Supplier
Eagle Lake Drugstore
Eagle Lake Drugstore was paid $0.00 by Medicaid between Mar 2021 and Dec 2021, across 3 billing codes. Its largest line is 0011A, — 0% of everything it billed.
33Billing provider infoEAGLE LAKE DRUGSTORE
EAGLE LAKE, TX 77434
EAGLE LAKE, TX 77434
33aNPI1568509974assigned 02/01/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$0.00
24GClaims81
24DCodes billed3
24AFirst – last monthMar 2021 – Dec 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#542 of 566
Median peer was paid$142K
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 | |
|---|---|---|---|
| 2021 | 81 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 0% | 22 | 22 | $0.00 | |
| 0012A | 0% | 24 | 24 | $0.00 | |
| 0013A | 0% | 35 | 35 | $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 officialZARATE, SAMMI (PHARMACY MANAGER)