SHOPKO STORES OPERATING CO. LLC
NPI: 1639121601
· MANKATO, MN 56001
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
328 |
$463.72 |
| 2019 |
42 |
$675.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
254 |
252 |
$810.40 |
| 92340 |
|
90 |
85 |
$328.64 |
| 92004 |
|
14 |
14 |
$0.00 |
| 92014 |
|
12 |
12 |
$0.00 |