Supplier
Proveri RX LLC
Proveri RX LLC was paid $0.00 by Medicaid between Oct 2023 and Oct 2024, across 3 billing codes. Its largest line is 90480, — 0% of everything it billed.
33Billing provider infoPROVERI RX LLC
STOCKTON, CA 95207
STOCKTON, CA 95207
33aNPI1457913808assigned 07/06/2019
33bProvider typeLong Term Care Pharmacy
28Total paid$0.00
24GClaims75
24DCodes billed3
24AFirst – last monthOct 2023 – Oct 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in California
Rank by total paid#27 of 33
Median peer was paid$788.79
This provider vs. median0.0×
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.
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 | 26 | $0.00 | |
| 2024incomplete | 49 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90480 | 0% | 29 | 29 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | 17 | $0.00 |
| 91322 | 0% | 29 | 29 | $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 officialTRAN, DAVIS (MANAGER)