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Dr. Ralph Brooks Vance, MD

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Specializes in: Adult Gastroenterology

University of Mississippi School of Medicine

2205 Heritage Hill
Jackson, MS 39211

(541) 726-4400

Dr. Ralph Brooks Vance, MD is a gastroenterologist in Madison, MS specializing in adult gastroenterology. He graduated from University of Mississippi School of Medicine. Dr. Ralph Brooks Vance, MD is affiliated with Merit Health, ST. DOMINIC MEDICAL ASSOCIATES LLC and GASTROINTESTINAL ASSOCIATES PA.

Office Locations

106 Highland Way Suite 101
Madison, MS 39110

(601) 355-1234

(601) 718-2778

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1460 G Street
Springfield, OR 97477

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Merit Health

2205 Heritage Hill
Jackson, MS 39211

(541) 726-4400

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2510 Lakeland Drive
Flowood, MS 39232

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Noteworthy Medicare Patient Procedures Performed by Dr. Ralph Brooks Vance, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

biological response modifier therapy

biopsy

chronic care

EGD with biopsy

EGD with endoscopic ultrasound

EGD with lesion removal

endoscopic ultrasound

endoscopic ultrasound with fine needle aspiration

gastrointestinal procedures

inpatient hospital care

intravenous chemotherapy

minimally invasive procedures

removal of lesion

By Affordability:

blood draw

blood draw for lab tests

chronic care

phlebotomy for lab tests

venipuncture

In 2023, among providers in related specialties within Mississippi, Dr. Ralph Brooks Vance, MD performed more biological response modifier (BRM) therapy, biopsy, chronic care, EGD with biopsy, EGD with endoscopic ultrasound, EGD with lesion removal, endoscopic ultrasound (EUS), endoscopic ultrasound with fine needle aspiration, gastrointestinal procedures, inpatient hospital care (for patient admitted to hospital), intravenous (IV) chemotherapy, minimally invasive procedures, and removal of lesion (e.g. growth) procedures for Medicare patients than 95% of them and he also had a list price for blood draw, blood draw for lab tests, chronic care, phlebotomy for lab tests, and venipuncture (phlebotomy) that was lower than the list prices billed to Medicare by 95% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Volume:

EGD with esophageal dilation

esophageal dilation

In 2023, Dr. Ralph Brooks Vance, MD performed more EGD with esophageal dilation, and esophageal dilation procedures for Medicare patients than 90% of providers in related specialties within Mississippi.

Top 25%

By Volume:

colonoscopy with lesion removal

ERCP with stent placement

esophageal balloon dilation

therapeutic ERCP

By Affordability:

hospital care

inpatient care

inpatient hospital care

lab tests

In 2013, among providers in related specialties within Mississippi, Dr. Ralph Brooks Vance, MD performed more colonoscopy with lesion removal, ERCP with stent placement, esophageal balloon dilation, and therapeutic ERCP procedures for Medicare patients than 75% of them and he also had a list price for hospital care, inpatient care, inpatient hospital care (for patient admitted to hospital), and lab tests that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2017 were inpatient care, hospital care, gastrointestinal procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	29
aspiration	29
catheterization	29
diagnostic procedures	111
doctor visit	30
gastrointestinal procedures	267
hospital care	574
image guided procedures	29
inpatient care	574
minimally invasive procedures	267
minor procedures	29
nursing home care	31
preventive care	14
removal of lesion (e.g. growth)	111
stent placement (stenting)	19
ultrasound (sonogram)	43

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	175
Female	242

**Ethnicity**
Non-Hispanic White	257
Black	146
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	131
From 75 to 84	128
85 and over	71
Less than 65	87

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2017

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2017 were hypertension, chronic kidney disease, high cholesterol and diabetes.

Hypertension	75
High Cholesterol	57
Stroke	14
Ischemic Heart Disease	47
Depression	37
Chronic Kidney Disease	64
Asthma	12
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	43
Chronic Obstructive Pulmonary Disease	29
Diabetes	48
Dementia	27
Cancer	17

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2018 were inpatient care, hospital care, gastrointestinal procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	58
aspiration	74
balloon dilation	51
blood draw	19
catheterization	58
diagnostic procedures	374
doctor visit	64
esophageal dilation	13
foreign body removal	40
gastrointestinal procedures	931
hospital care	1233
image guided procedures	74
inpatient care	1233
lab tests	15
minimally invasive procedures	931
minor procedures	74
preventive care	41
removal of lesion (e.g. growth)	383
stent placement (stenting)	59
ultrasound (sonogram)	157

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	444
Female	548

**Ethnicity**
Non-Hispanic White	648
Black	330
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	347
From 75 to 84	302
85 and over	183
Less than 65	160

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2018

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2018 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	61
Stroke	19
Ischemic Heart Disease	53
Depression	35
Chronic Kidney Disease	57
Asthma	8
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	44
Chronic Obstructive Pulmonary Disease	25
Diabetes	43
Dementia	30
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2019 were inpatient care, hospital care, gastrointestinal procedures and minimally invasive procedures.

