Supplier
Evangeline Drug Store INC
Evangeline Drug Store INC was paid $0.00 by Medicaid between Oct 2018 and Oct 2024, across 13 billing codes. Its largest line is 90756, — 0% of everything it billed.
33Billing provider infoEVANGELINE DRUG STORE INC
VILLE PLATTE, LA 70586
VILLE PLATTE, LA 70586
33aNPI1730277369assigned 10/10/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims1,358
24DCodes billed13
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Louisiana
Rank by total paid#23 of 130
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 | 111 | $0.00 | |
| 2019 | 103 | $0.00 | |
| 2020 | 161 | $0.00 | |
| 2021 | 757 | $0.00 | |
| 2022 | 101 | $0.00 | |
| 2023 | 60 | $0.00 | |
| 2024incomplete | 65 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90756 | 0% | 20 | 20 | $0.00 | |
| 0013A | 0% | 96 | 96 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 357 | 357 | $0.00 |
| 0012A | 0% | 224 | 224 | $0.00 | |
| 90656 | 0% | 26 | 26 | $0.00 | |
| 90688 | 0% | 24 | 24 | $0.00 | |
| 0001A | 0% | 13 | 13 | $0.00 | |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | 0% | 31 | 31 | $0.00 |
| 0011A | 0% | 237 | 237 | $0.00 | |
| 90686 | 0% | 195 | 195 | $0.00 | |
| 90694 | 0% | 46 | 46 | $0.00 | |
| 0064A | 0% | 75 | 75 | $0.00 |
1 more codes
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $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 officialLEBAS, HARVEY (OWNER/PHARMACIST)