Supplier
Melancon Pharmacy INC
Melancon Pharmacy INC was paid $76.04 by Medicaid between Nov 2018 and Nov 2024, across 16 billing codes. Its largest line is 90480, — 54% of everything it billed.
33Billing provider infoMELANCON PHARMACY INC
CARENCRO, LA 70520
CARENCRO, LA 70520
33aNPI1770551277assigned 03/09/2006
33bProvider typeCompounding Pharmacy
28Total paid$76.04
24GClaims2,734
24DCodes billed16
24AFirst – last monthNov 2018 – Nov 2024
Compared with peers
Next to other Compounding Pharmacy providers in Louisiana
Rank by total paid#2 of 6
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 | 170 | $0.00 | |
| 2019 | 219 | $0.00 | |
| 2020 | 73 | $0.00 | |
| 2021 | 688 | $0.00 | |
| 2022 | 245 | $0.00 | |
| 2023 | 314 | $0.00 | |
| 2024incomplete | 1,025 | $76.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90480 | 54% | 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 | 46% | 180 | 179 | $35.00 |
| 0013A | 0% | 54 | 54 | $0.00 | |
| 91320 | 0% | 354 | 351 | $0.00 | |
| 90653 | 0% | 124 | 123 | $0.00 | |
| 90662 | 0% | 166 | 165 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 553 | 551 | $0.00 |
| 0134A | 0% | 49 | 49 | $0.00 | |
| 0012A | 0% | 192 | 192 | $0.00 | |
| 0011A | 0% | 197 | 197 | $0.00 | |
| 90677 | 0% | 28 | 28 | $0.00 | |
| 90656 | 0% | 12 | 12 | $0.00 |
4 more codes
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 officialMELANCON, EDMOND (PRESIDENT)