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

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

Daniel Miller (NPI 1487681987)

Field	Value
Entity Type	Individual
Organization	Daniel Miller
Address	1945 Cei Drive
City	Cincinnati
State	OH
ZIP	45242
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: Total Medicare revenue is $2.4M and there is no Medicaid billing on file, so payer mix is concentrated entirely in Medicare. The NPI was enumerated 2006-06-28 (~20 years ago), indicating a long-tenured practice that appears to operate primarily within the Medicare population.

Revenue is highly concentrated in a small set of injection codes: the precomputed top 3 Medicare codes by revenue account for 81.1% of this provider's total Medicare revenue, driven by J0178 $1.5M (61.6%), J2777 $320.2K (13.1%), and J2779 $153.6K (6.3%). That concentration means most of the practice’s Medicare dollars come from a narrow set of pharmacologic retinal therapies.

Clinical mix and service-line implications point to a retina/intravitreal injection–focused operation: J0178 (aflibercept) is the single largest revenue driver and J2777 (faricimab) and J2779 (ranibizumab susvimo implant) are also material, showing a practice built around anti-VEGF and implant therapies. Procedural codes such as 67028 (vitreous injection) and 67042 (vitrectomy with membrane peel) appear alongside these drug codes, reinforcing a surgical-retina treatment profile rather than a general comprehensive ophthalmology emphasis.

Diagnostic imaging usage is relatively high compared with peers: 92134 generated $53.9K (2.2% of Medicare revenue) and ranks #1106 of 26868 providers nationally (96th percentile; notably above typical national volume). This elevated OCT utilization is consistent with intensive retina disease management and monitoring associated with frequent intravitreal therapy.

Competitive standing by code is mixed: for J0178 the provider ranks #446 of 3204 (86th percentile; typical, unremarkable volume for this code), indicating strong national presence without being an extreme outlier. By contrast J2777 ranks #942 of 2039 (54th percentile; typical, unremarkable volume) showing modest participation, while J2779 ranks #1 of 2 (100th percentile; typical, unremarkable volume) — a top rank but within a very small national sample, so interpret leadership cautiously.

The provider also reports non-specific drug and biologic billing: J3490 produced $97.3K (4.0% of Medicare revenue) and J3590 produced $27.4K (1.1%), with J3590 ranking #61 of 631 (90th percentile; typical, unremarkable volume). These unclassified drug code usages suggest episodic billing for additional injectable therapies or billing for products not captured by dedicated HCPCS codes and warrant attention when profiling drug-cost exposure.

Office and E/M activity is present but small relative to drug and procedure revenue: 92014 generated $25.4K (1.0%) and level office codes 99214 and 99213 together account for modest revenue ($18K and $10K respectively). This pattern — modest E/M revenue versus dominant injection/drug revenue — aligns with a practice that prioritizes procedure-based retina care over high-volume office visit billing.

The combination of long tenure (NPI enumerated 2006-06-28 (~20 years ago)) and heavy revenue dependence on a few high-cost injection codes creates operational sensitivity: changes in utilization, drug mix, or reimbursement for J0178/J2777/J2779 could materially affect practice revenue given that the top three codes make up 81.1% of Medicare income. Analysts should treat the provider as a specialized retina operator with concentrated Medicare exposure rather than a broadly diversified ophthalmology practice.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,180	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	11,040	$30	$320.2K
J2779	Injection, ranibizumab, via intravitreal implant (susvimo), 0.1 mg	2,400	$60	$153.6K
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.	1,590	$90	$146.4K
J3490	Unclassified drugs	60	$1,740	$97.3K
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.	1,930	$30	$53.9K
J2778	Injection, ranibizumab, 0.1 mg	230	$180	$42.1K
J3590	Unclassified biologics	550	$50	$27.4K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	30	$830	$27.3K
92014	An 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…	330	$80	$25.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Daniel Miller — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	18	100	840	$680	$729K
J2777	29	70	9,480	$30	$353.3K
J2779	1	10	2,400	$60	$153.4K
J2778	14	20	370	$180	$73.1K
J3490	43	50	100	$560	$73.1K
67028	19	150	470	$90	$64K
J3590	20	100	200	$100	$30K
67042	14	50	20	$960	$29.7K
92014	215	1,390	100	$70	$12.9K
99214	4,743	20,010	100	$70	$11.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Cei Physicians Psc LLC	OH	Ophthalmologic Surgery Clinic/Center	$4.1M	$1M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Ahmed Alkaliby	FL	Ophthalmology Physician	$2.6M	$0
Cei Physicians Psc LLC	OH	Ambulatory Surgical Clinic/Center	$1.9M	$680.3K
Philip Nelsen	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$63.6M
Bethesda Hospital Inc	OH	General Acute Care Hospital	$0	$57M
Hospice Of Cincinnati Incorporated	OH	Community Based Hospice Care Agency	$0	$54M
Carestar, Inc.	OH	Case Management Agency	$0	$43.1M
Counseling Source Inc	OH	Mental Health Counselor	$0	$41M
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Qualified Emergency Specialists Inc	OH	Emergency Medicine Physician	$0	$18.9M
Crossroads Hospice Of Cincinnati	OH	Community Based Hospice Care Agency	$0	$14.6M
A Best Home Care,inc.	OH	Home Health Agency	$0	$10.4M
Mercy Health Physicians Cincinnati Specialty Care LLC	OH	Surgery Physician	$0	$7.1M

Daniel Miller — 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