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

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

Elizabeth Miller (NPI 1780926840)

Field	Value
Entity Type	Individual
Organization	Elizabeth Miller
Address	3850 Park Nicollet Blvd
City	St Louis Park
State	MN
ZIP	55416
Taxonomy	Rheumatology Physician
NPI Enumerated	March 26, 2013

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s commercial footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the practice’s patient mix and reimbursement exposure are concentrated in the Medicare population rather than being balanced across both public payers.

Revenue is highly concentrated in a small set of biologic drug codes: the top three Medicare codes (J3380, J0129, J3262) together account for 60.0% of the provider’s total Medicare revenue. That concentration indicates the practice’s top-line is driven primarily by administration of high-cost injectable biologic therapies rather than by office evaluation codes or ancillary testing.

Clinical service mix is consistent with a rheumatology infusion-focused practice. The catalogue of high-revenue drug codes — J3380 (vedolizumab), J0129 (abatacept), J3262 (tocilizumab) — alongside multiple infusion administration entries (e.g., 96365, 96366, 96415) signals an operational emphasis on in‑office or clinic‑supervised biologic and infusion services rather than exclusively outpatient office visits.

Competitive standing is mixed across specific drugs: J3380 ranks #60 of 620 providers nationally (90th percentile) and Q5104 ranks #29 of 178 (84th percentile), indicating relatively strong national placement on those infusion products, while J0129 (#635 of 1221; 48th percentile) and J3262 (#380 of 618; 39th percentile) reflect more modest participation. For many of the listed drug and infusion codes the plain‑English labels report “typical, unremarkable volume,” so the practice appears notable on a few specific biologics but otherwise operates at expected volumes for its specialty.

Bone-health and osteoporosis therapies are a meaningful secondary service line: J0897 (denosumab) and J3111 (romosozumab) together contribute visible revenue shares and the practice bills DXA-related codes (77085, 77080, 77092). Notably, J3489 (zoledronic acid) is characterized as “notably above typical national volume,” suggesting an above‑average role in parenteral osteoporosis therapy despite its smaller absolute revenue contribution in the list.

Operational profile shows a mix of higher-complexity office care and infusion throughput. High-level E&M 99215 appears in the top codes (149 claims, $18.8K, ranked #18074 of 145531, 87th percentile) alongside strong counts for initial infusion administration 96365 (374 claims, $18.3K), which together imply the provider pairs complex outpatient management with on‑site treatment delivery.

There is modest use of chemotherapy/infusion oncology codes by volume and revenue (96413 appears with 205 claims and $20.5K revenue), but these represent a small share of total Medicare revenue. The presence of these codes likely reflects occasional use of infusion infrastructure for non-rheumatologic infusions rather than a primary oncology focus.

Tenure and continuity: the provider’s NPI was enumerated on 2013-03-26 (~13 years ago), indicating an established practice history in the local market. That longevity, combined with concentrated biologic administration, suggests sustained role as a regional rheumatology/infusion provider rather than a transient or newly formed clinic.

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3380	Injection, vedolizumab, intravenous, 1 mg	21,600	$20	$345.6K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	7,930	$30	$269.4K
J3262	Injection, tocilizumab, 1 mg	31,520	$10	$157.6K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	4,310	$30	$120.7K
J0897	Injection, denosumab, 1 mg	6,540	$20	$117.7K
J3111	Injection, romosozumab-aqqg, 1 mg	12,180	$10	$97.4K
J1602	Injection, golimumab, 1 mg, for intravenous use	6,750	$10	$67.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	210	$100	$20.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	150	$130	$18.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	370	$50	$18.3K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Elizabeth Miller — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	6	20	5,330	$30	$242.9K
J3262	7	20	26,440	$1	$147.6K
J1602	11	20	7,050	$10	$112K
J3380	2	30	5,100	$20	$110.1K
J3111	6	10	11,970	$10	$109.8K
J0897	7	90	1,770	$20	$50.8K
Q5104	1	10	1,050	$30	$45.3K
Q5103	1	10	890	$20	$14.3K
96413	46	230	70	$100	$11.5K
99214	2,049	10,100	70	$80	$8.1K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Hutchinson Health	MN	General Acute Care Hospital	$0	$17.3M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tactile Systems Technology, Inc	MN	Durable Medical Equipment & Medical Supplies	$0	$97.5M
Associated Clinic Of Psychology Inc	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$72.7M
Blue & White Service Corporation	MN	Taxi	$0	$39M
Iska Inc	MN	Developmentally Disabled Services Day Training Agency	$0	$10.8M
Caring Sisters Home Care Services, Inc	MN	Assisted Living Facility	$0	$8.8M
The Wayside House, Inc	MN	Substance Abuse Rehabilitation Facility	$0	$7.9M
Medical Scanning Consultants PA	MN	Diagnostic Radiology Physician	$0	$7.5M
Life Medical, P.A.	MN	Multi-Specialty Clinic/Center	$0	$4.6M
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Surgicare Of Minneapolis Ltd	MN	Ambulatory Surgical Clinic/Center	$1.4M	$0

Elizabeth 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