Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MADISON › SHOPKO STORES OPERATING CO. LLC

SHOPKO STORES OPERATING CO. LLC

NPI: 1346292745 · MADISON, WI 53717 · Eyewear Supplier · NPI assigned 05/16/2006

$41K
Total Medicaid Paid
1,461
Total Claims
1,387
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-03
Last Month

Provider Details

Authorized OfficialSEDANI, DILIP (E)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: SEDANI, DILIP

ProviderCityStateTotal Paid
SHOPKO STORES OPERATING CO. LLC MADISON WI $54K
SHOPKO STORES OPERATING CO LLC MEQUON WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,297 $36K
2019 164 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 783 749 $16K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 375 349 $14K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 207 194 $8K
92250 96 95 $2K