JOY MELANIE LORETTA MELHADO

Physician Assistants & Advanced Practice Nursing Providers|Nurse Practitioner|Psychiatric/Mental Health CARLSBAD, CA NPI 1225793003

General Payments — all program years on this page

$2,649.57

Category: General Payments
Program years: PY2021–2024
Record count: 133
As of (CMS publication): 2026-01-23

Latest program year (PY2024): $891.29 across 50 records · disputed records: 0

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How this figure is calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

Latest program year (PY2024) · sorted by reported total.

Nature of payment	Amount	Records
Food and Beverage	$879.14	49
Education	$12.15	1

By paying entity

Latest program year (PY2024) · sorted by reported total.

Paying entity	Amount	Records
Lundbeck LLC	$304.87	23
ITI, Inc.	$225.63	14
Axsome Therapeutics, Inc.	$112.15	1
Takeda Pharmaceuticals U.S.A., Inc.	$99.81	5
Otsuka America Pharmaceutical, Inc.	$69.92	3
Janssen Pharmaceuticals, Inc	$44.58	2
ABBVIE INC.	$17.40	1
IDORSIA PHARMACEUTICALS US INC	$16.93	1

By program year

Program year	Amount	Records
2021	$42.32	2
2022	$750.06	30
2023	$965.90	51
2024	$891.29	50

Records — PY2024 (50)

Record ID	Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Source
1077920159	Janssen Pharmaceuticals, Inc	$19.16	06/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1077920167	Janssen Pharmaceuticals, Inc	$25.42	03/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1107648878	ABBVIE INC.	$17.40	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119137355	Otsuka America Pharmaceutical, Inc.	$21.25	02/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119137357	Otsuka America Pharmaceutical, Inc.	$22.97	05/15/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1119137359	Otsuka America Pharmaceutical, Inc.	$25.70	09/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137791701	Takeda Pharmaceuticals U.S.A., Inc.	$15.58	02/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137791703	Takeda Pharmaceuticals U.S.A., Inc.	$18.75	04/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137791705	Takeda Pharmaceuticals U.S.A., Inc.	$26.34	07/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137791707	Takeda Pharmaceuticals U.S.A., Inc.	$14.30	08/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1137791709	Takeda Pharmaceuticals U.S.A., Inc.	$24.84	10/23/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549633	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$6.59	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549638	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$21.03	02/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549642	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.40	03/19/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549645	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.85	04/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549649	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.15	05/07/2024	Education	Undisputed	01/23/2026	View at CMS
1143549653	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$13.39	05/07/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549656	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$19.27	05/29/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549661	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.42	06/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549665	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$14.18	08/06/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549669	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$12.65	08/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549672	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$24.13	10/01/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549677	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$9.38	10/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549680	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$20.39	11/25/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1143549685	ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$22.80	12/04/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060542	Lundbeck LLC	$5.80	01/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060544	Lundbeck LLC	$2.65	01/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060546	Lundbeck LLC	$21.78	01/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060548	Lundbeck LLC	$10.90	01/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060550	Lundbeck LLC	$11.95	02/08/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060552	Lundbeck LLC	$9.78	03/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060554	Lundbeck LLC	$11.15	03/27/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060556	Lundbeck LLC	$10.18	04/11/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060558	Lundbeck LLC	$20.95	04/24/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060560	Lundbeck LLC	$6.95	05/10/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060562	Lundbeck LLC	$6.45	05/22/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060564	Lundbeck LLC	$10.00	06/26/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060566	Lundbeck LLC	$18.42	07/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060568	Lundbeck LLC	$7.02	07/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060570	Lundbeck LLC	$25.44	08/13/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060572	Lundbeck LLC	$14.04	09/03/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060574	Lundbeck LLC	$8.18	09/18/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060576	Lundbeck LLC	$31.92	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060578	Lundbeck LLC	$4.04	10/16/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060580	Lundbeck LLC	$13.50	10/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060582	Lundbeck LLC	$24.85	11/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060584	Lundbeck LLC	$4.90	12/05/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146060586	Lundbeck LLC	$24.02	12/17/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1146754453	IDORSIA PHARMACEUTICALS US INC	$16.93	02/20/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS
1148372601	Axsome Therapeutics, Inc.	$112.15	01/31/2024	Food and Beverage	Undisputed	01/23/2026	View at CMS

Provenance & corrections

Dataset: CMS Open Payments — General Payments
Source: CMS Open Payments dataset (bulk file)
Publisher of source data: Centers for Medicare & Medicaid Services
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.