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

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

John Miller (NPI 1720022155)

Field	Value
Entity Type	Individual
Organization	John Miller
Address	155 Medical Way
City	Riverdale
State	GA
ZIP	30274
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This profile is effectively single-payer: Total Medicare revenue is $1.9M while there is no Medicaid billing on file, indicating the provider’s Medicare business dwarfs any Medicaid activity and that the practice’s commercial/Medicaid exposure is minimal or not captured here. Analysts should treat this as a Medicare-centered billing profile when modeling payer mix or access for low-income populations in GA.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top three Medicare codes account for 81.9% of Medicare revenue, driven by J2778 (31.5%), J0178 (30.3%), and J2777 (20.1%). This concentration indicates a narrow revenue base where a small set of infusion/injection codes determine the majority of reimbursements.

Service-line implications point to a retina-focused ambulatory practice: the top billings are anti-VEGF and related intravitreal injections (J2778, J0178, J2777) alongside procedure code 67028 for intravitreal injection (1.3K claims, $120.5K revenue). The mix of frequent injection codes plus retinal imaging (92134) and established-patient comprehensive exams (92014) suggests a clinic organized around ongoing medical retina management rather than high-volume surgical cataract or inpatient ophthalmology.

Competitive standing for the three revenue-driving drugs is mixed: J2778 shows $590.2K revenue with 3.3K claims and ranks #94 of 1208 (92th percentile; typical, unremarkable volume for this code), J0178 shows $567.5K with 826 claims and ranks #1477 of 3204 (54th percentile; typical, unremarkable volume), and J2777 shows $375.8K with 13K claims and ranks #809 of 2039 (60th percentile; typical, unremarkable volume). In plain terms, the provider is not a national outlier or market leader for these injected drugs but maintains solid, routine volume relative to peers.

Diagnostic and visit-oriented activity is notably high in some areas: 92014 (established comprehensive exam) generated $94.1K with 1.1K claims and ranks #1433 of 35415 (96th percentile; notably above typical national volume), and 92134 (retinal OCT) generated $62.2K with 2K claims and ranks #1028 of 26868 (96th percentile; notably above typical national volume). These elevated percentiles for exam and imaging codes align with an ambulatory retina practice that pairs frequent injections with outpatient monitoring and imaging.

There are moderate procedure volumes consistent with in-office injection workflow: 67028 appears with 1.3K claims and $120.5K revenue and ranks #1053 of 4255 (75th percentile; typical, unremarkable volume), supporting the characterization that intravitreal injections are performed as discrete, billed procedures rather than being incidental. Lower-volume specialty procedures (for example 67228, 67145) are present but represent a small share of total revenue, indicating limited use of laser or certain surgical interventions relative to injection and imaging services.

Tenure and experience are long-standing: the NPI was enumerated on 2006-06-15 (~20 years ago), which aligns with an established practice pattern and suggests the billing mix reflects mature clinical focus rather than early-career variability. This longevity supports using historical Medicare patterns to anticipate near-term revenue stability absent changes in drug utilization or payer policy.

The absence of Medicaid billing is a material operational signal: with no Medicaid billing on file, the provider is effectively single-payer (Medicare) in this dataset, which has implications for access analysis, risk-assessment for state Medicaid networks, and contract negotiations where Medicaid participation would be relevant. Analysts should confirm whether the lack of Medicaid claims reflects practice choices, credentialing limits, or data capture gaps before drawing conclusions about local safety-net capacity.

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
J2778	Injection, ranibizumab, 0.1 mg	3,320	$180	$590.2K
J0178	Injection, aflibercept, 1 mg	830	$690	$567.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	12,960	$30	$375.8K
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.	1,260	$100	$120.5K
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…	1,070	$90	$94.1K
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.	2,010	$30	$62.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	280	$70	$19.4K
99204	The provider sees a new 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 provider…	140	$120	$16.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	230	$30	$6.4K
J9035	Injection, bevacizumab, 10 mg	100	$60	$5.4K

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. Georgia Distribution

John Miller — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	36	70	970	$680	$700.6K
J2777	22	40	14,100	$30	$524.3K
J2778	4	30	1,170	$180	$286.2K
67028	21	80	720	$90	$71.9K
92014	23	850	130	$80	$19.7K
99214	13,141	13,640	120	$80	$17.8K
92012	78	380	90	$60	$10.5K
J9035	41	70	120	$50	$10.3K
92134	25	620	70	$30	$7.1K
67228	10	10	20	$240	$6.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Vanderveldt	GA	Ophthalmology Physician	$4.1M	$0
Sri Krishna Mukkamala	GA	Hospitalist Physician	$3.4M	$0
Alexander Bottini	GA	Retina Specialist (Ophthalmology) Physician	$3M	$0
David Chin Yee	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Gregory Lee	GA	Ophthalmology Physician	$2.9M	$6.3K
Robert Stoltz	GA	Specialist	$2.6M	$0
Hyung Cho	GA	Ophthalmology Physician	$2.5M	$0
Sean Koh	GA	Ophthalmology Physician	$2.5M	$0
Atul Sharma	GA	Ophthalmology Physician	$2.2M	$0
Mark Rivellese	GA	Ophthalmology Physician	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Foundation - Southern Regional, LLC	GA	General Acute Care Hospital	$0	$25.9M
Premier Womens Obgyn, LLC	GA	Obstetrics & Gynecology Physician	$0	$1.4M
Georgia Urology PA	GA	Urology Physician	$0	$1M
Clayton County Dialysis, LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$965.3K
South Atlanta Radiology Associates, P.C.	GA	Diagnostic Radiology Physician	$0	$642.6K
Education System Management, Inc	GA	Clinical Medical Laboratory	$0	$577.6K
F & M Family Eyecare, LLC	GA	Optometrist	$0	$373.8K
La'cuana Sherman	GA	Professional Counselor	$0	$312.9K
Rajinikanth Seshan	GA	Nephrology Physician	$289.2K	$0
Alpesh Patel	GA	Hospitalist Physician	$272.6K	$0

John 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