Medicare Enrolled
Dr. Ryan Miller, PA-C
Pain Medicine · Jamestown, NC
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Ryan Miller is a pain medicine specialist in Jamestown, NC, with 14 years of NPI registration. Based on federal Medicare data, Dr. Miller performed 3,047 Medicare services across 1,410 unique beneficiaries.
Between the years covered by Open Payments, Dr. Miller received a total of $8,530 from 42 pharmaceutical and/or device companies across 418 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pain medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 23% volume in NC
$8,530 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,047
Medicare services
Top 23% in NC for pain medicine
1,410
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~218 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 |
|---|---|---|---|
| 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. |
286 | $71 | $226 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
240 | $0 | $1 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
237 | $60 | $120 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
173 | $3 | $7 |
| Definitive drug test using GC/MS or LC/MS A definitive drug test that identifies specific drugs and distinguishes between structural isomers using advanced methods like GC/MS or LC/MS. |
172 | $112 | $208 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
136 | $0 | $2 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
118 | $8 | $11 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
114 | $7 | $14 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
113 | $10 | $18 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
106 | $13 | $28 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
99 | $9 | $37 |
| Airflow rate measurement test A test that measures the rate of airflow. This procedure assesses how quickly air moves. |
90 | $20 | $67 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
87 | $28 | $61 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
67 | $39 | $85 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
64 | $12 | $29 |
| 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. |
63 | $50 | $154 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
61 | $10 | $18 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
60 | $16 | $30 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
57 | $7 | $15 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
57 | $9 | $16 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
57 | $14 | $25 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
48 | $8 | $25 |
| Iron level test | 41 | $6 | $14 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
41 | $8 | $19 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
33 | $13 | $25 |
| Annual alcohol misuse screening, 5 to 15 minutes | 30 | $14 | $33 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
29 | $4 | $8 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
29 | $21 | $46 |
| Rheumatoid factor level | 28 | $6 | $12 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
26 | $35 | $78 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
26 | $106 | $210 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
25 | $3 | $6 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
21 | $15 | $70 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
19 | $6 | $10 |
| Influenza virus nucleic acid detection test A laboratory test that uses nucleic acid technology to detect multiple types of influenza virus. |
17 | $94 | $176 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
16 | $14 | $25 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
14 | $15 | $28 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
14 | $53 | $123 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
14 | $154 | $365 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
14 | $121 | $282 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
13 | $123 | $287 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
12 | $31 | $40 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
12 | $114 | $510 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
12 | $29 | $37 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
12 | $19 | $41 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
11 | $21 | $85 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
11 | $14 | $51 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
11 | $50 | $70 |
| HIV screening test (antigen/antibody) A blood test used to screen for HIV infection by detecting both HIV antigens and antibodies. It is a standard initial test to determine if a person has been exposed to the virus. |
11 | $24 | $25 |
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
17.4% medium
82.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$8,530
Total received (2021-2024)
Avg $2,132/year across 4 years
Top 18% in NC for pain medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
42
Companies
418
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,530 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,791
2023
$1,849
2022
$1,816
2021
$2,074
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Forte Bio-Pharma LLC
$765
ABBVIE INC.
$727
Lilly USA, LLC
$212
Novo Nordisk Inc
$185
Otsuka America Pharmaceutical, Inc.
$137
PFIZER INC.
$136
Alkermes, Inc.
$108
Collegium Pharmaceutical, Inc.
$94
Amgen Inc.
$76
GlaxoSmithKline, LLC.
$73
Almatica Pharma LLC
$43
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$41
IRONWOOD PHARMACEUTICALS, INC
$39
AstraZeneca Pharmaceuticals LP
$35
SHIELD THERAPEUTICS INC
$28
Vanda Pharmaceuticals Inc.
$26
Eisai Inc.
$19
Tolmar, Inc.
$17
Virtus Pharmaceuticals LLC
$17
Tris Pharma Inc
$14
Top 3 companies account for 61.0% of 2024 payments
All-time payments by company (2021-2024) ›
ABBVIE INC.
