Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SHOPKO STORES OPERATING CO LLC

NPI: 1639625064 · HARDIN, MT 59034 · Pharmacy · NPI assigned 08/26/2016

$4K
Total Medicaid Paid
349
Total Claims
323
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-12
Last Month

Provider Details

Authorized OfficialNEUMANN, LORIE (DIRECTOR OF THIRD PARTY)
NPI Enumeration Date08/26/2016

Related Entities

Other providers sharing the same authorized official: NEUMANN, LORIE

ProviderCityStateTotal Paid
SHOPKO STORES OPERATING CO., LLC OROFINO ID $540.50
SHOPKO STORES OPERATING CO LLC ROUNDUP MT $274.56
SHOPKO STORES OPERATING CO., LLC SALMON ID $158.42

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 349 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 221 207 $3K
A4215 Needle, sterile, any size, each 57 51 $1K
A4259 Lancets, per box of 100 71 65 $99.22