Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO. LLC

NPI: 1336191501 · NORTH PLATTE, NE 69101 · Eyewear Supplier · NPI assigned 05/16/2006

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

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

$305K
Total Medicaid Paid
7,947
Total Claims
7,727
Beneficiaries
9
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
NPI Enumeration Date05/16/2006

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 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
SHOPKO STORES OPERATING CO. LLC MARSHALL MN $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,414 $127K
2019 983 $39K
2021 1,732 $65K
2022 1,171 $47K
2023 647 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 1,718 1,668 $80K
V2020 Frames, purchases 1,842 1,788 $76K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 891 863 $52K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1,284 1,250 $37K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 557 546 $34K
92015 Determination of refractive state 1,288 1,248 $21K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 196 196 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 159 156 $879.96
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 12 12 $481.68