Medicare Enrolled
Dr. Fernando Miranda, MD
Optician · Winter Haven, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Miranda 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 →
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What this data tells you about Dr. Miranda
Dr. Fernando Miranda is an optician specialist in Winter Haven, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Miranda performed 3,105 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Miranda received a total of $7,235 from 61 pharmaceutical and/or device companies across 390 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Miranda is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 28% volume in FL
$7,235 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 69239 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗3,105
Medicare services
Top 28% in FL for optician
Not available
Unique patients (not deduplicated)
$99
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| Injection, methylprednisolone acetate, 40 mg | 619 | $6 | $20 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
315 | $9 | $30 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
307 | $66 | $125 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional lower or sacral spinal facet joint. |
280 | $189 | $400 |
| Injection into lower spine canal with imaging guidance A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement. |
269 | $188 | $500 |
| Facet joint injection, second level, with imaging guidance An injection into a lower or sacral spine facet joint using imaging guidance for the second level treated. |
195 | $70 | $250 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the lower or sacral spine while using imaging guidance to ensure accurate placement. |
194 | $127 | $500 |
| Facet joint nerve destruction, single joint A procedure to destroy nerves in a single lower or sacral spinal facet joint using imaging guidance to target pain signals. |
126 | $340 | $800 |
| Injection of anesthetic or steroid into sacroiliac joint with imaging guidance This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection. |
89 | $114 | $603 |
| Spine facet joint injection with imaging guidance, single level An injection is administered into a single facet joint of the upper or middle spine while using imaging guidance to ensure accurate placement. |
75 | $142 | $600 |
| Facet joint injection, second level, with imaging An injection into a second spinal facet joint in the upper or middle spine, guided by imaging to ensure accurate placement. |
72 | $75 | $300 |
| Facet joint nerve destruction, additional joint This procedure uses imaging guidance to destroy nerves in an additional upper or middle spinal facet joint. |
69 | $196 | $500 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
60 | $92 | $175 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
58 | $49 | $252 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
57 | $1 | $45 |
| Sacral spine nerve root injection with imaging guidance An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement. |
54 | $186 | $400 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
54 | $117 | $325 |
| Electrical medication application, per 15 min This procedure involves applying medication to the body using electrical current. It is billed in 15-minute increments. |
40 | $15 | $35 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
39 | $125 | $1,500 |
| Fluoroscopic guidance for needle placement Use of real-time X-ray imaging to guide the precise placement of a needle during a medical procedure. |
34 | $84 | $250 |
| Facet joint nerve destruction, single joint This procedure uses imaging guidance to destroy the nerves supplying a single upper or middle spinal facet joint. It is performed to interrupt pain signals from that specific joint. |
33 | $336 | $900 |
| Spinal injection with imaging guidance A procedure where medication is injected into the middle or upper part of the spinal canal. Imaging technology is used to guide the needle to the correct location. |
32 | $180 | $800 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 12 | $383 | $1,500 |
| Destruction of peripheral nerve or branch | 11 | $152 | $420 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
11 | $127 | $1,500 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$7,235
Total received (2018-2024)
Avg $1,034/year across 7 years
Top 18% in FL for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
61
Companies
390
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,430
2023
$1,892
2022
$1,098
2021
$980
2020
$617
2019
$684
2018
$535
Payments by company (2024)
Boston Scientific Corporation
$718
ABBVIE INC.
$178
Spinal Simplicity, LLC
$168
Alexion Pharmaceuticals, Inc.
$66
Otsuka America Pharmaceutical, Inc.
$61
Eisai Inc.
$57
ACADIA Pharmaceuticals Inc
$40
SCILEX PHARMACEUTICALS INC.
$38
UCB, Inc.
$24
CSL Behring
$23
JAZZ PHARMACEUTICALS INC.
$23
Merz Pharmaceuticals, LLC
$18
SI-BONE, INC.
$16
Top 3 companies account for 74.4% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$1,346
Relievant Medsystems, Inc.
$718
ABBVIE INC.
$511
Lilly USA, LLC
$342
Teva Pharmaceuticals USA, Inc.
$303
Alexion Pharmaceuticals, Inc.
$268
BOSTON SCIENTIFIC CORPORATION
$248
Amgen Inc.
$219
GENZYME CORPORATION
$217
Radius Health, Inc.
$212
Medtronic USA, Inc.
$196
Spinal Simplicity, LLC
$168
UCB, Inc.
$165
Alnylam Pharmaceuticals Inc.
