SHOPKO STORES OPERATING CO. LLC
NPI: 1386697092
· WAUSAU, WI 54401
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
288 |
$8K |
| 2019 |
120 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
270 |
263 |
$6K |
| 92014 |
|
112 |
103 |
$4K |
| 92004 |
|
14 |
14 |
$570.29 |
| 92250 |
|
12 |
12 |
$298.20 |