Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROMOD RX, LLC

NPI: 1396394805 · MIRAMAR, FL 33027 · Mail Order Pharmacy · NPI assigned 09/06/2019

$0.00
Total Medicaid Paid
16
Total Claims
16
Beneficiaries
1
Codes Billed
2023-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialTON, KIM (PHARMACIST IN CHARGE)
NPI Enumeration Date09/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 16 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K1023 Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm 16 16 $0.00