Shoptikal LLC
Shoptikal LLC was paid $323K by Medicaid between Jun 2019 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.
33Billing provider infoSHOPTIKAL LLC
MARSHFIELD, WI 54449
MARSHFIELD, WI 54449
33aNPI1225694748assigned 05/10/2019
33bProvider typeOptometrist
28Total paid$323K
24GClaims11,590
24DCodes billed9
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#17 of 412
Median peer was paid$7K
This provider vs. median49×
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.
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 | |
|---|---|---|---|
| 2019 | 1,074 | $20K | |
| 2020 | 997 | $30K | |
| 2021 | 2,085 | $56K | |
| 2022 | 2,520 | $72K | |
| 2023 | 2,736 | $81K | |
| 2024incomplete | 2,178 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 54% | 4,628 | 4,195 | $175K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 4,285 | 3,937 | $79K |
| 92250 | 10% | 1,522 | 1,369 | $33K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.4% | 710 | 658 | $27K |
| V2020 | Frames, purchases | 1.9% | 224 | 195 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 56 | 51 | $1K |
| 92015 | Determination of refractive state | <1% | 115 | 103 | $940.62 |
| 92341 | <1% | 32 | 27 | $736.39 | |
| 92310 | 0% | 18 | 15 | $0.00 |
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 officialSTEINHORST, RUSS (EVP & CFO)
| Provider | Location | Paid |
|---|---|---|
| Shoptikal LLC | Billings, MT | $790K |
| Shoptikal LLC | Marinette, WI | $172K |
| Shoptikal LLC | Green Bay, WI | $95K |
| Shoptikal LLC | Wausau, WI | $94K |
| Shoptikal LLC | Sheboygan Falls, WI | $51K |
| Shoptikal LLC | Monroe, WI | $32K |
| Shoptikal LLC | Janesville, WI | $29K |
| Shoptikal LLC | Appleton, WI | $17K |
| Shoptikal LLC | Spokane, WA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.