$1,881
Forte Bio-Pharma LLC
$1,611
Novo Nordisk Inc
$907
Lilly USA, LLC
$601
Amgen Inc.
$559
FORTE BIO-PHARMA LLC
$529
PFIZER INC.
$327
Nevro Corp.
$283
AbbVie Inc.
$214
Otsuka America Pharmaceutical, Inc.
$206
GlaxoSmithKline, LLC.
$157
Alkermes, Inc.
$108
Collegium Pharmaceutical, Inc.
$107
AstraZeneca Pharmaceuticals LP
$97
Orexo US, Inc.
$93
Biohaven Pharmaceuticals, Inc.
$64
Kowa Pharmaceuticals America, Inc.
$55
Exact Sciences Corporation
$54
Boehringer Ingelheim Pharmaceuticals, Inc.
$48
Merck Sharp & Dohme Corporation
$45
Amarin Pharma Inc.
$43
IDORSIA PHARMACEUTICALS US INC
$43
Almatica Pharma LLC
$43
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$41
ITI, Inc.
$40
IRONWOOD PHARMACEUTICALS, INC
$39
Antares Pharma, Inc.
$36
Ironwood Pharmaceuticals, Inc
$30
Takeda Pharmaceuticals U.S.A., Inc.
$29
SHIELD THERAPEUTICS INC
$28
Vanda Pharmaceuticals Inc.
$26
Merck Sharp & Dohme LLC
$25
Genentech USA, Inc.
$23
Eisai Inc.
$19
Tolmar, Inc.
$17
Virtus Pharmaceuticals LLC
$17
Bayer HealthCare Pharmaceuticals Inc.
$16
Esperion Therapeutics, Inc.
$16
Currax Pharmaceuticals LLC
$14
Tris Pharma Inc
$14
Teva Pharmaceuticals USA, Inc.
$13
Optinose US, Inc.
$12
Top 3 companies account for 51.6% of all-time payments
Associated products mentioned in payments ›
ABILIFY ASIMTUFII · ABILIFY MAINTENA · ACCRUFER · AIRSUPRA · ARISTADA · Aimovig · AirDuo Digihaler · BELSOMRA · Belbuca · CAPLYTA · COLOGUARD DNA CAPTURE REAGENTS · CONTRAVE · Cologuard Collection Kit · Dyanavel XR · ELIQUIS · EMGALITY · FARXIGA · HETLIOZ · JARDIANCE · JATENZO · Kerendia · LEVORPHANOL TARTRATE · LINZESS · LOREEV XR · LYBALVI · Leqembi · Linzess · Livalo · MOUNJARO · NALOCET · NEXLETOL · NOCDURNA · NUEDEXTA · NURTEC ODT · Omnia · Otezla · Ozempic · PAXLOVID · PROLATE · QULIPTA · QUVIVIQ · REXULTI · RYBELSUS · Rybelsus · Saxenda · Seglentis · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · UBRELVY · VIVITROL · VRAYLAR · Vascepa · Wegovy · XTAMPZA · Xhance · Xofluza · 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Pain medicines within 10 mi
34
Per 100K population
6.3
County median income
$66,027
Nearest hospital
MOSES H. CONE MEMORIAL HOSPITAL, THE
10.5 mi
10.5 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Miller is a mixed practice specialist, with above-average Medicare volume (top 23% in NC), with low-engagement industry engagement in the top 18% of NC peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Miller experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Miller performed 286 office visit, established patient (30-39 min) 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 $8,530 from 42 companies across 418 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 medicines in Jamestown?
Dr. Miller's average Medicare payment per service is $30. 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 →
Explore related providers
Same specialty & city
Pain Medicines in Jamestown
Browse pain medicines in Jamestown ranked by procedure volume and transparency data.
Highest volume
Top Pain Medicines in NC
Pain medicines ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Pain Medicines in NC
Which NC pain medicines receive the most from drug and device companies.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
By company
Forte Bio-Pharma LLC Payments to Doctors
See all physicians who received payments from Forte Bio-Pharma LLC.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
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. 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.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology