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

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

Gerald Miletello (NPI 1245217728)

Field	Value
Entity Type	Individual
Organization	Gerald Miletello
Address	7777 Hennessy Blvd Ste 6000
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	Medical Oncology Physician
NPI Enumerated	December 27, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

GERALD MILETELLO is a Medical Oncology physician in BATON ROUGE, LA with lifetime Medicare revenue of $1.3M and Medicaid revenue listed as none (no Medicaid billing on file). His NPI was enumerated 2005-12-27 (~21 years ago), indicating long tenure and an established presence in the market.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 83.4% of the provider's Medicare revenue. Those top three are J9271 ($705.2K revenue; 55.9% of Medicare revenue), J0897 ($216K revenue; 17.1%), and 99214 ($131.2K revenue; 10.4%), showing a heavy dependence on a single high-cost injectable plus office visit volume.

The code mix signals an infusion-focused oncology practice: J9271 (pembrolizumab) is the dominant revenue driver and J0897 (denosumab) is the second-largest contributor, both representing drug/infusion therapy, while 96413 and other chemotherapy administration codes are present but represent smaller revenue shares. This pattern is consistent with a practice delivering high-cost biologic/immunotherapy infusions alongside routine oncology E/M encounters.

Competitive standing on the drug codes is mixed. J9271 ranks #593 of 1841 providers nationally (67th percentile; typical, unremarkable volume for this code), and J0897 ranks #832 of 10057 providers nationally (92th percentile; typical, unremarkable volume for this code), indicating modest-to-strong participation in these specific injectable therapies but not dominance at the national level.

Office visit activity is a clear outlier: 99214 shows 1.5K claims and $131.2K revenue (10.4% of Medicare revenue) and ranks #3662 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That extreme outlier status for a high-level established patient E/M suggests a very large or very active established-patient panel and substantial outpatient visit throughput relative to peers.

The provider also shows structured participation in oncology care models and supportive services. M0010 has 228 claims and $15.7K revenue (1.2% of Medicare revenue) and ranks #46 of 544 providers nationally (92th percentile; typical, unremarkable volume for this code), indicating engagement with the Enhanced Oncology Model (EOM) monthly enhanced services, while chemotherapy administration code 96413 ranks #605 of 7514 providers nationally (92th percentile; typical, unremarkable volume for this code).

Payer mix is effectively single-payer Medicare: total Medicare revenue is $1.3M and Medicaid is none (no Medicaid billing on file). This concentration exposes the practice to Medicare policy and pricing dynamics and suggests a patient panel skewed toward Medicare-eligible beneficiaries.

Ancillary and supportive service lines appear consistent with an active infusion practice: high claim counts for injection and blood-draw codes (for example, 85025 at 2.1K claims, $16.9K revenue; ranks #919 of 32833 providers nationally, 97th percentile) reflect routine lab monitoring and injection procedures that typically accompany oncology infusion workflows. Overall, the profile is of an established oncology infusion practice with concentrated revenue in immunotherapy drugs, elevated E/M visit volume, and no Medicaid activity on file.

Medicare: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	16,400	$40	$705.2K
J0897	Injection, denosumab, 1 mg	12,000	$20	$216K
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…	1,490	$90	$131.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	520	$90	$47.2K
J1437	Injection, ferric derisomaltose, 10 mg	2,300	$20	$36.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	210	$90	$18.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,120	$10	$16.9K
M0010	Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services	230	$70	$15.7K
J0185	Injection, aprepitant, 1 mg	12,350	$1	$12.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	750	$10	$8.3K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Gerald Miletello — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	3	10	13,800	$40	$635.1K
J0897	6	70	3,120	$20	$105.6K
J1437	3	10	1,900	$20	$41.9K
96413	9	70	140	$90	$22.8K
99214	48	6,670	110	$80	$16.5K
M0010	2	10	220	$70	$14.1K
J0185	2	10	11,050	$1	$13.7K
Q0138	4	10	23,720	$1	$13.4K
96401	22	50	130	$50	$12.9K
99233	346	2,010	70	$90	$12.3K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wilfredo Blasini	FL	Clinical Pathology Physician	$16.9M	$307.9K
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
American Oncology Partners PA	OH	Hematology & Oncology Physician	$0	$11.8M
Lourdes Physician Group LLC	LA	Family Medicine Physician	$0	$7.9M
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
David Smith	MD	Hematology & Oncology Physician	$6.4M	$0
Our Lady Of The Lake Physician Group LLC	LA	Family Medicine Physician	$0	$4.6M
Stephen Divers	AR	Hematology & Oncology Physician	$3.9M	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Hospital Inc.	LA	General Acute Care Hospital	$0	$205.8M
Professional Emergency Physician Associates, LLC	LA	Emergency Medicine Physician	$0	$28.4M
Radiology Associates LLC	LA	Diagnostic Radiology Physician	$0	$18.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$15.1M
Medlogic,llc	LA	Clinical Medical Laboratory	$0	$13.3M
Baton Rouge Clinic, A Medical Corporation	LA	Internal Medicine Physician	$0	$10.3M
Pathology Group Of Louisiana, A Professional Medical Corporation	LA	Anatomic Pathology & Clinical Pathology Physician	$0	$8.3M
Infusion Partners, LLC	LA	Home Infusion Therapy Pharmacy	$0	$7.3M
Baton Rouge Radiology Group Inc	LA	Diagnostic Radiology Physician	$0	$7.2M
Care One Health LLC	LA	Community/Behavioral Health Agency	$0	$6.4M

Gerald Miletello — 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