Physician

Mel F. Roca, M.D.

According to 2025 Medicare claims, Mel Roca, M.D. (NPI: 1841427564) practices family practice in the Omaha, NE-IA market, with the plurality of this provider's patient population coming from Pottawattamie, IA. This provider's primary affiliated billing organization is ALEGENT CREIGHTON CLINIC (NPI: 1598811069; TIN: 470765154) and primary practice location at 51501-3359. Roca is affiliated with the CommonSpirit ACO I (ACO ID: A2164) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Roca's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 305 traditional Medicare patients, billed 2,423 HCPCS/CPT codes, and received $102,486 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,907 prescription claims across 648 beneficiaries totaling $1,093,639 in drug costs, led by Eliquis (Apixaban). DME data shows 382 claims. Open Payments data shows 154 records totaling $3,207. 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 sharply higher in recent years, from $323,260 to $1,093,639. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $8,927 and ending at $20,019.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$61K$123K2015 Medicare payment: $89,253 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $122,599 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $109,755 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $119,380 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $106,053 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $77,611 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $84,181 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $82,229 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $93,703 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $102,486 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154516,914$89,253
20165456,738$122,599
201750211,757$109,755
201851710,200$119,380
20194246,747$106,053
20203325,565$77,611
20213464,514$84,181
20223342,099$82,229
20233332,816$93,703
20243052,423$102,486

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$547K$1.1M2015 Drug cost: $323,260 (USD; Tot_Drug_Cst)2016 Drug cost: $337,609 (USD; Tot_Drug_Cst)2017 Drug cost: $387,115 (USD; Tot_Drug_Cst)2018 Drug cost: $507,974 (USD; Tot_Drug_Cst)2019 Drug cost: $643,476 (USD; Tot_Drug_Cst)2020 Drug cost: $566,683 (USD; Tot_Drug_Cst)2021 Drug cost: $674,729 (USD; Tot_Drug_Cst)2022 Drug cost: $830,829 (USD; Tot_Drug_Cst)2023 Drug cost: $1,072,019 (USD; Tot_Drug_Cst)2024 Drug cost: $1,093,639 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154636,618$323,260
20164996,979$337,609
20175037,054$387,115
20185507,540$507,974
20195267,883$643,476
20204648,030$566,683
20214907,403$674,729
20225597,897$830,829
20236688,394$1,072,019
20246489,907$1,093,639

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$11K$22K2015 Medicare payment: $10,506 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $10,736 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $7,611 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,604 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $20,058 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $18,248 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $21,152 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $21,971 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $8,035 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $22,091 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201537317$10,506
201642383$10,736
201754383$7,611
201869446$9,604
201964494$20,058
202084338$18,248
202162412$21,152
202263394$21,971
202352283$8,035
202495382$22,091

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit121121$120
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more233459$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more116156$50
G0008Administration of influenza virus vaccine7075$30
36415Insertion of needle into vein for collection of blood sample197329$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1295,199$104,572
FarxigaDapagliflozin Propanediol954,885$94,483
MounjaroTirzepatide752,212$81,104
Trelegy ElliptaFluticasone/Umeclidin/Vilanter923,810$80,608
JardianceEmpagliflozin634,175$80,105

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7677Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgramNN/R13$9,777
A7031Face mask interface, replacement for full face mask, eachN1138$2,562
A7030Full face mask used with positive airway pressure device, eachN1132$2,377
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R22$1,385
E0601Continuous positive airway pressure (cpap) deviceYN/R43$1,188

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.154$3,207AIMMUNE THERAPEUTICS, INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mel F. Roca, M.D.?

Tedicare shows public-source Medicare data for Mel F. Roca, M.D. (NPI 1841427564), 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 Mel F. Roca, M.D. have ACO affiliation data?

Mel F. Roca, M.D. is shown with ACO affiliation data for CommonSpirit ACO I (MSSP, ACO ID A2164) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Mel F. Roca, M.D.?

Mel F. Roca, M.D. is linked to ALEGENT CREIGHTON CLINIC (billing NPI 1598811069) in the available physician profile data.

Does Mel F. Roca, M.D. have Open Payments data?

Mel F. Roca, M.D. has 154 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.