SHOPKO STORES OPERATING CO. LLC
NPI: 1336191436
· CHUBBUCK, ID 83202
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
584 |
$28K |
| 2019 |
25 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
219 |
219 |
$16K |
| 92340 |
|
321 |
317 |
$7K |
| 92004 |
|
69 |
69 |
$5K |