Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › SALMON › SHOPKO STORES OPERATING CO., LLC

SHOPKO STORES OPERATING CO., LLC

NPI: 1912398736 · SALMON, ID 83467 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/16/2015

$158.42
Total Medicaid Paid
17
Total Claims
14
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-02
Last Month

Provider Details

Authorized OfficialNEUMANN, LORIE (DIR 3D PARTY CONTRACT & CA)
NPI Enumeration Date02/16/2015

Related Entities

Other providers sharing the same authorized official: NEUMANN, LORIE

ProviderCityStateTotal Paid
SHOPKO STORES OPERATING CO LLC HARDIN MT $4K
SHOPKO STORES OPERATING CO., LLC OROFINO ID $540.50
SHOPKO STORES OPERATING CO LLC ROUNDUP MT $274.56

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $158.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 17 14 $158.42