Medicare Enrolled
Dr. Alan Miller, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Fernandina Beach, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Consulting-driven
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Miller from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Miller? Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Miller
Dr. Alan Miller is a pain medicine (physical medicine & rehabilitation) physician in Fernandina Beach, FL, with 19 years in practice. Based on federal Medicare data, Dr. Miller performed 20,008 Medicare services across 6,557 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miller received a total of $20,170 from 55 pharmaceutical and/or device companies across 414 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine (physical medicine & rehabilitation) physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Miller is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice▲ Top 1% volume in FL$ $20,170 industry payments
Medicare Practice Summary
Medicare Utilization ↗20,008
Medicare services
Top 1% in FL for pain medicine (physical medicine & rehabilitation) physician
6,557
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,053 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Botox injection, per unit | 5,145 | $5 | $19 |
| Dexamethasone injection (steroid) | 4,272 | $0 | $1 |
| Office visit, established patient (30-39 min) | 2,643 | $90 | $372 |
| Drug screening test | 1,012 | $60 | $186 |
| Office visit, established patient (20-29 min) | 990 | $65 | $263 |
| Injection, methylprednisolone acetate, 80 mg | 571 | $9 | $36 |
| Drug 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 | 561 | $151 | $470 |
| Injection, ketorolac tromethamine, per 15 mg | 461 | $0 | $2 |
| Joint lubricant injection (Synvisc) | 448 | $7 | $32 |
| Drug 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 | 444 | $191 | $596 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 297 | $215 | $1,013 |
| New patient office visit (45-59 min) | 279 | $117 | $488 |
| Injection of trigger points, 3 or more muscles | 239 | $44 | $181 |
| Injection, methylprednisolone acetate, 40 mg | 231 | $6 | $18 |
| Injection of lower or sacral spine facet joint using imaging guidance, single level | 169 | $179 | $917 |
| Needle measurement of electrical activity in arm or leg muscles, complete study | 166 | $91 | $450 |
| Injection of lower or sacral spine facet joint using imaging guidance, second level | 152 | $96 | $490 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 151 | $94 | $397 |
| Steroid injection (triamcinolone) | 142 | $1 | $4 |
| Aspiration and/or injection of fluid large joint using ultrasound guidance | 135 | $84 | $377 |
| Joint injection, major joint | 133 | $52 | $222 |
| Ultrasonic guidance for needle placement | 121 | $41 | $169 |
| Injection of substance into middle or upper spine canal using imaging guidance | 96 | $194 | $754 |
| Fluoroscopic guidance for needle placement | 92 | $82 | $333 |
| Nerve conduction, 11-12 studies | 81 | $179 | $713 |
| Blood glucose (sugar) test performed by hand-held instrument | 74 | $3 | $10 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | 69 | $186 | $893 |
| Injection of upper or middle spine facet joint using imaging guidance, second level | 68 | $95 | $452 |
| Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 67 | $142 | $675 |
| Injection of substance into lower spine canal using imaging guidance | 60 | $187 | $742 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 59 | $466 | $2,516 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 58 | $256 | $1,378 |
| Office visit, established patient, complex (40-54 min) | 51 | $124 | $522 |
| Maintenance of spinal canal or brain drug infusion pump by health care professional | 45 | $68 | $318 |
| Insertion of spinal neurostimulator electrode array through skin | 36 | $1,276 | $6,524 |
| New patient office visit, complex (60-74 min) | 36 | $167 | $645 |
| Unclassified drugs | 33 | $207 | $1,003 |
| Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming | 32 | $42 | $167 |
| Office visit, established patient (10-19 min) | 28 | $43 | $164 |
| New patient office visit (30-44 min) | 27 | $86 | $329 |
| Electronic analysis and reprogramming of spinal canal drug infusion pump | 24 | $34 | $131 |
| Injection, cefazolin sodium, 500 mg | 24 | $1 | $3 |
| Injection of anesthetic agent and/or steroid into other nerve or branch | 22 | $63 | $273 |
| Nerve conduction, 5-6 studies | 19 | $95 | $385 |
| Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 18 | $78 | $376 |
| Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 18 | $111 | $476 |
| Drug 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 | 18 | $112 | $343 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 17 | $44 | $182 |
| Aspiration and/or injection of fluid from small joint using ultrasound guidance | 13 | $66 | $260 |
| Nerve conduction, 9-10 studies | 13 | $162 | $608 |
| Initial hospital admission, moderate complexity | 13 | $103 | $386 |
| Injection into tendon at attachment to bone or muscle | 12 | $38 | $171 |
| Aspiration and/or injection of fluid from medium joint | 12 | $45 | $177 |
| Aspiration and/or injection of fluid from small joint | 11 | $41 | $202 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.4% high complexity
65.7% medium
33.8% routine
Industry Payment Transparency
Open Payments through 2024 ↗$20,170
Total received (2018-2024)
Avg $2,881/year across 7 years
Top 7% in FL for pain medicine (physical medicine & rehabilitation) physician
55
Companies
414
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,550 (57.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,620 (42.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024$1,412
2023$1,673
2022$1,113
2021$1,274
2020$12,500
2019$899
2018$1,300
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$11,821
Boston Scientific Corporation
$2,207
Amgen Inc.
