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NPI 1588632723 · Gardner, MA · Family Medicine Physician
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Thomas Miller is a family medicine physician provider located in Gardner, Massachusetts. This profile covers 33 Medicare and 13 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 | Thomas Miller |
| Address | 266 Main St |
| City | Gardner |
| State | MA |
| ZIP | 01440 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | March 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $448.2K |
| Medicare | $364.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
33 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… | 1,650 | $90 | $149.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 560 | $130 | $73.4K |
| 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… | 690 | $60 | $43.8K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 120 | $280 | $34.7K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 110 | $220 | $24K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 50 | $160 | $7.7K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 100 | $80 | $7.2K |
| G0009 | Administration of pneumococcal vaccine | 120 | $30 | $3.8K |
| G0008 | Administration of influenza virus vaccine | 100 | $30 | $3K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 10 | $170 | $2.4K |
Showing 1–10 of 33
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
33 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 38 | 15,410 | 110 | $80 | $15.6K |
| G0439 | 10 | 3,350 | 70 | $120 | $11.9K |
| 99215 | 5,921 | 6,360 | 40 | $120 | $8.9K |
| 99213 | 370 | 13,700 | 70 | $60 | $8.8K |
| 90694 | 519 | 1,530 | 50 | $70 | $8.6K |
| 84443 | 366 | 650 | 50 | $20 | $8.2K |
| 80061 | 379 | 720 | 80 | $10 | $8.1K |
| 90677 | 16 | 1,810 | 20 | $280 | $7.7K |
| 84153 | 141 | 210 | 30 | $20 | $6.2K |
| 99204 | 4,333 | 5,870 | 30 | $120 | $5.6K |
Showing 1–10 of 33
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.
13 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… | 3,290 | $70 | $240.1K |
| 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… | 2,790 | $50 | $147.8K |
| 99203 | The provider sees a new 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 provider… | 300 | $80 | $25.5K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 680 | $20 | $15.6K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 1,020 | $10 | $12.3K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 170 | $20 | $3.9K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 1,260 | $1 | $2.5K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 20 | $50 | $1.2K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 400 | $1 | $800 |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 30 | $10 | $270 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
13 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… | 564 | 5,040 | 200 | $70 | $209.5K |
| 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… | 741 | 5,300 | 230 | $60 | $164.5K |
| 99203 | The provider sees a new 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 provider… | 323 | 990 | 100 | $80 | $75.6K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 109 | 130 | 230 | $30 | $50.6K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 136 | 550 | 190 | $20 | $38.9K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 937 | 990 | 420 | $10 | $17.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 195 | 410 | 320 | $1 | $11.1K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 151 | 830 | 120 | $10 | $10.6K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 236 | 570 | 100 | $10 | $9.4K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 658 | 820 | 180 | $10 | $9K |
Showing 1–10 of 13
Other providers in the same ZIP code as Thomas Miller, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Massachusetts Correctional Industries | MA | Eyewear Supplier | $0 | $52.8M |
| Gaamha, Inc | MA | Non-emergency Medical Transport (VAN) | $0 | $11.8M |
| Community Health Connections, Inc. | MA | Federally Qualified Health Center (FQHC) | $0 | $9M |
| Wood's Ambulance Inc. | MA | Ambulance | $1.1M | $4.8M |
| Cataract Laser Centercentral LLC | MA | Ophthalmologic Surgery Clinic/Center | $1.6M | $489.7K |
| Shields Imaging At Heywood Healthcare LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $115.6K | $194K |
| Victor Zota | MA | Anatomic Pathology & Clinical Pathology Physician | $101.3K | $59.1K |
| Jared Toman | MA | Orthopaedic Surgery Physician | $63.7K | $48.1K |
| Chair City Pharmacy, LLC | MA | Community/Retail Pharmacy | $76.9K | $70 |
| Benjamin Fakharzadeh | MA | Diagnostic Radiology Physician | $64K | $4.3K |
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