$144
CSL Behring
$135
Biohaven Pharmaceutical Holding Company Ltd.
$115
Biogen, Inc.
$105
Janssen Pharmaceuticals, Inc
$104
Biohaven Pharmaceuticals, Inc.
$94
Allergan, Inc.
$90
ARGENX US, INC.
$89
Abbott Laboratories
$87
Otsuka America Pharmaceutical, Inc.
$86
Allergan Inc.
$80
Eisai Inc.
$78
SK Life Science, Inc.
$77
Flowonix Medical Incorporated
$64
PFIZER INC.
$63
Adamas Pharmaceuticals, Inc.
$63
SCILEX PHARMACEUTICALS INC.
$59
Scilex Pharmaceuticals Inc.
$57
ACADIA Pharmaceuticals Inc
$54
DePuy Synthes Sales Inc.
$49
JAZZ PHARMACEUTICALS INC.
$44
Nevro Corp.
$38
US WorldMeds, LLC
$37
Grifols USA, LLC
$36
Stryker Corporation
$30
Neurocrine Biosciences, Inc.
$30
PAINTEQ LLC
$28
ARBOR PHARMACEUTICALS, INC.
$26
Jazz Pharmaceuticals Inc.
$26
Silk Road Medical, Inc.
$23
CATALYST PHARMACEUTICALS, INC.
$23
BANNER LIFE SCIENCES, LLC
$23
Mallinckrodt Hospital Products Inc.
$23
GRT US Holding, Inc.
$20
Corium, LLC
$19
Mallinckrodt Enterprises LLC
$18
Merz Pharmaceuticals, LLC
$18
Tris Pharma Inc
$18
Supernus Pharmaceuticals, Inc.
$16
Cranial Technologies, Inc
$16
SI-BONE, INC.
$16
Acorda Therapeutics, Inc
$16
AstraZeneca Pharmaceuticals LP
$16
Curonix LLC
$15
Medtronic, Inc.
$15
E.R. Squibb & Sons, L.L.C.
$15
Stimwave Technologies Incorporated
$15
EMD Serono, Inc.
$13
Top 3 companies account for 35.6% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ADAPTIVESTIM · ADUHELM · AJOVY · AMVUTTRA · AMYVID · AUBAGIO · AUSTEDO · AVONEX · Adlarity · Aimovig · Andexxa · BAFIERTAM · BOTOX · BOTOX THERAPEUTIC · Briviact · CONFIDENCE · CoverEdge 32 · DUOPA · Doc Band · EMGALITY · ENROUTE Transcarotid Neuroprotection System · EPIDIOLEX · EVUSHELD · FIRDAPSE · FORTEO · GENERAL DBS · GENERAL THERAPIES · GENERAL - THERAPIES · GENERAL PAIN MANAGEMENT · GOCOVRI · Gamunex-C · General - Pain Management · General - Therapies · HA MINUTEMAN G3-R · Hizentra · Horizant · INBRIJA · INGREZZA · INTELLIS · IVS - MULTIGEN 2RF · Intracept · LEMTRADA · LYRICA · Leqembi · MYOBLOC · Mavenclad · NUPLAZID · NURTEC ODT · ONGENTYS · ONPATTRO · PAINTEQ · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCLAIM · Ponvory · Proclaim Family of SCS IPGs · Prometra II · QULIPTA · Quillivant XR · Qutenza · REXULTI · SOLIRIS · SPECTRA WAVEWRITER · SYNCHROMED · Senza · Senza Spinal Cord Stimulation System · Soliris · TROKENDI XR · Tymlos · UBRELVY · ULTOMIRIS · VYALEV · VYVGART · Vimpat · WAVEWRITER ALPHA · WaveWriter Alpha Prime 16 · XYWAV · Xadago · ZEPOSIA · ZTLido · Zilbrysq
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Opticians in nearby ZIP areas
77
County median income
$63,644
Nearest hospital to ZIP centroid (approximate)
WINTER HAVEN HOSPITAL
6.0 mi
6.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Miranda is a mixed practice specialist, with above-average Medicare volume (top 28% in FL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Miranda experienced with injection, methylprednisolone acetate, 40 mg?
Based on Medicare claims data, Dr. Miranda performed 619 injection, methylprednisolone acetate, 40 mg services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Miranda receive payments from pharmaceutical companies?
Yes. Dr. Miranda received a total of $7,235 from 61 companies across 390 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Miranda's costs compare to other opticians in Winter Haven?
Dr. Miranda's average Medicare payment per service is $99. 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. Miranda) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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