$806
Medtronic, Inc.
$600
ABBVIE INC.
$550
Allergan, Inc.
$399
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$363
Novartis Pharmaceuticals Corporation
$351
Collegium Pharmaceutical, Inc.
$321
Scilex Pharmaceuticals Inc.
$194
Daiichi Sankyo Inc.
$188
AbbVie Inc.
$173
PFIZER INC.
$133
Edwards Lifesciences Corporation
$123
Biohaven Pharmaceutical Holding Company Ltd.
$122
Lilly USA, LLC
$118
Orexo US, Inc.
$115
BOSTON SCIENTIFIC CORPORATION
$111
Nevro Corp.
$109
SCILEX PHARMACEUTICALS INC.
$103
Takeda Pharmaceuticals U.S.A., Inc.
$83
PORTOLA PHARMACEUTICALS, INC.
$83
Kowa Pharmaceuticals America, Inc.
$75
Eisai Inc.
$69
ABIOMED
$60
Allergan Inc.
$60
IDORSIA PHARMACEUTICALS US INC
$58
Biohaven Pharmaceuticals, Inc.
$55
BioDelivery Sciences International, Inc.
$55
Flowonix Medical Incorporated
$54
RedHill Biopharma Inc.
$51
Bioventus LLC
$48
SPR Therapeutics, Inc
$45
Horizon Therapeutics plc
$43
Indivior Inc.
$40
Egalet US Inc
$38
Purdue Pharma L.P.
$36
Almatica Pharma LLC
$30
DePuy Synthes Sales Inc.
$29
Zyla Life Sciences
$25
Flexion Therapeutics, Inc.
$20
Vanda Pharmaceuticals Inc.
$18
Teva Pharmaceuticals USA, Inc.
$18
Amneal Pharmaceuticals LLC
$17
Jazz Pharmaceuticals Inc.
$17
Shionogi Inc
$16
Pernix Therapeutics Holdings, Inc.
$15
ARBOR PHARMACEUTICALS, INC.
$15
SANOFI-AVENTIS U.S. LLC
$14
Valinor Pharma, LLC
$14
Smith+Nephew, Inc.
$13
Nalu Medical, Inc.
$13
Horizon Pharma plc
$12
IBSA Pharma Inc.
$12
AstraZeneca Pharmaceuticals LP
$12
Top 3 companies account for 73.5% of total payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · Aimovig · Amitiza · BELBUCA · BEVYXXA · BIONIC NAVIGATOR · BOTOX · BOTOX THERAPEUTIC · Bionic Navigator · COMIRNATY · CardioMEMS HF System · DUEXIS · DUROLANE · Dayvigo · EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) · EMGALITY · ETERNA · Fanapt · GELSYN-3 · GENERAL PAIN MANAGEMENT · GENERAL - PAIN MANAGEMENT · GRALISE · Horizant · INTELLIS ADAPTIVESTIM · Impella · Infinion 16 · KRYSTEXXA · LYRICA · LYVISPAH · Licart · Livalo · MONOVISC · MOTEGRITY · MOVANTIK · Morphabond ER · Motegrity · Movantik · NURTEC ODT · Nalu Neurostimulation System · Omnia · PICO 7 Single Use Negative Pressure Wound Therapy · PROCLAIM · Prialt · Proclaim Family of SCS IPGs · Proclaim IPG · Prometra II · QULIPTA · QUVIVIQ · RAPAMUNE · RELISTOR · RELISTOR ORAL · REYVOW · SEGLENTIS · SPECTRA WAVEWRITER · SPRINT PNS System · SPRIX · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SYMPROIC · SYNCHROMEDII · SYNVISC-ONE · Seglentis · Senza · Senza Spinal Cord Stimulation System · Spectra WaveWriter · Symproic · UBRELVY · VRAYLAR · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XTAMPZA · XTAMPZAER · ZOHYDRO ER · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zilretta · Zubsolv
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (57%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 7% for pain medicine (physical medicine & rehabilitation) physician in FL.
Equivalent to $101 per 100 Medicare services performed
Geographic Context
Pain Medicine (Physical Medicine & Rehabilitation) Physicians within 10 mi
7
Per 100K population
7.4
County median income
$88,900
Nearest hospital
BAPTIST MEDICAL CENTER - NASSAU
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Miller is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (consulting-driven, top 7%), with 19 years of practice experience.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Miller experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Miller performed 5,145 botox injection, per unit services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Miller receive payments from pharmaceutical companies?
Yes. Dr. Miller received a total of $20,170 from 55 companies across 414 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Miller's costs compare to other pain medicine (physical medicine & rehabilitation) physicians in Fernandina Beach?
Dr. Miller's average Medicare payment per service is $49. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Miller) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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