Supplier
Ella Community Pharmacy 1, LLC
Ella Community Pharmacy 1, LLC was paid $0.00 by Medicaid between Oct 2018 and Oct 2023, across 8 billing codes. Its largest line is K1034, Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count — 0% of everything it billed.
33Billing provider infoELLA COMMUNITY PHARMACY 1, LLC
WESTFIELD, IN 46074
WESTFIELD, IN 46074
33aNPI1679090195assigned 08/25/2017
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims282
24DCodes billed8
24AFirst – last monthOct 2018 – Oct 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Indiana
Rank by total paid#31 of 65
Median peer was paid$0.00
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 | |
|---|---|---|---|
| 2018 | 27 | $0.00 | |
| 2019 | 34 | $0.00 | |
| 2020 | 12 | $0.00 | |
| 2021 | 28 | $0.00 | |
| 2022 | 130 | $0.00 | |
| 2023 | 51 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 89 | 88 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 75 | 73 | $0.00 |
| 0064A | 0% | 28 | 28 | $0.00 | |
| 90686 | 0% | 13 | 13 | $0.00 | |
| 90694 | 0% | 17 | 16 | $0.00 | |
| 90682 | 0% | 16 | 16 | $0.00 | |
| 0124A | 0% | 25 | 19 | $0.00 | |
| 0054A | 0% | 19 | 19 | $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 officialANGELOTTI, ERIK (PHARMACIST IN CHARGE)