Physician

Melissa Saab Vance, MD

According to 2025 Medicare claims, Melissa Vance, MD (NPI: 1902300486) practices family practice in the Bozeman, MT market, with the plurality of this provider's patient population coming from Gallatin, MT. This provider's primary affiliated billing organization is BOZEMAN HEALTH DEACONESS HOSPITAL (NPI: 1619347390; TIN: 474717998) and primary practice location at 59718-4222. Vance is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Vance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 341 traditional Medicare patients, billed 1,239 HCPCS/CPT codes, and received $70,559 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 3,914 prescription claims across 382 beneficiaries totaling $256,790 in drug costs, led by Eliquis (Apixaban). DME data shows 109 claims. No Open Payments records. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $6,551 to $256,790. 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.

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$39K$78K2022 Medicare payment: $3,200 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $77,842 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $70,559 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20222226$3,200
20233711,057$77,842
20243411,239$70,559

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$128K$257K2018 Drug cost: $6,551 (USD; Tot_Drug_Cst)2019 Drug cost: $41,158 (USD; Tot_Drug_Cst)2020 Drug cost: $57,934 (USD; Tot_Drug_Cst)2021 Drug cost: $46,050 (USD; Tot_Drug_Cst)2022 Drug cost: $4,802 (USD; Tot_Drug_Cst)2023 Drug cost: $160,948 (USD; Tot_Drug_Cst)2024 Drug cost: $256,790 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181877$6,551
201945294$41,158
202073599$57,934
202167422$46,050
202230103$4,802
20233762,643$160,948
20243823,914$256,790

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$3.0K$6.0K2023 Medicare payment: $2,321 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $6,018 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R18$2,321
2024N/R109$6,018

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more249355$81
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more128146$60
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100100$58
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's190266$13
36415Insertion of needle into vein for collection of blood sample6172$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1004,133$79,767
XareltoRivaroxaban251,332$24,368
FarxigaDapagliflozin Propanediol12728$12,082
OzempicSemaglutide12336$10,970
MyrbetriqMirabegron16600$8,997

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R66$4,872
E1392Portable oxygen concentrator, rentalYN/R22$789
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R21$357

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Melissa Saab Vance, MD?

Tedicare shows public-source Medicare data for Melissa Saab Vance, MD (NPI 1902300486), 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 Melissa Saab Vance, MD have ACO affiliation data?

Melissa Saab Vance, MD is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Melissa Saab Vance, MD?

Melissa Saab Vance, MD is linked to BOZEMAN HEALTH DEACONESS HOSPITAL (billing NPI 1619347390) in the available physician profile data.

Does Melissa Saab Vance, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.