Estil Vance, MD
Hematology & Oncology · Dallas, TXNPI 1477596344
Payments from drug & device makers
Across 42 payments — averaging $22.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Astellas Pharma US Inc$577
- Gilead$100
- Legend Biotech USA Inc.$69
- Pharming Healthcare, Inc.$52
- GSK$40
- AbbVie$32
- plus $84 from 5 others
What the payments were for
- Food & beverage$86591%
- Education$899%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Astellas Pharma US Inc | 29 | $577 |
| Gilead(2 entities) | 2 | $100 |
| Legend Biotech USA Inc. | 1 | $69 |
| Pharming Healthcare, Inc. | 2 | $52 |
| GSK | 2 | $40 |
| AbbVie | 1 | $32 |
| AstraZeneca | 1 | $26 |
| Amgen | 1 | $21 |
| Shionogi Inc | 1 | $12 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $12 |
| Acrotech Biopharma Inc. | 1 | $12 |
How this compares
$954 in reported general payments places this provider in the 20th percentile of 838 hematology & oncology providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| RevlimidLenalidomide | 28 | $459,335 |
| Bexarotene | 11 | $14,311 |
| Atovaquone | 26 | $5,825 |
| ValacyclovirValacyclovir Hcl | 42 | $2,385 |
| Imatinib Mesylate | 13 | $2,275 |
| Entecavir | 15 | $1,729 |
| Tacrolimus | 21 | $1,445 |
| Acyclovir | 88 | $1,239 |
| Triamcinolone Acetonide | 25 | $699 |
| Gabapentin | 42 | $447 |
| Potassium Chloride | 16 | $403 |
| Levothyroxine Sodium | 13 | $257 |
| Pantoprazole Sodium | 21 | $184 |
| Carvedilol | 13 | $104 |
| Levofloxacin | 16 | $87 |
Paid to pharmacies, not to this prescriber.
Other hematology & oncology in Dallas
- Prapti PatelDallas$10.3M
- Farrukh AwanDallas$8.4M
- Elizabeth MaherDallas$5.5M
- Kevin CourtneyDallas$4.8M
- Jaime BrugarolasDallas$2.8M
- Syed KazmiDallas$2.5M
- Elias JabbourHouston$264.1M
- Luhua WangHouston$79.6M
- Courtney DinardoHouston$74M
- Jorge Cortes-FrancoHouston$59.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.