SHOPTIKAL LLC

NPI: 1649836016 · FAIRMONT, MN 56031 · Optometrist · NPI assigned 05/11/2019

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official STEINHORST, RUSSELL controls 20+ related entities in our dataset. Read more

$59K

Total Medicaid Paid

1,724

Total Claims

1,706

Beneficiaries

Codes Billed

2020-10

First Month

2024-12

Last Month

Provider Details

Authorized Official	STEINHORST, RUSSELL (EVP & CFO)
NPI Enumeration Date	05/11/2019

Other providers sharing the same authorized official: STEINHORST, RUSSELL

Provider	City	State	Total Paid
SHOPTIKAL LLC	OMAHA	NE	$1.95M
SHOPTIKAL LLC	SAINT CLOUD	MN	$1.32M
SHOPTIKAL LLC	MOUNT PLEASANT	WI	$1.14M
SHOPTIKAL LLC	OMAHA	NE	$987K
SHOPTIKAL LLC	LINCOLN	NE	$853K
SHOPTIKAL LLC	BELLEVUE	NE	$670K
SHOPTIKAL LLC	GRAND ISLAND	NE	$613K
SHOPTIKAL LLC	KENOSHA	WI	$606K
SHOPTIKAL LLC	NORFOLK	NE	$527K
SHOPTIKAL LLC	LINCOLN	NE	$525K
SHOPTIKAL LLC	MARSHALL	MN	$487K
SHOPTIKAL LLC	MISSOULA	MT	$445K
SHOPKO STORES OPERATING CO. LLC	OMAHA	NE	$299K
SHOPTIKAL LLC	MANITOWOC	WI	$290K
SHOPTIKAL LLC	MADISON	WI	$284K
SHOPTIKAL LLC	WAUKESHA	WI	$276K
SHOPTIKAL LLC	RICE LAKE	WI	$274K
SHOPTIKAL LLC	GREEN BAY	WI	$268K
SHOPTIKAL LLC	KALISPELL	MT	$260K
SHOPTIKAL LLC	CHIPPEWA FALLS	WI	$247K

Code	Description	Claims	Beneficiaries	Total Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	280	276	$19K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	146	143	$11K
92015	Determination of refractive state	794	786	$10K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	96	95	$7K
V2020	Frames, purchases	181	179	$6K
92340	Fitting of spectacles, except for aphakia; monofocal	227	227	$6K