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

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

Kenneth Miller (NPI 1275868572)

Field	Value
Entity Type	Individual
Organization	Kenneth Miller
Address	875 Swift Blvd
City	Richland
State	WA
ZIP	99352
Taxonomy	Surgical Physician Assistant
NPI Enumerated	October 5, 2009

Payer Source	Total Paid
Medicare	$20K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$60	$5.3K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	30	$130	$4.5K
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	20	$130	$2.4K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	20	$90	$2K
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…	20	$80	$1.7K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	10	$100	$1.4K
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	$1.1K
G0413	Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint…	10	$90	$1.1K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	10	$40	$490

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Kenneth Miller — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27130	98	230	30	$1,060	$37.1K
27245	9	40	20	$880	$14.1K
99214	9,467	10,860	100	$80	$13.6K
27236	13	30	10	$720	$10.8K
G0413	3	10	20	$560	$8.5K
27279	2	10	20	$350	$6.7K
99213	3,457	9,690	60	$60	$6.5K
20610	762	790	50	$50	$3.3K
99212	734	1,790	30	$40	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Lourdes Hospital LLC	WA	Critical Access Hospital	$0	$34M
Lourdes Hospital LLC	WA	Psychiatric Hospital	$0	$22.4M
Lourdes Hospital LLC	WA	Internal Medicine Physician	$0	$8.7M
William Forsythe	WA	Emergency Medicine Physician	$667.6K	$0
Tri-city Regional Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$228.5K	$288.8K
Barbara Blankenship	WA	Diagnostic Radiology Physician	$380.6K	$0
Mark Merrell	WA	Orthopaedic Surgery Physician	$368.3K	$0
Christopher Reynolds	AZ	Diagnostic Radiology Physician	$308.9K	$0
Joshua Bales	WA	Orthopaedic Surgery Physician	$304.9K	$0

Kenneth Miller — Billing Profile & Reimbursement Data

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Kenneth 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

Frequently Asked Questions

References