Physician

Scott Thomas Miles, MD

According to 2025 Medicare claims, Scott Miles, MD (NPI: 1073512125) practices addiction medicine in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Duval, FL. This provider's primary affiliated billing organization is PHYSICIANS GROUP SERVICES PA (NPI: 1861440810; TIN: 593591435) and primary practice location at 32256-4700. Miles is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Miles' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 239 traditional Medicare patients, billed 1,242 HCPCS/CPT codes, and received $49,126 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 3,263 prescription claims across 634 beneficiaries totaling $332,891 in drug costs, led by Belbuca (Buprenorphine Hcl). 2021 DME data shows 37 claims. Open Payments data shows 6 records totaling $112. 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 up and down with repeated peaks and valleys, starting at $14,973 and ending at $49,126. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $5,547 to $332,891. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	12	184	$14,973
2018	17	271	$22,388
2019	85	626	$33,289
2020	80	574	$31,636
2021	68	174	$10,327
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	239	1,242	$49,126

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	20	$5,547
2016	N/R	36	$2,285
2017	14	157	$26,386
2018	48	370	$62,556
2019	119	578	$52,692
2020	85	484	$34,744
2021	35	164	$22,647
2022	11	101	$13,547
2023	30	110	$10,640
2024	634	3,263	$332,891

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	15	37	$11,256
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	23	$134
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	206	365	$97
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	21	59	$56
80305	Testing for presence of drug, read by direct observation	24	24	$12
J1885	Injection, ketorolac tromethamine, per 15 mg	23	114	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Belbuca	Buprenorphine Hcl	70	1,959	$54,825
Relistor	Methylnaltrexone Bromide	17	570	$44,123
Nurtec Odt	Rimegepant Sulfate	15	426	$34,211
Ubrelvy	Ubrogepant	14	358	$27,067
Buprenorphine-Naloxone	Buprenorphine Hcl/Naloxone Hcl	159	4,485	$21,215

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$112	Indivior Inc.
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 Scott Thomas Miles, MD?

Tedicare shows public-source Medicare data for Scott Thomas Miles, MD (NPI 1073512125), 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 Scott Thomas Miles, MD have ACO affiliation data?

Scott Thomas Miles, MD is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

What billing organization is linked to Scott Thomas Miles, MD?

Scott Thomas Miles, MD is linked to PHYSICIANS GROUP SERVICES PA (billing NPI 1861440810) in the available physician profile data.

Does Scott Thomas Miles, MD have Open Payments data?

Scott Thomas Miles, MD has 6 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.