PROVIDER PROFILE · NPI 1669519930

Melody NelsenM.D.

PRACTICEPROVIDENCE HEALTH & SERVICES MTSee all providers at this practice →

RheumatologyMissoula, MTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,972

Unique beneficiaries

—

Total services

221,492

Distinct HCPCS

Medicare payment

$2.1M

Peer benchmark

Total Medicare services vs. 12 Rheumatology providers in MT — top quintile (cohort median 1,058).

PRESCRIBING · PART D · 2024

Total Rx claims

5,775

Beneficiaries

—

Total drug cost

$5.5M

Distinct drugs

Brand share

35.7%

Top prescribed drugs

Prednisone961 claims

Methotrexate Sodium862 claims

Hydroxychloroquine Sulfate472 claims

Hydrocodone/Acetaminophen295 claims

Pregabalin220 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$545

Payment records

By payment type

Food and Beverage$526

Education$19

REFERRAL NETWORK

Where Melody Nelsen'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PROVIDENCE HEALTH & SERVICES MT	124	374
Mayo Collaborative Services, Inc Clinical Laboratory · Rochester, MN	48	103
COMMUNITY MEDICAL CENTER INC	41	142
RCHP BILLINGS - MISSOULA LLC	32	93
Kyle Dale Diagnostic Radiology · Missoula, MT	19	26
HOLLE, ROLF	15	38
NPI 1396781134	15	33
Joel Brake Diagnostic Radiology · Missoula, MT	11	16
DOUGHERTY, SARSFIELD	11	25
Mark Elliott Diagnostic Radiology · Missoula, MT	11	33

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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