Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC was paid $4K by Medicaid between Jan 2018 and Aug 2018, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 53% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO. LLC
KENNEWICK, WA 99336
33aNPI1336191311assigned 05/17/2006
33bProvider typeOptometrist
28Total paid$4K
24GClaims167
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#402 of 565
Median peer was paid$23K
This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BETTIGA, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2018167$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 53% 37 37 $2K
92015 Determination of refractive state 32% 102 102 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 28 27 $569.91

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 officialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
Same official

Other billing entities under BETTIGA, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.