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    OpenPayerNPI Medicare & MedicaidMiriah Teeter
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    Miriah Teeter — Billing Profile & Reimbursement Data

    NPI 1316141872 · Denver, CO · Retina Specialist (Ophthalmology) Physician

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    Miriah Teeter is a retina specialist (ophthalmology) physician provider located in Denver, Colorado. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMiriah Teeter
    Address8101 E Lowry Blvd Ste 210
    CityDenver
    StateCO
    ZIP80230
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 11, 2007

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer at the state level: total Medicare revenue is $1.9M and there is no Medicaid billing on file. The absence of any Medicaid activity indicates the provider’s public reimbursement footprint is concentrated entirely in Medicare, so payer-strategy work should treat Medicare as the dominant commercial channel for partnerships or network negotiations.

    Revenue is highly concentrated in intravitreal drug administration: the precomputed top 3 Medicare codes account for 78.9% of this provider's total Medicare revenue, with J0178 at $1M (53.6%), J2777 at $320.2K (16.5%), and J2781 at $171K (8.8%). This concentration signals a practice model driven by high-volume retinal injections rather than office visits or broad multimodal ophthalmology services.

    The code mix and major billings point to retina-focused therapeutic care: J0178 (1.5K claims, $692 avg paid/claim, $1M revenue) and J2777 (11K claims, $29 avg paid/claim, $320.2K revenue) are the top revenue drivers and are drugs used for intravitreal treatment, while J2781 (1.4K claims, $120 avg paid/claim, $171K revenue) further emphasizes specialized retinal pharmacotherapy. Combined with the presence of surgical codes such as 67028 (1.1K claims, $98 avg paid/claim, $109.9K revenue), the profile is consistent with a retina specialist whose primary revenue stream is procedural injection therapy.

    Diagnostic imaging use is elevated relative to peers: 92134 shows 1.9K claims and $57.6K revenue (3.0% of Medicare revenue) and is explicitly noted as "notably above typical national volume for this code." High utilization of retina imaging supports ongoing management of chronic retinal disease and aligns with frequent injection therapy and monitoring.

    Competitive standing is mixed across specific services: J0178 ranks #818 of 3204 (74th percentile; typical, unremarkable volume for this code) and J2777 ranks #942 of 2039 (54th percentile; typical, unremarkable volume for this code), indicating modest national participation for the major anti‑VEGF and newer agents. By contrast, J2781 ranks #57 of 490 (88th percentile; typical, unremarkable volume for this code) which places the provider toward the higher end of national peers for that specific intravitreal agent, even though the plain‑language label provided qualifies it as "typical, unremarkable."

    There are notable payment characteristics outside the three top drugs: unclassified drug billing J3490 accounts for $89K (4.6% of Medicare revenue) with 52 claims and a $1712 avg paid/claim, suggesting occasional high‑unit‑cost or miscellaneous drug charges that materially contribute to revenue despite low claim counts. Analysts should review those J3490 entries when reconciling drug inventory or mapping drug utilization to revenue drivers.

    Operationally, the practice receives a minority of revenue from office E/M and new‑patient evaluations relative to procedural care: 92014 has 755 claims for $68K (3.5% of Medicare revenue) and 92004 has 112 claims for $12.9K (0.7% of Medicare revenue). This split indicates a procedure-first revenue model where clinical visits support, but do not dominate, the Medicare revenue base.

    The provider has an established billing history with an NPI enumerated on 2007-06-11 (~19 years ago), which, combined with lifetime Medicare revenue of $1.9M, suggests a sustained, mid‑scale Medicare retinal practice rather than a newly established or very large multi‑provider enterprise. Continuity of enrollment supports stability for longitudinal utilization and contracting analyses.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,500$690$1M
    J2777Injection, faricimab‑svoa, 0.1 mg11,040$30$320.2K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,430$120$171K
    67028The 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.1,120$100$109.9K
    J3490Unclassified drugs50$1,710$89K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…760$90$68K
    92134The 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.1,860$30$57.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.30$720$23.6K
    J7999Compounded drug, not otherwise classified240$70$16.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$120$12.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781060740$690$618.3K
    J277718408,910$30$456.1K
    J2781110470$120$79.4K
    670282280670$100$73.3K
    6703693020$1,100$37.3K
    J3490306050$290$23.1K
    J79992250230$70$21.5K
    6704171010$1,260$21.4K
    9201433670100$80$15.2K
    992147,0958,16080$80$11.3K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert CourtneyCORetina Specialist (Ophthalmology) Physician$2.9M$0
    Salil ShuklaCORetina Specialist (Ophthalmology) Physician$2.7M$0
    Murtaza AdamCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Mimi LiuCORetina Specialist (Ophthalmology) Physician$2.2M$0
    Nancy ChristmasCORetina Specialist (Ophthalmology) Physician$1.8M$0
    Peter HovlandCOOphthalmology Physician$1.8M$0
    Curtis HagedornCOOphthalmology Physician$1.5M$0
    David JohnsonCOSpecialist$1.5M$0
    Ashleigh LevisonCORetina Specialist (Ophthalmology) Physician$1.4M$0
    Brian JoondephCORetina Specialist (Ophthalmology) Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$25.5M
    Total Longterm Care, Inc.COExclusive Provider Organization$0$13M
    Denver Health And Hospital AuthorityCOFederally Qualified Health Center (FQHC)$0$8.3M
    Lowry Pediatrics, PCCOPediatrics Physician$0$4.4M
    Stephen MurphyCORheumatology Physician$1.4M$0
    Gregory BarronCORheumatology Physician$1.4M$0
    Rennie MccabeCORheumatology Physician$1.3M$0
    Vance BrayCORheumatology Physician$1.3M$0
    Annemarie WhiddonCORheumatology Physician$1.3M$0
    Kim TylerCORheumatology Physician$1.3M$0

    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. Colorado Distribution
    Miriah Teeter — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado