Carlton E.Miller M.D.P.C
Carlton E.Miller M.D.P.C was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 78% of everything it billed.
33Billing provider infoCARLTON E.MILLER M.D.P.C
COLONIAL HEIGHTS, VA 23834
COLONIAL HEIGHTS, VA 23834
33aNPI1548216427assigned 05/25/2006
33bProvider typeSpecialist
28Total paid$690K
24GClaims19,475
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#33 of 231
Median peer was paid$47K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,924 | $68K | |
| 2019 | 4,501 | $117K | |
| 2020 | 1,020 | $63K | |
| 2021 | 1,870 | $90K | |
| 2022 | 1,752 | $109K | |
| 2023 | 2,094 | $143K | |
| 2024incomplete | 1,314 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 78% | 9,366 | 8,031 | $535K |
| 99205 | Prolong outpt/office vis | 11% | 565 | 536 | $75K |
| 20610 | 5.1% | 1,462 | 720 | $35K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.0% | 609 | 172 | $14K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.1% | 86 | 76 | $8K |
| 73120 | <1% | 260 | 118 | $5K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,164 | 839 | $4K |
| 73100 | <1% | 165 | 79 | $4K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 733 | 614 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 29 | 25 | $3K |
| 85651 | <1% | 1,029 | 751 | $2K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 74 | 40 | $722.54 |
10 more codes
| 73110 | <1% | 34 | $667.42 | |
| 73560 | <1% | 24 | $662.78 | |
| 72100 | <1% | 29 | $563.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 750 | $407.04 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 80 | $296.97 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 26 | $253.62 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 624 | $6.26 |
| 1036F | 0% | 804 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 969 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 593 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMILLER, CARLTON (OWNER)