PROVIDER PROFILE · NPI 1194798603

Melissa VanceFNP-BC, DCNP

Nurse PractitionerAshtabula, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,341

Unique beneficiaries

—

Total services

4,911

Distinct HCPCS

Medicare payment

$175K

Peer benchmark

Total Medicare services vs. 10,868 Nurse Practitioner providers in OH — top quintile (cohort median 219).

PRESCRIBING · PART D · 2024

Total Rx claims

2,795

Beneficiaries

—

Total drug cost

$1.7M

Distinct drugs

Brand share

12.6%

Top prescribed drugs

Triamcinolone Acetonide315 claims

Ketoconazole259 claims

Mupirocin239 claims

Clobetasol Propionate220 claims

Doxycycline Hyclate219 claims

QUALITY · MIPS · 2024

Final MIPS score

85.3

Quality

78.4

Cost

79.2

Improvement activities

40.0

Promoting interop.

92.0

Payment adjustment

0.43%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$5K

Payment records

223

By payment type

Food and Beverage$3K

Consulting Fee$1K

Education$203

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 360125

Hospital

REFERRAL NETWORK

Where Melissa Vance's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 1 inbound referrers · 5 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Wilma Bergfeld Dermatology · Cleveland, OH	23	47

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
THE CLEVELAND CLINIC FOUNDATION	188	1,316
Steven Billings Pathology · Cleveland, OH	36	81
Melissa Piliang Dermatology · Cleveland, OH	24	52
Edward Maytin Dermatology · Cleveland, OH	13	31
Allison Vidimos Dermatology · Cleveland, OH	11	59

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history