Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO. LLC

NPI: 1255384822 · BELOIT, WI 53511 · Eyewear Supplier · NPI assigned 05/17/2006

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

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

$42K
Total Medicaid Paid
23,378
Total Claims
19,384
Beneficiaries
12
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
NPI Enumeration Date05/17/2006

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,628 $33K
2019 5,750 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,036 2,553 $17K
92340 Fitting of spectacles, except for aphakia; monofocal 458 446 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 760 642 $7K
92341 173 169 $5K
V2020 Frames, purchases 6,071 4,843 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,878 3,213 $990.86
92250 38 37 $868.75
V2784 Lens, polycarbonate or equal, any index, per lens 992 815 $254.60
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 132 88 $187.52
92015 Determination of refractive state 4,789 4,110 $19.94
V2025 Deluxe frame 3,025 2,454 $0.00
V2520 Contact lens, hydrophilic, spherical, per lens 26 14 $0.00