Loading...
NPI 1538143060 · Chicago, IL · Anatomic Pathology & Clinical Pathology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ira Miller is a anatomic pathology & clinical pathology physician provider located in Chicago, Illinois. This profile covers 22 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ira Miller |
| Address | 1653 W Congress Pkwy |
| City | Chicago |
| State | IL |
| ZIP | 60612 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | November 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $177.1K |
| Medicare | $152.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 1,420 | $30 | $39.6K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 270 | $70 | $17.5K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 210 | $60 | $12.9K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 1,190 | $10 | $11.9K |
| 88341 | The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified… | 520 | $20 | $11.4K |
| 85097 | The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow. | 240 | $40 | $8.9K |
| 88360 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the… | 260 | $30 | $8.3K |
| 88188 | The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers. | 160 | $50 | $7.8K |
| 88342 | The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 260 | $30 | $7.1K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 770 | $10 | $6.9K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 1,630 | $30 | $40.6K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 690 | $50 | $32.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 4,380 | $10 | $21.9K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 520 | $30 | $15.1K |
| 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… | 4,190 | $1 | $12.6K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 2,860 | $1 | $11.4K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 150 | $60 | $8.5K |
| 85097 | The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow. | 440 | $20 | $8.4K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 360 | $20 | $6.4K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 1,410 | $1 | $5.6K |
Showing 1–10 of 23
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
23 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 200 | 740 | 960 | $10 | $75.9K |
| 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… | 209 | 830 | 700 | $1 | $47.5K |
| 88305 | The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 170 | 610 | 820 | $40 | $46.6K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 129 | 310 | 1,690 | $1 | $40.3K |
| 88307 | The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 157 | 290 | 180 | $60 | $28.2K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 167 | 340 | 1,190 | $1 | $23.8K |
| 85730 | The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help… | 185 | 210 | 1,310 | $1 | $14.7K |
| 86850 | The lab analyst performs a screening test using patient blood to determine the presence of any antibodies to red blood cells, called RBCs, other than the A and B antigens. | 151 | 240 | 1,070 | $1 | $11.2K |
| 85610 | Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze… | 206 | 340 | 1,030 | $1 | $10.8K |
| 86901 | The lab analyst performs a test to determine the patient’s blood type within the Rh blood group system using serum plasma as the specimen. | 162 | 270 | 900 | $1 | $8.8K |
Showing 1–10 of 23
Other providers in the same ZIP code as Ira Miller, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cook County | IL | Multi-Specialty Clinic/Center | $0 | $85.9M |
| Frederick Behm | IL | Anatomic Pathology & Clinical Pathology Physician | $440 | $32.3M |
| The Thresholds | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $26.1M |
| Sahar Alrayyes | IL | Pediatric Dentistry | $0 | $20.3M |
| Western Labs Company | IL | Clinical Medical Laboratory | $18.4M | $8.4K |
| Susan Rowan | IL | Dentist | $0 | $15.4M |
| Advance Lab Company | IL | Clinical Medical Laboratory | $14.5M | $0 |
| The Board Of Trustees Of The University Of Illinois | IL | Internal Medicine Physician | $0 | $11.9M |
| Rush University Medical Center | IL | Early Intervention Provider Agency | $0 | $10.1M |
| Michael Miloro | IL | Oral & Maxillofacial Surgery (D.M.D.) | $0 | $9.5M |
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.