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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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    © 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

    Methodology•Download Data
    1. Home
    2. Providers
    3. Kimberly Miller-Miles
    ⚕️
    MDIndividual

    Kimberly Miller-Miles, M.D.

    NPI: 1003818394
    Houston, TX
    10 years of data
    Obstetrics & Gynecology
    $3.7M
    Total Payments
    29.3K
    Beneficiaries
    71.9K
    Services
    4.17x
    Markup Ratio

    Peer Comparison

    99th
    percentile in specialty
    This provider$3.7M
    Specialty median$14.0K

    📋 Key Findings

    1Billed $3.7M over 10 years
    24.17x markup ratio (above median)
    399th percentile in Obstetrics & Gynecology by payments
    418 procedures with >3x markup
    ✓ No flags detected

    🔎 Data Analysis

    This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Obstetrics & Gynecology providers nationally.

    Medicare payments to this provider grew 85% from 2014 to 2023.

    AI-generated analysis based on Medicare payment data.

    Annual Medicare Payments

    Annual Services Provided

    Avg Payment per Service

    Markup Ratio Over Time

    Submitted Charges vs. Medicare Payments

    Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

    YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
    2014$491.92$87.525.62x$404.40$260.2K5.4K2.5K
    2015$304.32$69.604.37x$234.72$276.6K5.8K2.6K
    2016$281.83$68.014.14x$213.82$373.1K7.4K3.5K
    2017$314.41$62.805.01x$251.61$325.2K7.3K3.1K
    2018$314.41$66.814.71x$247.60$324.4K6.9K3.0K
    2019$314.41$72.284.35x$242.13$320.1K6.6K2.8K
    2020$314.41$75.614.16x$238.80$329.3K6.6K2.7K
    2021$311.06$83.623.72x$227.44$462.0K8.2K2.9K
    2022$314.39$82.663.80x$231.73$502.7K9.0K3.1K
    2023$311.06$79.613.91x$231.45$480.9K8.7K3.1K

    Top Procedures (20)

    99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.8x markup
    $1.3M
    14.5K services$87.05/svc3.77x markup
    51701Insertion of temporary bladder catheter⚠ 4.6x markup
    $438.3K
    12.3K services$35.64/svc4.63x markup
    64566Implantation of lower leg neurostimulator electrode, accessed through the skin⚠ 3.9x markup
    $371.7K
    3.9K services$96.21/svc3.86x markup
    51729Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies⚠ 3.5x markup
    $326.0K
    1.1K services$285.95/svc3.55x markup
    52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope⚠ 5.5x markup
    $243.9K
    1.5K services$157.45/svc5.54x markup
    99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.5x markup
    $172.8K
    3.1K services$55.20/svc3.54x markup
    51700Bladder irrigation and/or instillation⚠ 4.2x markup
    $149.7K
    2.5K services$60.44/svc4.16x markup
    99204New patient office or other outpatient visit, typically 45 minutes⚠ 4.2x markup
    $142.6K
    1.2K services$117.75/svc4.15x markup
    57160Fitting and insertion of vaginal support device⚠ 4.2x markup
    $141.7K
    2.5K services$55.95/svc4.15x markup
    51797Insertion of device into the abdomen with measurement of pressure and urine flow rate
    $130.3K
    1.1K services$115.48/svc2.99x markup
    81002Urinalysis, manual test
    $57.1K
    16.7K services$3.41/svc2.93x markup
    A4562Pessary, non rubber, any type⚠ 3.3x markup
    $55.9K
    1.2K services$46.44/svc3.34x markup
    51784Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings⚠ 13.6x markup
    $47.6K
    1.1K services$42.80/svc13.62x markup
    51798Ultrasound measurement of bladder capacity after voiding⚠ 4.8x markup
    $34.8K
    3.0K services$11.63/svc4.82x markup
    17250Application of chemical agent to excessive wound tissue⚠ 3.6x markup
    $27.1K
    407 services$66.65/svc3.62x markup
    99211Established patient office or other outpatient visit, typically 5 minutes⚠ 3.8x markup
    $21.0K
    1.3K services$15.57/svc3.79x markup
    51741Electronic assessment of bladder emptying⚠ 17.3x markup
    $16.6K
    2.7K services$6.09/svc17.25x markup
    81000Manual urinalysis test with examination using microscope⚠ 4.8x markup
    $6.3K
    1.5K services$4.19/svc4.77x markup
    57288Creation of sling around bladder canal (urethra) to control leakage⚠ 6.4x markup
    $4.1K
    12 services$341.89/svc6.41x markup
    58100Biopsy of uterine lining⚠ 4.0x markup
    $3.2K
    40 services$80.43/svc3.96x markup
    Show detailed table ▾
    CodeDescriptionServicesPaymentsAvg/ServiceMarkup
    99214Established patient office or other outpatient, visit typically 25 minutes14.5K$1.3M$87.053.77x
    51701Insertion of temporary bladder catheter12.3K$438.3K$35.644.63x
    64566Implantation of lower leg neurostimulator electrode, accessed through the skin3.9K$371.7K$96.213.86x
    51729Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies1.1K$326.0K$285.953.55x
    52000Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope1.5K$243.9K$157.455.54x
    99213Established patient office or other outpatient visit, typically 15 minutes3.1K$172.8K$55.203.54x
    51700Bladder irrigation and/or instillation2.5K$149.7K$60.444.16x
    99204New patient office or other outpatient visit, typically 45 minutes1.2K$142.6K$117.754.15x
    57160Fitting and insertion of vaginal support device2.5K$141.7K$55.954.15x
    51797Insertion of device into the abdomen with measurement of pressure and urine flow rate1.1K$130.3K$115.482.99x
    81002Urinalysis, manual test16.7K$57.1K$3.412.93x
    A4562Pessary, non rubber, any type1.2K$55.9K$46.443.34x
    51784Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings1.1K$47.6K$42.8013.62x
    51798Ultrasound measurement of bladder capacity after voiding3.0K$34.8K$11.634.82x
    17250Application of chemical agent to excessive wound tissue407$27.1K$66.653.62x
    99211Established patient office or other outpatient visit, typically 5 minutes1.3K$21.0K$15.573.79x
    51741Electronic assessment of bladder emptying2.7K$16.6K$6.0917.25x
    81000Manual urinalysis test with examination using microscope1.5K$6.3K$4.194.77x
    57288Creation of sling around bladder canal (urethra) to control leakage12$4.1K$341.896.41x
    58100Biopsy of uterine lining40$3.2K$80.433.96x

    Markup Analysis

    Charge-to-Payment Ratio

    4.17x

    This provider submits charges 4.17 times higher than what Medicare actually pays.

    What This Means

    A markup ratio of 4.17x means for every $100 Medicare pays, this provider initially charges $417. This is higher than the national average.

    Location

    Houston, TX

    Provider Verification

    Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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    Data Sources

    • • Centers for Medicare & Medicaid Services (CMS)
    • • Medicare Provider Utilization and Payment Data (2014-2023)
    • • National Plan and Provider Enumeration System (NPPES)

    Last Updated: February 2026 (data through 2023, the latest CMS release)

    Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

    Believe this data is inaccurate? Dispute this data