Medicaid Provider Spending

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

MELANCON PHARMACY INC

NPI: 1770551277 · CARENCRO, LA 70520 · Compounding Pharmacy · NPI assigned 03/09/2006

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

Provider Details

Authorized OfficialMELANCON, EDMOND (PRESIDENT)
NPI Enumeration Date03/09/2006

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 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 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 Administration of influenza virus vaccine 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 Administration of pneumococcal vaccine 30 30 $0.00
90686 89 89 $0.00
0064A 170 170 $0.00