SHOPKO STORES OPERATING CO. LLC
NPI: 1265484265
· WISCONSIN RAPIDS, WI 54494
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
794 |
$20K |
| 2019 |
130 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
286 |
246 |
$9K |
| 92340 |
|
377 |
361 |
$8K |
| 92004 |
|
107 |
86 |
$3K |
| 92250 |
|
154 |
119 |
$3K |