Physician

James Andrew Miller, MD

According to 2025 Medicare claims, James Miller, MD (NPI: 1013995042) practices family practice in the Mankato, MN market, with the plurality of this provider's patient population coming from Nicollet, MN. This provider's primary affiliated billing organization is MANKATO CLINIC LTD (NPI: 1629044029; TIN: 410849339) and primary practice location at 56003-2503. Miller is affiliated with the Stratum Med ACO (ACO ID: A4527) and Mayo Clinic Community ACO, LLC (ACO ID: A4617), participating under the MSSP model.

Miller's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 313 traditional Medicare patients, billed 3,691 HCPCS/CPT codes, and received $123,716 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,186 prescription claims across 530 beneficiaries totaling $792,750 in drug costs, led by Jardiance (Empagliflozin). DME data shows 215 claims. Open Payments data shows 2 records totaling $30. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $68,496 to $123,716. Similarly, Part D prescription costs have risen steadily, from $567,627 to $792,750. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $7,460 to $21,564.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	266	2,460	$68,496
2016	238	2,573	$70,616
2017	248	3,385	$75,994
2018	220	2,292	$64,416
2019	385	4,476	$129,101
2020	355	3,583	$101,720
2021	328	5,542	$121,745
2022	316	4,043	$119,207
2023	293	3,718	$128,045
2024	313	3,691	$123,716

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	479	8,931	$567,627
2016	477	8,094	$533,240
2017	522	7,642	$514,360
2018	511	7,626	$503,189
2019	502	7,766	$560,250
2020	494	7,576	$539,152
2021	492	7,244	$603,355
2022	496	7,394	$697,452
2023	488	7,541	$792,095
2024	530	8,186	$792,750

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	70	222	$12,406
2016	61	220	$4,703
2017	62	196	$2,744
2018	62	215	$3,858
2019	55	222	$4,693
2020	52	200	$2,706
2021	45	171	$4,358
2022	48	203	$9,644
2023	36	185	$11,388
2024	38	215	$16,699

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	428	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	151	211	$59
80061	Blood test, lipids (cholesterol and triglycerides)	183	189	$13
36415	Insertion of needle into vein for collection of blood sample	229	392	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	94	7,181	$141,630
Eliquis	Apixaban	93	4,926	$87,584
Mounjaro	Tirzepatide	45	1,820	$66,631
Ozempic	Semaglutide	35	1,838	$60,195
Trulicity	Dulaglutide	39	1,710	$59,491

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	26	$13,094
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	15	$1,113
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	21	$882
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	24	73	$801
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	17	$414

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$30	Novartis Pharmaceuticals Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James Andrew Miller, MD?

Tedicare shows public-source Medicare data for James Andrew Miller, MD (NPI 1013995042), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James Andrew Miller, MD have ACO affiliation data?

James Andrew Miller, MD is shown with ACO affiliation data for Stratum Med ACO (MSSP, ACO ID A4527) and Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617).

What billing organization is linked to James Andrew Miller, MD?

James Andrew Miller, MD is linked to MANKATO CLINIC LTD (billing NPI 1629044029) in the available physician profile data.

Does James Andrew Miller, MD have Open Payments data?

James Andrew Miller, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.