SHOPKO STORES OPERATING CO. LLC
NPI: 1902859531
· WALLA WALLA, WA 99362
· 152W00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
339 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
67 |
67 |
$4K |
| 92004 |
|
47 |
46 |
$3K |
| 92015 |
|
136 |
136 |
$2K |
| 92340 |
|
74 |
74 |
$2K |
| 92250 |
|
15 |
15 |
$375.00 |