Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO. LLC

NPI: 1396797544 · LINCOLN, NE 68502 · 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

$56K
Total Medicaid Paid
1,740
Total Claims
1,722
Beneficiaries
11
Codes Billed
2018-02
First Month
2022-01
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 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 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 1,478 $46K
2019 236 $9K
2022 26 $794.37

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 442 437 $21K
V2020 Frames, purchases 514 507 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 198 193 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 72 72 $3K
92002 73 73 $3K
92015 Determination of refractive state 163 162 $2K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 99 99 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 28 28 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 24 24 $836.08
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17 17 $765.00
V2784 Lens, polycarbonate or equal, any index, per lens 110 110 $494.44