Physician
Melancon, Thomas
Melancon, Thomas was paid $30K by Medicaid between Jan 2018 and Jun 2024, across 3 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 87% of everything it billed.
33Billing provider infoMELANCON, THOMAS
MARRERO, LA 70072
MARRERO, LA 70072
33aNPI1811989197assigned 08/22/2005
33bProvider typeInternal Medicine Physician
28Total paid$30K
24GClaims563
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Internal Medicine Physician providers in Louisiana
Rank by total paid#142 of 290
Median peer was paid$27K
This provider vs. median1.1×
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 | 185 | $10K | |
| 2019 | 59 | $3K | |
| 2020 | 12 | $681.23 | |
| 2021 | 164 | $10K | |
| 2022 | 73 | $4K | |
| 2023 | 55 | $2K | |
| 2024incomplete | 15 | $765.91 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 87% | 465 | 418 | $26K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 86 | 80 | $4K |
| 99490 | Ccm add 20min | <1% | 12 | 12 | $124.36 |
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.