SHOPKO STORES OPERATING CO. LLC
NPI: 1528010642
· ALBERT LEA, MN 56007
· 332H00000X
$503.55
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$503.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
14 |
13 |
$489.48 |
| 92015 |
|
13 |
13 |
$14.07 |