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	34
aspiration	59
balloon dilation	50
blood draw	27
catheterization	34
diagnostic procedures	314
doctor visit	98
esophageal dilation	34
foreign body removal	18
gastrointestinal procedures	805
hospital care	849
image guided procedures	59
inpatient care	849
lab tests	35
minimally invasive procedures	805
minor procedures	59
nursing home care	15
preventive care	29
removal of lesion (e.g. growth)	356
stent placement (stenting)	62
ultrasound (sonogram)	162

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	0
Female	496

**Ethnicity**
Non-Hispanic White	602
Black	313
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	291
85 and over	133
Less than 65	154

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2019

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2019 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	62
Stroke	13
Ischemic Heart Disease	49
Depression	35
Chronic Kidney Disease	59
Asthma	8
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	42
Chronic Obstructive Pulmonary Disease	27
Diabetes	45
Dementia	26
Cancer	16

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2020 were gastrointestinal procedures, minimally invasive procedures, inpatient care and hospital care.

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	39
aspiration	68
balloon dilation	48
blood draw	34
catheterization	39
chronic care	96
diagnostic procedures	402
doctor visit	111
esophageal dilation	47
foreign body removal	32
gastrointestinal procedures	932
hospital care	790
image guided procedures	68
inpatient care	790
lab tests	46
minimally invasive procedures	932
minor procedures	68
nursing home care	11
preventive care	35
removal of lesion (e.g. growth)	421
stent placement (stenting)	65
ultrasound (sonogram)	174

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	451
Female	545

**Ethnicity**
Non-Hispanic White	630
Black	354
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	395
From 75 to 84	328
85 and over	121
Less than 65	152

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2020

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2020 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	60
Stroke	14
Ischemic Heart Disease	47
Depression	31
Chronic Kidney Disease	57
Asthma	7
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	37
Chronic Obstructive Pulmonary Disease	25
Diabetes	44
Dementia	24
Cancer	17

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2021 were gastrointestinal procedures, minimally invasive procedures, inpatient care and hospital care.

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	27
aspiration	67
balloon dilation	15
blood draw	48
catheterization	27
chronic care	219
diagnostic procedures	396
doctor visit	109
esophageal dilation	38
foreign body removal	36
gastrointestinal procedures	837
hospital care	600
image guided procedures	67
inpatient care	600
lab tests	39
liver imaging	25
minimally invasive procedures	837
minor procedures	67
nursing home care	12
preventive care	25
removal of lesion (e.g. growth)	426
stent placement (stenting)	58
ultrasound (sonogram)	193

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	394
Female	535

**Ethnicity**
Non-Hispanic White	607
Black	306
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	391
From 75 to 84	285
85 and over	124
Less than 65	129

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2021

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2021 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	65
Stroke	14
Ischemic Heart Disease	44
Depression	27
Chronic Kidney Disease	51
Asthma	7
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	32
Chronic Obstructive Pulmonary Disease	20
Diabetes	42
Dementia	19
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2022 were minimally invasive procedures, gastrointestinal procedures, chronic care and removal of lesion (e.g. growth).

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

anastomosis	14
aspiration	59
biological response modifier (BRM) therapy	22
blood draw	42
catheterization	14
chemotherapy	22
chronic care	394
diagnostic procedures	323
doctor visit	79
esophageal dilation	23
gastrointestinal procedures	608
hospital care	375
image guided procedures	59
inpatient care	375
lab tests	13
liver imaging	16
minimally invasive procedures	630
minor procedures	59
preventive care	14
removal of lesion (e.g. growth)	380
stent placement (stenting)	32
ultrasound (sonogram)	155

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	329
Female	433

**Ethnicity**
Non-Hispanic White	557
Black	194
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	306
From 75 to 84	266
85 and over	102
Less than 65	88

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2022

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2022 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	34
Depression	29
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	11
Atrial Fibrilation	24
Heart Failure	25
Chronic Obstructive Pulmonary Disease	22
Diabetes	38
Dementia	14
Cancer	23

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS during 2023 were minimally invasive procedures, gastrointestinal procedures, chronic care and removal of lesion (e.g. growth).

