Supplier
Promod RX, LLC
Promod RX, LLC was paid $0.00 by Medicaid between Jan 2023 and Jan 2023, across 1 billing code. Its largest line is K1023, Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm — 0% of everything it billed.
33Billing provider infoPROMOD RX, LLC
MIRAMAR, FL 33027
MIRAMAR, FL 33027
33aNPI1396394805assigned 09/06/2019
33bProvider typeMail Order Pharmacy
28Total paid$0.00
24GClaims16
24DCodes billed1
24AFirst – last monthJan 2023 – Jan 2023
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 | |
|---|---|---|---|
| 2023 | 16 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K1023 | Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm | 0% | 16 | 16 | $0.00 |
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 officialTON, KIM (PHARMACIST IN CHARGE)