Physician

Melody Nelsen, M.D.

According to 2025 Medicare claims, Melody Nelsen, M.D. (NPI: 1669519930) practices rheumatology in the Missoula, MT market, with the plurality of this provider's patient population coming from Missoula, MT. This provider's primary affiliated billing organization is WESTERN MONTANA CLINIC PC (NPI: 1942253182; TIN: 810226415) and primary practice location at 59802-4008. Nelsen is affiliated with the Health Connect Partners, LLC (ACO ID: A2342), Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), Main Street Rural Health Hawthorn ACO LLC (ACO ID: A5438), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Nelsen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 656 traditional Medicare patients, billed 234,505 HCPCS/CPT codes, and received $2,444,507 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,055 prescription claims across 621 beneficiaries totaling $6,382,613 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2023 DME data shows 15 claims. Open Payments data shows 31 records totaling $545. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,949,227 to $6,382,613. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	423	43,879	$1,271,505
2016	421	76,619	$1,861,474
2017	448	111,626	$2,117,713
2018	558	162,531	$2,833,832
2019	577	173,038	$2,824,076
2020	552	190,592	$2,871,106
2021	555	190,824	$2,725,941
2022	565	183,667	$2,307,990
2023	562	189,600	$2,283,961
2024	656	234,505	$2,444,507

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	343	4,259	$1,949,227
2016	343	4,319	$1,953,133
2017	369	4,597	$2,303,734
2018	409	4,754	$2,867,685
2019	414	4,778	$3,603,434
2020	418	4,760	$4,275,145
2021	452	4,851	$4,426,875
2022	472	4,880	$4,800,525
2023	488	4,714	$4,421,419
2024	621	6,055	$6,382,613

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	13	13	$238
2018	N/R	11	$881
2019	18	19	$372
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	15	15	$268
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	221	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	456	868	$62
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	166	756	$49
36415	Insertion of needle into vein for collection of blood sample	154	328	$9
J1010	Injection, methylprednisolone acetate, 1 mg	124	11,611	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	209	6,020	$1,522,554
Enbrel Sureclick	Etanercept	85	2,596	$680,506
Stelara	Ustekinumab	34	2,576	$606,842
Cosentyx Sensoready (2 Pens)	Secukinumab	69	1,904	$505,223
Cosentyx (2 Syringes)	Secukinumab	38	1,066	$256,988

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	31	$545	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Melody Nelsen, M.D.?

Tedicare shows public-source Medicare data for Melody Nelsen, M.D. (NPI 1669519930), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Melody Nelsen, M.D. have ACO affiliation data?

Melody Nelsen, M.D. is shown with ACO affiliation data for Health Connect Partners, LLC (MSSP, ACO ID A2342), Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), Main Street Rural Health Hawthorn ACO LLC (MSSP, ACO ID A5438), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Melody Nelsen, M.D.?

Melody Nelsen, M.D. is linked to WESTERN MONTANA CLINIC PC (billing NPI 1942253182) in the available physician profile data.

Does Melody Nelsen, M.D. have Open Payments data?

Melody Nelsen, M.D. has 31 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.