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    OpenPayerNPI Medicare & MedicaidMelissa Miara
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    Melissa Miara — Billing Profile & Reimbursement Data

    NPI 1801231634 · Loris, SC · Pulmonary Disease Physician

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    Melissa Miara is a pulmonary disease physician provider located in Loris, South Carolina. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMelissa Miara
    Address3617 Casey St Ste C
    CityLoris
    StateSC
    ZIP29569
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 7, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$128.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…510$90$43.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…110$160$16.7K
    99215The 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…100$130$12.3K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…120$90$11K
    99204The 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…90$120$9.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$7.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.140$30$4.6K
    99213The 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…70$70$4.4K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…140$30$3.7K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$60$3.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,4157,860160$80$23.2K
    992321,7552,78090$60$12K
    992134,6157,690100$60$10.8K
    992335961,77080$90$10.7K
    992911811,16040$160$9.9K
    992155412,36040$120$9.3K
    992049884,52040$110$6.4K
    992058641,00030$150$5.8K
    992222551,83030$90$4.2K
    992031,9952,97030$70$3.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seema ElahiILInternal Medicine Physician$447.1K$16.5M
    Aaron WeinbergILRetina Specialist (Ophthalmology) Physician$3.3M$1.2M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Loren DardiILAnatomic Pathology & Clinical Pathology Physician$12.1K$3.7M
    James DiesfeldILInterventional Pain Medicine Physician$32.6K$3.5M
    Kevin PatelILOphthalmology Physician$2.3M$589K
    Lawrence KaufmanILPediatric Ophthalmology and Strabismus Specialist Physician Physician$6.3K$2.8M
    David GreenbergILOphthalmology Physician$404.1K$2.4M
    Robert PearlmanILOphthalmology Physician$1M$1.2M
    Kenneth ResnickILRetina Specialist (Ophthalmology) Physician$1.4M$74.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcleod Loris Seacoast HospitalSCGeneral Acute Care Hospital$0$24.8M
    Seashore PediatricsSCPediatrics Physician$0$15.8M
    Little River Medical Center, Inc.SCFederally Qualified Health Center (FQHC)$0$3.6M
    Timothy MillsSCFamily Medicine Physician$257.8K$0
    Ashley WilsonSCPhysician Assistant$218.5K$0
    Tracy RaySCOptometrist$122.7K$11.7K
    Brian ThackerSCFamily Medicine Physician$125.2K$0
    Leonard SchwartzSCInternal Medicine Physician$100K$0
    Susan StuberSCAnatomic Pathology & Clinical Pathology Physician$75.1K$0
    Carla HamiltonSCCertified Registered Nurse Anesthetist$47.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. South Carolina Distribution
    Melissa Miara — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina