Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Colorado (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Miller (NPI 1043871338)

Field	Value
Entity Type	Individual
Organization	James Miller
Address	562 W Crete Cir Unit 105
City	Grand Junction
State	CO
ZIP	81505
Taxonomy	Physical Therapist
NPI Enumerated	June 26, 2019

Payer Source	Total Paid
Medicare	$27K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	360	$30	$9.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	290	$20	$6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	230	$20	$3.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	210	$20	$3.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	30	$80	$2.6K
98977	The provider supplies one or more devices for remote therapeutic monitoring (RTM) of the musculoskeletal system for monitoring that occurs for 16 to 30 days in a 30–day period.	20	$40	$880
98975	The provider performs initial setup of equipment for remote therapeutic monitoring. The provider also educates the patient on use of the equipment.	20	$20	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

James Miller — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	543	1,530	260	$30	$10.1K
97110	1,099	1,840	310	$20	$8.3K
97112	669	1,610	240	$20	$7.7K
97140	1,087	1,770	290	$20	$6.4K
97161	264	800	30	$80	$2.5K
98977	5	10	20	$40	$2.3K
98975	4	10	20	$10	$290

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Miller, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jesse Chrastil	CO	Orthopaedic Surgery Physician	$315.2K	$0
Amit Agarwala	CO	Orthopaedic Surgery of the Spine Physician	$220.6K	$0
Dean Sukin	MT	Adult Reconstructive Orthopaedic Surgery Physician	$216.9K	$0
Robert Thomas	CO	Orthopaedic Surgery Physician	$213.8K	$0
Philip York	CO	Orthopaedic Surgery of the Spine Physician	$195.8K	$0
Michael Horner	CO	Physical Medicine & Rehabilitation Physician	$189.3K	$0
Peter Lammens	CO	Orthopaedic Surgery Physician	$165.3K	$0
Peter Gold	CO	Orthopaedic Surgery Physician	$161.3K	$0
Abby Price	CO	Physician Assistant	$141.3K	$0
Ronald Hugate	CO	Orthopaedic Surgery Physician	$141K	$0

Nearby Providers

Other providers in the same ZIP code as James Miller, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Junction Regional Center	CO	Developmentally Disabled Services Day Training Agency	$0	$42.3M
Colorado West Healthcare System	CO	General Acute Care Hospital	$0	$12.8M
Senior Care Service LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$9M
Pediatric Dental Specialists Of Western Co	CO	Pediatric Dentistry	$0	$6.7M
K2taxi, LLC	CO	Taxi	$0	$4.6M
Gj West Dental Prof LLC	CO	General Practice Dentistry	$0	$4.3M
Endoscopy Center Of Western Colorado Inc	CO	Ambulatory Surgical Clinic/Center	$549.2K	$261.6K
Canyon View Asc, LLC	CO	Ambulatory Surgical Clinic/Center	$438.3K	$14.9K
William Waterhouse	CO	Ophthalmology Physician	$357.3K	$24.4K
Kristin Sperle	CO	Nurse Practitioner	$364.2K	$0

James Miller — Billing Profile & Reimbursement Data

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James Miller — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References