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

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Chelsey Miller (NPI 1225546070)

Field	Value
Entity Type	Individual
Organization	Chelsey Miller
Address	601 W Spruce St Ste J
City	Missoula
State	MT
ZIP	59802
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 15, 2018

Payer Source	Total Paid
Medicare	$58.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	520	$80	$38.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$110	$10.7K
64405	The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more…	70	$70	$5K
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…	40	$40	$1.6K
95983	The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…	50	$30	$1.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$240
J2920	Injection, methylprednisolone sodium succinate, up to 40 mg	70	$1	$200
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	20	$10	$180
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	10	$1	$40
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	2,090	$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 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Chelsey Miller — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	120	1,810	100	$70	$12.4K
99215	179	780	40	$100	$7.9K
99213	1,298	1,730	90	$50	$7.2K
95983	3	10	70	$40	$3.2K
36415	180	260	70	$10	$1.8K
64405	1	10	30	$60	$1.6K
J2930	6	10	20	$1	$240
G2012	3	10	30	$10	$200
J2920	1	10	40	$1	$140
J0665	1	10	1,840	$1	$30

Chelsey Miller — Billing Profile & Reimbursement Data

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Chelsey 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

Frequently Asked Questions

References