$3K |
| 92370 |
|
615 |
553 |
$2K |
| 92004 |
|
221 |
209 |
$2K |
| V2784 |
Lens polycarb or equal |
224 |
194 |
$623.78 |
| 92341 |
|
88 |
87 |
$321.64 |