SHOPKO STORES OPERATING CO LLC · NPI 1376886267

NPI: 1376886267 · WAUTOMA, WI 54982 · Eyewear Supplier · NPI assigned 03/29/2013

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$2K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2018-03

First Month

2018-11

Last Month

Provider Details

Authorized Official	BETTIGA, MICHAEL (EXECUTIVE VICE PRESIDENT AND COO)
NPI Enumeration Date	03/29/2013

Related Entities

Provider	City	State	Total Paid
SHOPKO STORES OPERATING CO. LLC	BELLEVUE	NE	$466K
SHOPKO STORES OPERATING CO. LLC	NORTH PLATTE	NE	$305K
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

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	51	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	38	38	$2K
92340	Fitting of spectacles, except for aphakia; monofocal	13	12	$234.35