Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC was paid $46K by Medicaid between Jan 2018 and Mar 2019, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 62% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO LLC
SALEM, OR 97317

33aNPI1790736023assigned 05/12/2006

33bProvider typeEyewear Supplier

28Total paid$46K

24GClaims948

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Eyewear Supplier providers in Oregon

Rank by total paid#28 of 43

Median peer was paid$117K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

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

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	783	$38K
2019	165	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	62%	382	378	$29K
92340	Fitting of spectacles, except for aphakia; monofocal	26%	485	485	$12K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	12%	68	68	$5K
92370		<1%	13	13	$262.80

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBETTIGA, MICHAEL (SR. VICE PRESIDENT HEALTH SERVICES)

Same official

Other billing entities under BETTIGA, MICHAEL

Full network →

Provider	Location	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	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
Shopko Stores Operating Co. LLC	Marshall, MN	$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.