Medicaid Provider Spending

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

SHOPKO STORES OPERATING CO LLC

NPI: 1689835647 · NORTH BRANCH, MN 55056 · Eyewear Supplier · NPI assigned 06/23/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BETTIGA, MICHAEL controls 20+ related entities in our dataset. Read more

$3K
Total Medicaid Paid
600
Total Claims
582
Beneficiaries
6
Codes Billed
2018-02
First Month
2019-02
Last Month

Provider Details

Authorized OfficialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)
NPI Enumeration Date06/23/2008

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 LINCOLN NE $56K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 573 $2K
2019 27 $699.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 187 179 $1K
92015 Determination of refractive state 192 188 $647.57
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 49 46 $516.48
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 80 79 $122.48
92340 Fitting of spectacles, except for aphakia; monofocal 79 77 $104.24
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13 13 $0.00