Shopko Stores Operating Co. LLC

Shopko Stores Operating Co. LLC was paid $29K by Medicaid between Jan 2018 and Mar 2019, across 5 billing codes. Its largest line is V2020, Frames, purchases — 36% of everything it billed.

33Billing provider infoSHOPKO STORES OPERATING CO. LLC
SIOUX FALLS, SD 57105

33aNPI1851344626assigned 05/19/2006

33bProvider typeEyewear Supplier

28Total paid$29K

24GClaims640

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2019

Compared with peers

Next to other Eyewear Supplier providers in South Dakota

Rank by total paid#14 of 20

Median peer was paid$45K

This provider vs. median0.7×

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	492	$22K
2019	148	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	36%	245	233	$11K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	29%	117	117	$9K
V2199	Not otherwise classified, single vision lens	19%	147	143	$6K
92250		8.9%	107	101	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	6.1%	24	24	$2K

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	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

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