SHOPKO STORES OPERATING CO. LLC
NPI: 1750333803
· RACINE, WI 53406
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,230 |
$38K |
| 2019 |
429 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
723 |
643 |
$27K |
| V2020 |
Vision svcs frames purchases |
306 |
305 |
$10K |
| 92340 |
|
329 |
326 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
233 |
232 |
$6K |
| V2784 |
Lens polycarb or equal |
53 |
53 |
$864.30 |
| 92341 |
|
15 |
15 |
$389.96 |