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

aspiration	58
balloon dilation	24
biological response modifier (BRM) therapy	26
blood draw	33
chemotherapy	26
chronic care	408
diagnostic procedures	364
doctor visit	93
esophageal dilation	46
gastrointestinal procedures	602
hospital care	272
image guided procedures	58
inpatient care	272
lab tests	34
liver imaging	11
minimally invasive procedures	639
minor procedures	58
removal of lesion (e.g. growth)	403
stent placement (stenting)	23
ultrasound (sonogram)	157

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	331
Female	413

**Ethnicity**
Non-Hispanic White	552
Black	175
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	342
From 75 to 84	262
85 and over	62
Less than 65	78

Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD in 2023

The most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated during 2023 were high cholesterol, hypertension, diabetes and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	33
Depression	25
Chronic Kidney Disease	31
Asthma	10
Osteoperosis	12
Atrial Fibrilation	23
Heart Failure	23
Chronic Obstructive Pulmonary Disease	21
Diabetes	40
Dementia	12
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2017 - 2023

Volume of procedures performed by Dr. Ralph Brooks Vance, MD for Medicare patients.

The highest averages for the top procedures that Dr. Ralph Brooks Vance, MD treated as a gastroenterologist in Madison, MS were minimally invasive procedures, gastrointestinal procedures, inpatient care and hospital care.

anastomosis	33
aspiration	59
balloon dilation	37
biological response modifier (BRM) therapy	24
blood draw	33
catheterization	33
chemotherapy	24
chronic care	279
diagnostic procedures	326
doctor visit	83
esophageal dilation	33
foreign body removal	31
gastrointestinal procedures	711
hospital care	670
image guided procedures	59
inpatient care	670
lab tests	30
liver imaging	17
minimally invasive procedures	720
minor procedures	59
nursing home care	17
preventive care	26
removal of lesion (e.g. growth)	354
stent placement (stenting)	45
ultrasound (sonogram)	148

Average Medicare Patient Data From 2017 - 2023

Information about Medicare patients treated by Dr. Ralph Brooks Vance, MD.

**Gender**
Male	303
Female	458

**Ethnicity**
Black / African American	259
Asian / Pacific Islander	0
Non-Hispanic White	550
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	266
85 and over	113
Less than 65	121
65 to 74	273

Average of Total of Conditions of Medicare patients treated by Dr. Ralph Brooks Vance, MD From 2017 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Ralph Brooks Vance, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	75
High Cholesterol	65
Stroke	14
Ischemic Heart Disease	43
Depression	31
Chronic Kidney Disease	50
Asthma	8
Osteoporosis	9
Heart Failure	35
Chronic Obstructive Pulmonary Disease	24
Diabetes	42
Atrial Fibrillation	19
Cancer	17
Dementia	21

Education & Training

Dr. Ralph Brooks Vance, MD graduated from University of Mississippi School of Medicine. He completed residency at University of North Carolina (UNC) Affiliated Hospitals. He is certified by the American Board of Internal Medicine Internal Medicine and has a state license in Mississippi.

Medical School: University of Mississippi School of Medicine

Residency: University of North Carolina (UNC) Affiliated Hospitals

Board Certification: American Board of Internal Medicine Internal Medicine

Licensed In: Mississippi

Affiliations & Hospitals

Dr. Ralph Brooks Vance, MD is associated with these hospitals and organizations:

Merit Health

ST. DOMINIC MEDICAL ASSOCIATES LLC

GASTROINTESTINAL ASSOCIATES PA

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General Payments

These charts describe general payments received by Dr. Ralph Brooks Vance, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$14,361 General - Biliary Devices $12,500	RESOLUTION CLIP $484	ORISE $394	SPYGLASS $217	GENERAL THERAPIES $206	Other $559
AbbVie Inc.	$229 Skyrizi $163	Creon $43	Humira $23
Olympus Corporation of the Americas	$177 Olympus EUS Devices $177
Takeda Pharmaceuticals U.S.A., Inc.	$155 ENTYVIO $141	GATTEX $14
ERBE USA Inc	$135 VIO3 APC3 EJ2 $135
Other	$844 GI GENIUS $133	OverStitch Endoscopic Suturing System $119	XIFAXAN $82	Olympus Biliary Devices $78	CONMED Biliary $73	Other $358

**Types of Payments**
Grant	$12,500
Food and Beverage	$2,646
Travel and Lodging	$690
Education	$64

Ownership and Interest Payments

This table describes ownership payments received by Dr. Ralph Brooks Vance, MD.

GastroGPO, LLC	2024	$19,410.28	Physician Covered Recipient	Common Stock
GastroGPO, LLC	2021	$631.60	Physician Covered Recipient	Common Stock
GastroGPO, LLC	2022	$318.05	Physician Covered Recipient	Common Stock

Biography

Dr. Ralph Vance's specialty is adult gastroenterology. He is professionally affiliated with Merit Health. Dr. Vance is a graduate of the University of Mississippi School of Medicine. He trained at a hospital affiliated with the University of North Carolina (UNC) for residency.