Supplier
Shopko Stores Operating Co. LLC
Shopko Stores Operating Co. LLC was paid $41K by Medicaid between Jan 2018 and Mar 2019, across 4 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 39% of everything it billed.
33Billing provider infoSHOPKO STORES OPERATING CO. LLC
MADISON, WI 53717
MADISON, WI 53717
33aNPI1346292745assigned 05/16/2006
33bProvider typeEyewear Supplier
28Total paid$41K
24GClaims1,461
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Eyewear Supplier providers in Wisconsin
Rank by total paid#17 of 61
Median peer was paid$18K
This provider vs. median2.3×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,297 | $36K | |
| 2019 | 164 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 39% | 783 | 749 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 375 | 349 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 207 | 194 | $8K |
| 92250 | 5.7% | 96 | 95 | $2K |
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 officialSEDANI, DILIP (E)
| Provider | Location | Paid |
|---|---|---|
| Shopko Stores Operating Co. LLC | Madison, WI | $54K |
| Shopko Stores Operating Co LLC | Mequon, WI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.