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NPI 1578514477 · Murray, UT · Cardiovascular Disease Physician
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Stephen Miller is a cardiovascular disease physician provider located in Murray, Utah. This profile covers 31 Medicare and 2 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 | Stephen Miller |
| Address | 5292 College Dr |
| City | Murray |
| State | UT |
| ZIP | 84123 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | May 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.1M |
| Medicaid | $4.2K |
Provider profile and payer scale: STEPHEN MILLER is a long‑tenured NPI (enumerated 2006-05-15, ~20 years ago) with a Medicare‑heavy billing footprint: Total Medicare revenue is $1.1M versus Total Medicaid revenue of $4.2K, indicating the practice is effectively Medicare‑driven rather than Medicaid‑focused. The disparity in scale suggests payer mix and contracting strategies will be most relevant for Medicare analyses.
Revenue concentration and top drivers (Medicare): The three highest‑revenue Medicare codes—99426 ($193.8K, 17.1%), 99458 ($181.1K, 16.0%), and 99457 ($154.1K, 13.6%)—are precomputed to account for 46.7% of this provider's total Medicare revenue, signaling heavy reliance on remote physiologic monitoring and complex chronic care management services. Those time‑based RPM/CCM codes together represent nearly half of Medicare receipts and are the primary business lines to target for utilization or contract reviews.
Service‑line implications from code mix: The billing portfolio is dominated by remote physiologic monitoring and chronic care management (99426, 99427, 99454, 99458, 99457, 99453) alongside routine office E/M (99214) and cardiac diagnostics (93229, 93306, 93000). This mix implies an operational model with device provisioning, structured RPM workflows and staff time dedicated to monthly monitoring and care‑plan management rather than purely episodic office visits.
Competitive standing and statistical outlier signals (national Medicare): The provider ranks as an extreme outlier on multiple RPM/CCM measures—99426 ranks #3 of 1130 (100th percentile; extreme outlier), 99427 ranks #3 of 408 (100th percentile; extreme outlier), 99458 ranks #15 of 3715 (100th percentile; extreme outlier), and 99457 ranks #20 of 6044 (100th percentile; extreme outlier). These high ranks indicate the provider is a national leader in volume for RPM/CCM codes and operates at substantially higher intensity in these services than typical peers.
Secondary procedural and diagnostic lines: Cardiac diagnostic and interventional support appear as secondary but notable revenue streams—93229 produced $54.7K (4.8%), 93306 produced $45.9K (4.1%), and 93356 produced $8.4K (0.7%). In addition, 93000 shows $13K (1.1%) and ranks #758 of 71016 (99th percentile; extreme outlier), suggesting elevated ECG/interpretation volume relative to most providers and reinforcing a cardiology‑focused practice mix beyond RPM.
Medicaid footprint and in‑state competitiveness: Medicaid revenue is nominal at $4.2K and is entirely attributed to 99214 (78 claims, $54 avg paid/claim), with top‑3 Medicaid codes precomputed to account for 100.0% of Medicaid revenue. The 99214 Medicaid rank is #863 of 1340 in-state (35th percentile; typical, unremarkable volume), indicating the provider is not a significant Medicaid player within Utah and Medicaid patterns will have limited impact on overall revenue analysis.
Ancillary treatments and lower‑volume items: The practice also bills for drug administration and lab services (J1306 inclisiran: 3.1K claims, $28.1K revenue, ranks #454 of 462 — labeled typical, unremarkable volume; 80061 lipid panel: 497 claims, $6.5K revenue, ranks #1887 of 21671). These items suggest complementary preventive and lipid‑management services are part of the care mix, but they are modest contributors to total Medicare revenue compared with RPM/CCM and core cardiac diagnostics.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99426 | Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last… | 4,310 | $50 | $193.8K |
| 99458 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.… | 6,240 | $30 | $181.1K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 4,400 | $40 | $154.1K |
| 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… | 1,740 | $90 | $153.5K |
| 99427 | Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last… | 3,680 | $40 | $128.9K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 2,950 | $40 | $103.1K |
| 93229 | In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect… | 90 | $610 | $54.7K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 360 | $130 | $45.9K |
| J1306 | Injection, inclisiran, 1 mg | 3,120 | $10 | $28.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 1,300 | $10 | $13K |
Showing 1–10 of 31
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 80 | $50 | $4.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 863 | 1,340 | 200 | $80 | $144K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 14 | 20 | 80 | $10 | $1.3K |
Other providers in the same ZIP code as Stephen Miller, ranked by combined Medicare and Medicaid revenue.
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