Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MELANCON PHARMACY INC

NPI: 1770551277 · CARENCRO, LA 70520 · 3336C0004X

$76.04
Total Medicaid Paid
2,734
Total Claims
2,723
Beneficiaries
16
Codes Billed
2018-11
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $0.00
2019 219 $0.00
2020 73 $0.00
2021 688 $0.00
2022 245 $0.00
2023 314 $0.00
2024 1,025 $76.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 354 351 $41.04
M0201 Pne flu hepb cov home admin 180 179 $35.00
0013A 54 54 $0.00
91320 354 351 $0.00
90653 124 123 $0.00
90662 166 165 $0.00
G0008 Admin influenza virus vac 553 551 $0.00
0134A 49 49 $0.00
0012A 192 192 $0.00
0011A 197 197 $0.00
90677 28 28 $0.00
90656 12 12 $0.00
90694 182 182 $0.00
G0009 Admin pneumococcal vaccine 30 30 $0.00
90686 89 89 $0.00
0064A 170 170 $0.00