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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Jonathan Miller (NPI 1881908895)

Field	Value
Entity Type	Individual
Organization	Jonathan Miller
Address	2150 Pennsylvania Ave Nw
City	Washington
State	DC
ZIP	20037
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 2, 2010

Payer Source	Total Paid
Medicare	$795.7K
Medicaid	$0

Key Findings

JONATHAN MILLER is an Internal Medicine physician in WASHINGTON, DC with an NPI enumerated 2010-08-02 (~16 years ago). His lifetime Medicare revenue is $795.7K and there is no Medicaid billing on file, meaning the provider operates with effectively single-payer Medicare exposure at the claim level rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 81.2% of this provider's total Medicare revenue. Those three codes are J0717 ($324.8K, 40.4%), J0129 ($261.8K, 32.6%), and 99214 ($66K, 8.2%), which together drive the majority of reported Medicare receipts.

The code mix points to an infusion- and in-office administration business model rather than a purely office-visit practice. High-revenue drugs J0717 and J0129 and other injectable/infusion entries such as J0897 and chemotherapy administration codes 96401 and 96413 indicate the provider bills for on-site biologic and specialty drug administration in addition to outpatient evaluation and management.

Despite the large dollar share from biologic drugs, the provider is a modest participant nationally on those drug-specific codes. J0717 ranks #207 of 848 nationally (76th percentile; typical, unremarkable volume for this code) and J0129 ranks #659 of 1221 nationally (46th percentile; typical, unremarkable volume for this code), signaling normal-to-moderate market presence for those drug administrations.

By contrast, evaluation-and-management activity for established patients is comparatively elevated. 99214 shows 688 claims, $96 avg paid/claim, $66K revenue and ranks #27112 of 479517 providers nationally (94th percentile; notably above typical national volume), suggesting a higher-than-typical office visit volume or intensity for ongoing outpatient management.

Chemotherapy and infusion services are a meaningful secondary line: 96401 (511 claims, $63 avg paid/claim, $32.2K revenue) ranks #253 of 3868 providers nationally (93th percentile; typical, unremarkable volume for this code), and 96413 (271 claims, $111 avg paid/claim, $30.1K revenue) ranks #2113 of 7514 providers nationally (72th percentile; typical, unremarkable volume for this code). Together these codes corroborate on-site infusion capabilities beyond biologic injections.

The combination of $795.7K in Medicare revenue, no Medicaid billing on file, and 81.2% of Medicare revenue coming from three codes creates concentrated exposure: changes in utilization or reimbursement for J0717, J0129, or high-volume E/M services like 99214 would disproportionately affect reported revenue. This concentration signals operational reliance on a narrow set of services and payer flows rather than broad multi-payer diversification.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 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)	81,200	$1	$324.8K
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)	7,700	$30	$261.8K
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…	690	$100	$66K
J0897	Injection, denosumab, 1 mg	3,420	$20	$61.6K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	510	$60	$32.2K
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…	270	$110	$30.1K
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…	90	$130	$11.5K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	40	$80	$3.2K
99205	The provider sees a new 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 provider…	10	$190	$2.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	50	$50	$2.3K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Jonathan Miller — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0717	2	10	82,300	$1	$317.9K
J0129	1	10	5,200	$30	$175K
J0897	10	20	4,680	$20	$91.2K
99214	43	1,400	90	$100	$15.3K
96401	1	10	160	$70	$14.3K
96413	2	20	60	$120	$11.4K
99490	15	20	100	$50	$10.8K
99439	8	10	90	$40	$8.8K
99213	1,189	1,200	50	$70	$8.5K
20611	13	20	60	$80	$7.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mariam Ameri	MD	Rheumatology Physician	$1.9M	$0
Ashok Jacob	MD	Rheumatology Physician	$1.4M	$0
Saira Bilal	DC	Rheumatology Physician	$755.4K	$0
Sumit Kunwar	MD	Rheumatology Physician	$724.6K	$0
Susan Berger	MD	Rheumatology Physician	$714.2K	$0
Primaljyot Bhatia	MD	Rheumatology Physician	$377.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Hospital Partners L P	DC	General Acute Care Hospital	$0	$136.3M
Medical Faculty Associates, Inc	DC	Anesthesiology Physician	$0	$75.7M
Baymark Health Services Of West Virginia, Inc.	DC	Substance Use Disorder Rehabilitation Clinic/Center	$571.6K	$6.4M
Medical Home Development Group	DC	Family Medicine Physician	$0	$6.7M
The Foundation For Contemporary Mental Health	DC	Public Health or Welfare Agency	$0	$5.4M
Dva Renal Healthcare Inc	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Miriam's Kitchen	DC	Case Management Agency	$0	$3.1M
Faysal Haroun	DC	Hematology & Oncology Physician	$2.4M	$0
Rishi Sood	DC	Vascular & Interventional Radiology Physician	$2.2M	$0
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0

Jonathan Miller — Billing Profile & Reimbursement Data

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Jonathan 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