Dr. Justin Miller, MD
5115 Oleander DR Rm 8549, Wilmington, NC 28403 • +1-268-555-8419
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Wilmington Percentiles
NPI #1134566268 • CBSA Regional • Gastroenterology
Dr. Justin Miller, MD (NPI #1134566268) practices Gastroenterology in Wilmington, NC (28403) with sub-specialty concentration in 80 Active CMS HCPCS Codes, recording 4,884 annual CMS services across 472 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (7.69th Wilmington percentile) (-0.12σ vs NC state mean, 55.74th statewide percentile).
Fee-schedule auditing of NPI 1134566268 highlights 1807 annual claims for 99214 (12th Wilmington percentile; $71–$98 self-pay corridor) plus 1221 encounters under 45380 and 1026 under 43239.
At 5115 Oleander DR Rm 8549 (28403), Dr. Justin Miller, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.76/5 bedside rating).
Clinical background for Dr. Miller (MD, NPI #1134566268) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across NC.
Compared against Wilmington, NC Gastroenterology peers
4,884 annual services across 472 beneficiaries
Standard deviations from NC Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 1,807 | 12th | $71 – $98 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 1,221 | 12th | $172 – $235 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 1,026 | 12th | $142 – $195 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 488 | 12.69th | $191 – $262 |
| 99204 | New Patient Digestive & Hepatology Consultation | 342 | 12.69th | $100 – $137 |
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Dr. Justin Miller, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Miller National Provider Identifier | NPI #1134566268 (MD) | CMS NPPES Registry (28403) |
| Dr. Miller Wilmington CMS Volume Rank | 7.69th Pct (4,884 CMS svcs; Z -0.116σ) | CMS Medicare Part B (NC Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Wilmington, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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