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    OpenPayerNPI Medicare & MedicaidMartin Miner
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    Martin Miner — Billing Profile & Reimbursement Data

    NPI 1083678023 · Providence, RI · Family Medicine Physician

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    Martin Miner is a family medicine physician provider located in Providence, Rhode Island. This profile covers 7 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMartin Miner
    Address164 Summit Ave
    CityProvidence
    StateRI
    ZIP02906
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.9K
    Medicare$36K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3490Unclassified drugs180$70$12.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…100$90$8.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…80$60$5K
    99442N/A60$60$3.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…310$10$3K
    11980The provider inserts hormone pellets subdermally, normally under the patient's arm skin.  These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal…30$70$2.1K
    J1071Injection, testosterone cypionate, 1 mg35,560$0$0

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3490110180$70$12.9K
    992149751,950100$80$11.7K
    992138611,95070$60$7.4K
    994423822020$60$2.6K
    1198011030$70$2.1K
    J107111035,560$1$730
    9637216050$10$670

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…180$100$18.9K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.220$60$13.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…140$80$10.7K
    84270The lab analyst performs a test to measure sex hormone binding globulin, or SHBG, typically in patient blood.190$50$9.6K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.150$10$1.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…40$20$680
    85014The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.80$10$480
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.60$10$440
    J1071Injection, testosterone cypionate, 1 mg20$1$80

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.710220$40$78.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…9121,730220$70$75.2K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,2942,050300$50$72.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…7110090$100$70.7K
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.2530230$50$48.4K
    85014The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.810100$30$32.4K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.810150$20$31.7K
    84270The lab analyst performs a test to measure sex hormone binding globulin, or SHBG, typically in patient blood.310160$40$28.7K
    J1071Injection, testosterone cypionate, 1 mg610180$10$1.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Miriam HospitalRIGeneral Acute Care Hospital$0$138.6M
    Lifespan Physician Group, Inc.RIUrgent Care Clinic/Center$0$6.5M
    Lifespan Physician Group, Inc.RIGeneral Practice Physician$0$5.6M
    Lifespan Physician Group, Inc.RIPsychiatry Physician$0$4.4M
    Leah BattistaRIMaternal & Fetal Medicine Physician$0$1M
    Joseph GarlandRIInfectious Disease Physician$17.4K$743.1K
    Tanya BookerRIMaternal & Fetal Medicine Physician$0$709.6K
    Joseph WyllieRICardiovascular Disease Physician$110.6K$537.2K
    Meghan GearyRIInternal Medicine Physician$5.8K$619.6K
    Jeffrey BurockRIPsychiatry Physician$30K$526.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family Service Of Rhode Island Inc.RITaxi$0$12M
    Butler HospitalRIPsychiatric Hospital$0$9.6M
    Phoenix Houses Of New England, Inc.RISubstance Abuse Rehabilitation Facility$0$7.3M
    Thomas MulveyRIPediatric Dentistry$0$6.3M
    Silver Fern Practice, LLCRIPhysical Therapist$0$5M
    Providence Interventional Associates Ii LLCRIAmbulatory Surgical Clinic/Center$1.9M$8.3K
    Gaurav GuptaRIOphthalmology Physician$1.8M$5.8K
    Robert EdenRIPediatrics Physician$0$1.7M
    Brian AckermanRIPsychiatry Physician$24.8K$1.5M
    Steven HirschRIClinical Neuropsychologist$0$1.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Martin Miner — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Martin Miner — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island