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Methodology•Download Data
  1. Home
  2. Providers
  3. Nathan Miller
⚕️
MDIndividual

Nathan Miller, MD

NPI: 1073672473
Carlsbad, CA
10 years of data
Pain Management
$5.8M
Total Payments
24.3K
Beneficiaries
57.0K
Services
5.75x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.8M
Specialty median$156.5K

📋 Key Findings

1Billed $5.8M over 10 years
25.75x markup ratio (above median)
399th percentile in Pain Management by payments
418 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Pain Management providers nationally.

Their average markup ratio of 5.75x is significantly above the specialty median of 5.1x.

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$347.20$90.223.85x$256.98$510.0K6.4K2.9K
2015$303.40$82.363.68x$221.04$445.3K7.4K2.9K
2016$591.14$110.505.35x$480.64$522.3K5.4K2.2K
2017$832.39$122.136.82x$710.26$575.6K5.6K2.2K
2018$880.03$128.806.83x$751.23$541.6K5.0K2.5K
2019$956.66$143.766.65x$812.90$592.4K5.3K2.5K
2020$946.05$150.376.29x$795.68$619.4K5.4K2.4K
2021$1.1K$149.817.02x$901.85$640.9K5.5K2.4K
2022$999.02$163.546.11x$835.48$647.8K5.5K2.4K
2023$1.2K$184.176.78x$1.1K$749.6K5.4K1.9K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes⚠ 7.1x markup
$1.2M
13.3K services$89.92/svc7.09x markup
J7999Compounded drug, not otherwise classified
$652.2K
1.4K services$452.29/svc1.65x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 7.2x markup
$503.4K
8.2K services$61.14/svc7.24x markup
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms⚠ 6.3x markup
$468.4K
2.0K services$238.40/svc6.31x markup
J3490Unclassified drugs
$365.0K
1.2K services$315.72/svc1.71x markup
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician⚠ 7.0x markup
$253.5K
2.6K services$95.93/svc7.00x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 6.5x markup
$237.5K
620 services$383.08/svc6.51x markup
80307Testing for presence of drug⚠ 6.7x markup
$231.1K
3.6K services$63.77/svc6.67x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 6.1x markup
$172.7K
799 services$216.15/svc6.13x markup
G0482Drug test def 15-21 classes⚠ 5.4x markup
$137.1K
752 services$182.34/svc5.41x markup
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance⚠ 7.0x markup
$130.5K
353 services$369.73/svc6.98x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 5.4x markup
$123.5K
621 services$198.91/svc5.38x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance⚠ 8.0x markup
$118.8K
560 services$212.18/svc7.96x markup
G0480Drug test def 1-7 classes⚠ 6.0x markup
$104.4K
949 services$109.96/svc5.96x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 6.8x markup
$99.5K
769 services$129.34/svc6.83x markup
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance⚠ 6.0x markup
$99.4K
579 services$171.59/svc5.98x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 5.6x markup
$83.4K
393 services$212.27/svc5.57x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 8.0x markup
$72.4K
1.4K services$50.29/svc8.04x markup
62321Injection of substance into spinal canal of upper or middle back using imaging guidance⚠ 8.0x markup
$70.5K
322 services$219.07/svc7.97x markup
64494Injections of lower or sacral spine facet joint using imaging guidance⚠ 5.0x markup
$60.2K
574 services$104.84/svc5.02x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes13.3K$1.2M$89.927.09x
J7999Compounded drug, not otherwise classified1.4K$652.2K$452.291.65x
99213Established patient office or other outpatient visit, typically 15 minutes8.2K$503.4K$61.147.24x
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms2.0K$468.4K$238.406.31x
J3490Unclassified drugs1.2K$365.0K$315.721.71x
62370Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician2.6K$253.5K$95.937.00x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance620$237.5K$383.086.51x
80307Testing for presence of drug3.6K$231.1K$63.776.67x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance799$172.7K$216.156.13x
G0482Drug test def 15-21 classes752$137.1K$182.345.41x
64633Destruction of upper or middle spinal facet joint nerves using imaging guidance353$130.5K$369.736.98x
64493Injections of lower or sacral spine facet joint using imaging guidance621$123.5K$198.915.38x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance560$118.8K$212.187.96x
G0480Drug test def 1-7 classes949$104.4K$109.965.96x
99204New patient office or other outpatient visit, typically 45 minutes769$99.5K$129.346.83x
64636Destruction of lower or sacral spinal facet joint nerves with imaging guidance579$99.4K$171.595.98x
64490Injections of upper or middle spine facet joint using imaging guidance393$83.4K$212.275.57x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1.4K$72.4K$50.298.04x
62321Injection of substance into spinal canal of upper or middle back using imaging guidance322$70.5K$219.077.97x
64494Injections of lower or sacral spine facet joint using imaging guidance574$60.2K$104.845.02x

Markup Analysis

Charge-to-Payment Ratio

5.75x

This provider submits charges 5.75 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.75x means for every $100 Medicare pays, this provider initially charges $575. This is higher than the national average.

Location

Carlsbad, CA

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.

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