SHOPKO STORES OPERATING CO. LLC
NPI: 1730131749
· CHIPPEWA FALLS, WI 54729
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,133 |
$31K |
| 2019 |
380 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
524 |
451 |
$19K |
| 92340 |
|
849 |
828 |
$17K |
| 99214 |
|
85 |
83 |
$4K |
| V2020 |
Vision svcs frames purchases |
28 |
28 |
$1K |
| 92004 |
|
14 |
14 |
$618.62 |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$311.74 |