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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Ronald Milam (NPI 1205256724)

Field	Value
Entity Type	Individual
Organization	Ronald Milam
Address	6035 Fairview Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 23, 2014

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

Practice profile and service mix: As a Retina Specialist (Ophthalmology) Physician, the provider’s billing mix is injection- and retina-imaging–centric, driven by high-volume anti-VEGF administration and associated intravitreal procedures. This is supported by large claim counts for J0178 (2.1K claims, $690 avg paid/claim, $1.4M revenue) and J2777 (13.6K claims, $29 avg paid/claim, $393.2K revenue) alongside procedure 67028 (1.4K claims, $92 avg paid/claim, $129.3K revenue), which together reflect a treatment model built around repeated intravitreal injections and retinal follow-up care.

Revenue concentration risk: The provider’s Medicare revenue is highly concentrated in a very small set of codes — the precomputed top-3 codes account for 88.2% of this provider's total Medicare revenue. In particular, J0178 represents a dominant single code (64.5% of total Medicare revenue, $1.4M), with J2777 (17.9%, $393.2K) and 67028 (5.9%, $129.3K) completing the top three, indicating most Medicare dollars flow from recurring drug administration and its associated procedure.

Payer mix and scale: This provider is effectively single-payer in the available data — lifetime Medicare revenue is $2.2M while Medicaid shows none (no Medicaid billing on file). That asymmetric payer mix means the provider’s commercial and Medicare arrangements will overwhelmingly determine access and revenue; there is no Medicaid volume to suggest reliance on state programs or a safety-net population.

Competitive standing on primary drug codes: For the practice’s top drug codes, national rankings show typical participation rather than market dominance. J0178 ranks #512 of 3204 providers nationally (84th percentile; typical, unremarkable volume for this code), J2777 ranks #769 of 2039 providers nationally (62th percentile; typical, unremarkable volume for this code), and 67028 ranks #893 of 4255 providers nationally (79th percentile; typical, unremarkable volume for this code), suggesting the provider treats many patients but does not stand out as a national outlier among injectors.

Statistical outliers in office visits and imaging: The provider is an outlier on some non-drug services, with 99213 listed as an "extreme outlier, far above typical national volume for this code" (1.8K claims, $68 avg paid/claim, $123.5K revenue, 5.6% of Medicare revenue) and 92134 described as "notably above typical national volume for this code" (2.2K claims, $30 avg paid/claim, $65.8K revenue, 3.0% of Medicare revenue). These patterns indicate unusually high frequency of lower-complexity E&M visits and posterior-segment retinal imaging relative to national peers, consistent with a follow-up-heavy injection practice.

Operational implications: The mix of frequent, lower-reimbursement follow-up visits (high 99213 volume) combined with concentrated high-revenue biologic injections (J0178 and J2777) points to an operational model that schedules frequent monitoring and recurring treatments. Payers and partners should expect predictable, recurring utilization and may prioritize pathway management or injection program coordination to manage cost and continuity of care.

Ancillary and alternative therapies are limited: The provider bills a small amount for alternative or ancillary therapies and diagnostics (for example, J9035 bevacizumab appears with 271 claims, $57 avg paid/claim, $15.4K revenue, 0.7% of Medicare revenue, and fundus photography 92250 at 99 claims, $25 avg paid/claim, $2.5K revenue). This suggests a focused use of branded biologics and core retinal imaging rather than broad procedural diversification.

Provider tenure and reliability for contracting: The NPI has been enumerated since 2014-04-23 (~12 years ago), indicating an established practice footprint and time in-network potential. Combined with $2.2M lifetime Medicare revenue and a concentrated code mix, the provider represents a steady, injection-centered partner whose financial impact on Medicare is significant but concentrated in a few high-cost services.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,060	$690	$1.4M
J2777	Injection, faricimab‑svoa, 0.1 mg	13,560	$30	$393.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,410	$90	$129.3K
99213	The 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…	1,820	$70	$123.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,190	$30	$65.8K
99214	The 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…	450	$100	$44K
J9035	Injection, bevacizumab, 10 mg	270	$60	$15.4K
99203	The provider sees a new 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 provider…	70	$70	$5.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	100	$30	$2.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$40	$1.3K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Ronald Milam — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	100	950	$690	$881K
J2777	34	70	12,990	$30	$503.7K
67028	31	120	780	$90	$80K
99214	1,895	18,060	110	$80	$15.1K
J9035	28	90	140	$50	$13.4K
92235	66	70	60	$100	$8.7K
92134	20	790	70	$30	$7.5K
99213	9	16,320	70	$50	$7.1K
99204	8,070	8,430	30	$110	$4.8K
92250	354	850	80	$20	$3.5K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cleveland Clinic Foundation	OH	General Acute Care Hospital	$0	$864.1M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Quick Med Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$21.8M
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
Clinic Medical Services Company LLC	OH	Diagnostic Radiology Physician	$0	$10.8M
Cleveland Clinic Home Care Services	OH	Community Based Hospice Care Agency	$0	$10.8M
The Cleveland Clinic Foundation	OH	Clinical Medical Laboratory	$144K	$9M
Wooster Clinic, LLC	OH	Multi-Specialty Clinic/Center	$0	$6.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0
William Bobo	NC	Radiation Oncology Physician	$865.5K	$0

Ronald Milam — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References