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

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

David Miller (NPI 1992799191)

Field	Value
Entity Type	Individual
Organization	David Miller
Address	3401 Enterprise Pkwy
City	Beachwood
State	OH
ZIP	44122
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	September 2, 2005

Payer Source	Total Paid
Medicare	$4.8M
Medicaid	$0

Key Findings

This provider is effectively single‑payer at scale: total Medicare revenue is $4.8M and there is no Medicaid billing on file, indicating Medicare comprises the entirety of reported public-payer activity. The NPI was enumerated on 2005-09-02 (~21 years ago), consistent with an established independent clinical practice footprint.

Revenue is highly concentrated in a small set of drug and injection codes: the precomputed top 3 Medicare codes account for 77.1% of this provider's total Medicare revenue, led by J0178 at $2.7M (56.0%), followed by J3490 at $581.8K (12.3%) and J2781 at $414K (8.7%). This concentration means a handful of therapeutics largely drive the practice’s Medicare topline.

The code mix and volumes point to a retina-focused, office-based injection practice with integrated diagnostics: high-revenue intravitreal drugs J0178 (aflibercept), J2781 (pegcetacoplan), and J2777/faricimab alongside procedure code 67028 (injection into the vitreous) and imaging codes 92134 and 92250 indicate routine in‑office pharmacologic management plus retinal imaging. These patterns are consistent with a practice that delivers large volumes of pharmacologic retinal care and on-site diagnostic services rather than a surgery-dominant model.

Throughput is notably high for several intravitreal and diagnostic services. J0178 shows 3.8K claims with a $691 avg paid/claim and ranks #81 of 3204 providers nationally (98th percentile), J2781 has 3.5K claims and ranks #10 of 490 providers nationally (98th percentile), and 92134 has 3.1K claims and ranks #361 of 26868 providers nationally (99th percentile); these positions are described in the source as notably above typical or extreme outlier volume. Conversely, some injectable peers such as J2778 (ranibizumab) rank at much lower national volume, indicating selective use of specific therapeutics.

Competitive standing by code shows national prominence for select drugs and exams: J0178 and J2781 are both in the 98th percentile for national volume, signaling this provider is a major national participant for those therapies, while J3490 ranks #180 of 2838 (94th percentile) and is described as typical; high percentiles for 92014 (98th, extreme outlier) and 92134 (99th, extreme outlier) further underscore above‑average diagnostic and office visit activity relative to peers.

Surgical case volume and revenue are modest relative to injection-driven care. Procedures such as 67042 generated $34.2K (0.7% of Medicare revenue) and 67036 generated $13.1K (0.3% of Medicare revenue), indicating that vitrectomy and operating-room procedures are a small fraction of the Medicare revenue base compared to intravitreal drugs and office procedures like 67028 ($202.1K, 4.3%).

Use of unclassified drug codes is material and concentrated: J3490 accounts for $581.8K (12.3% of Medicare revenue) and ranks #180 of 2838 providers nationally (94th percentile), while J3590 contributes $62.4K (1.3%); the prominence of J3490 suggests frequent billing for drugs or formulations that are not captured under single‑product HCPCS codes, which has implications for procurement, inventory, and reimbursement oversight.

The business is exposed to therapeutic and reimbursement shifts because a small set of codes dominates revenue (top 3 = 77.1%). Any meaningful changes to payment policy, utilization, or availability for leading drugs such as J0178 or J2781 could materially affect the practice’s Medicare revenue, given the heavy reliance on those specific therapeutics and associated in‑office services.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,840	$690	$2.7M
J3490	Unclassified drugs	330	$1,760	$581.8K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	3,450	$120	$414K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,740	$30	$311.5K
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.	2,170	$90	$202.1K
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…	1,480	$80	$118.6K
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.	3,100	$30	$83.8K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	440	$160	$70.1K
J3590	Unclassified biologics	140	$450	$62.4K
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…	650	$60	$40.2K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

David Miller — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	100	840	$680	$729K
J2777	32	70	9,480	$30	$353.3K
J2781	1	20	1,040	$120	$152.4K
J2778	16	20	370	$180	$73.1K
J3490	4	50	100	$560	$73.1K
67028	5	150	470	$90	$64K
J7312	3	20	240	$160	$41.7K
J3590	61	100	200	$100	$30K
67042	10	50	20	$960	$29.7K
67036	15	50	20	$870	$21K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center Of Akron	OH	Children's Hospital	$0	$556.2M
Children's Hospital Medical Center Of Akron	OH	Pediatrics Physician	$0	$87.2M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$15.1M
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Coney	OH	Retina Specialist (Ophthalmology) Physician	$3.2M	$140
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Shawn Lewis	OH	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Thomas Hull	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Pearl's Hope, LLC	OH	Home Health Agency	$0	$47.8M
Health Care Bridge, Inc	OH	Home Health Agency	$0	$32.3M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$31.5M
Altimate Care LLC	OH	Home Health Agency	$0	$24M
Signature Health, Inc	OH	Federally Qualified Health Center (FQHC)	$0	$23M
University Hospitals Ahuja Medical Center, Inc	OH	General Acute Care Hospital	$0	$21.1M
Shaker Clinic, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.5M
Psychological & Behavioral Consultants, LLC	OH	Psychiatry Physician	$0	$14.9M
Northeast Home Health Services	OH	Home Health Agency	$0	$11.9M

David 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