Medicare Enrolled
Dr. Nessa Miller, MD
Vascular Surgery Physician · San Antonio, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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 →
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What this data tells you about Dr. Miller
Dr. Nessa Miller is a vascular surgery physician in San Antonio, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Miller performed 387 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Miller received a total of $38,409 from 50 pharmaceutical and/or device companies across 307 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. 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.
✓ 18 years of NPI registration
▲ 387 Medicare services
$38,409 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗387
Medicare services
Bottom 37% in TX for vascular surgery physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
Not available
Unique patients (not deduplicated)
$112
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 |
|---|---|---|---|
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
139 | $61 | $141 |
| 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. |
50 | $52 | $136 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
49 | $99 | $268 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
41 | $67 | $235 |
| 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. |
29 | $30 | $92 |
| Ultrasound-guided injection into a single leg vein A chemical agent is injected into one incompetent vein in the leg while using ultrasound to guide the needle placement. |
22 | $992 | $2,641 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
20 | $10 | $86 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
15 | $11 | $47 |
| 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. |
11 | $9 | $38 |
| 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. |
11 | $129 | $297 |
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 ↗$38,409
Total received (2018-2024)
Avg $5,487/year across 7 years
Top 12% in TX for vascular surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
307
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
$10,249
2023
$14,380
2022
$6,572
2021
$3,403
2020
$1,148
2019
$2,090
2018
$567
Payments by company (2024)
AngioDynamics, Inc.
$6,835
Inari Medical, Inc.
$716
Medtronic, Inc.
$558
Endologix LLC
$527
Penumbra, Inc.
$407
CVRx, Inc.
$330
Boston Scientific Corporation
$156
Organogenesis Inc.
$119
BIOCOMPOSITES INC
$112
ShockWave Medical, Inc
$110
Checkpoint Surgical, Inc
$99
Janssen Pharmaceuticals, Inc
$98
Philips North America LLC
$56
ABBVIE INC.
$53
Kerecis Limited
$28
Sirtex Medical Inc
$24
Acera Surgical, Inc.
$21
Top 3 companies account for 79.1% of 2024 payments
All-time payments by company (2018-2024) ›
Inari Medical, Inc.
$13,534
AngioDynamics, Inc.
$8,515
Medtronic, Inc.
$4,005
Silk Road Medical, Inc.
$1,692
Veryan Medical Incorporated
$1,078
ABIOMED
$1,030
Penumbra, Inc.
$965
Boston Scientific Corporation
$845
Cardiovascular Systems Inc.
$557
CVRx, Inc.
$550
Endologix LLC
$527
Janssen Pharmaceuticals, Inc
$449
Abbott Laboratories
$380
Medtronic Vascular, Inc.
$360
W. L. Gore & Associates, Inc.
$354
ShockWave Medical, Inc
$335
Maquet Cardiovascular U.S. Sales, L.L.C.
$311
Philips Electronics North America Corporation
$295
Smith+Nephew, Inc.
$256
Bard Peripheral Vascular, Inc.
$239
Shockwave Medical, Inc
$186
Getinge USA Sales, LLC
$185
Acera Surgical, Inc.
$148
Edwards Lifesciences Corporation
$135
Organogenesis Inc.
$119
Chiesi USA, Inc.
$116
EKOS Corporation
$115
Siemens Medical Solutions USA, Inc.
$114
HeartFlow, Inc.
$113
BIOCOMPOSITES INC
$112
Checkpoint Surgical, Inc
$99
Surmodics, Inc.
$73
Stryker Corporation
$62
Musculoskeletal Transplant Foundation Inc.
$62
Kerecis Limited
$58
Philips North America LLC
$56
ABBVIE INC.
$53
Terumo Medical Corporation
$43
BIOTRONIK INC.
$38
Davol Inc.
$37
Tactile Systems Technology Inc
$30
Integra LifeSciences Corporation
$26
Sirtex Medical Inc
$24
ARGON MEDICAL DEVICES, INC.
$23
Aziyo Biologics, Inc.
$21
ConvaTec Inc.
$21
Arrow Interventional, Inc.
$19
Cook Medical LLC
$17
Teleflex LLC
$15
BARD PERIPHERAL VASCULAR, INC.
$14
Top 3 companies account for 67.8% of all-time payments
Associated products mentioned in payments ›
(4066) Tack Endo Sys ATK · (8874) inCourage · (9282) Turbo Power · (DD1) Duo Hybrid · ABRE · ACUSEAL Vascular Graft · AMPLATZER AMULET · ANGIODYNAMICS · ANGIOJET · AQUACEL AG+ · AURYON LASER SYSTEM 100-120 VAC · AVVIGO Guidance System · AZUR CX DETACHABLE · Abre · AngioJet Ultra 5000A · Artis icono floor · Auryon Laser System 100-120 Vac · BILAYER WOUND MATRIX (BWM) · Barostim Neo System · BioMimics 3D Vascular Stent System · CARDIOMEMS · CASCADIA INTERBODY SYSTEM · CHOCOLATE PTA BALLOON CATHETER · COLLAGENASE SANTYL · COREVALVE EVOLUT R · CT THROMBECTOMY SYSTEM KIT · CVX-300 · Checkpoint Stimulators · Cook Medical AAA · Diamondback Peripheral · ECM Patch · EKOSONIC · ELUVIA · ENDOCROSS Device · ENDURANT IIS · ENROUTE .014 Guidewire · ENROUTE Transcarotid Neuroprotection System · ENROUTE Transcarotid Stent · Endurant · EverFlex · FFRct · FLEXITOUCH · FLIXENE · FLOWTRIEVER CATHETER · FUSION BIOLINE · Flexitouch Plus · Fusion Bioline Supported Vascular Grafts · GENERAL - VASCULAR INTERVENTION · GENERAL PAIN MANAGEMENT · GORE EXCLUDER AAA Endoprosthesis · General - Thrombectomy · General - Ultrasound · General - Vascular Intervention · HawkOne · IGT Devices Und · IN.PACT Admiral · Impella · Indigo System · KENGREAL · Kerecis Omega3 SurgiClose · Kerecis Omega3 Wound · LAVA LES (Liquid Embolic System) · LUTONIX Drug Coated Balloon · MANTA Vascular Closure Device · ONYX FRONTIER · Passeo-18 · Peripheral Orbital Atherectomy System · Pouch · Progel · Restrata Wound Matrix · Ruby · S · SAPIEN 3 Ultra RESILIA · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · STIMULAN · Santyl · Shockwave IVL System with the Shockwave C2 Coronary IVL Catheter · Sublime 014 Rx PTA Balloon Dilatation Catheter · TEFLARO · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · THROMBECTOMY · TIGRIS Stent · Torus Stent Graft System · TurboHawk · VALIANT CAPTIVIA · VENACURE 1470 PRO · VENOVO · VIABAHN Endoprosthesis · VIABAHN Endoprosthesis with Heparin Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis · Vascular Lithotripsy · Vein Treatment - VariLase · Venovo · Versajet · XARELTO
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
Vascular surgery physicians in nearby ZIP areas
28
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
BAPTIST MEDICAL CENTER
2.8 mi
2.8 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. Miller is a clinical cardiology specialist, with moderate Medicare volume, with 18 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. Miller experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Miller performed 139 hospital follow-up visit, moderate complexity 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. Miller receive payments from pharmaceutical companies?
Yes. Dr. Miller received a total of $38,409 from 50 companies across 307 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. Miller's costs compare to other vascular surgery physicians in San Antonio?
Dr. Miller's average Medicare payment per service is $112. 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 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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