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Rachael Lea Miller, NP

Nurse Practitioner · San Jose

NPI 1124687462

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Bay Area Community Health · 106 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Rachael Lea Miller’s office at (408) 729-9700 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$1,352

Medicare paid this office $1,352 for 16 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)15$1,214$43

Who their Medicare patients are

16 Original Medicare patients in 2024. Average age 52 · Health risk score 1.04. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

The office billed $9,171, Medicare allowed $2,398 and paid $1,352; for 30 services of 3 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241630521.04$9,171$1,352
20231967540.94$17,230$3,901
20222056490.93$11,317$2,743
202137133501.06$24,851$5,133
20203354521.01$9,059$1,900

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Return visit (30+ min)16$3,152$54

2022: 1 service

Original Medicare services billed in 2022
Return visit (30+ min)19$2,518$48

2021: 3 services

Original Medicare services billed in 2021
Return visit (30+ min)24$3,156$55
Telephone medical discussion with physician, 11-20 minutes19$848$24
Telephone medical discussion with physician, 5-10 minutes12$248$14

2020: 1 service

Original Medicare services billed in 2020
Telephone medical discussion with physician, 11-20 minutes21$1,032$34

Medicaid work

$20,279 in 2024

Medicaid paid $20,279 for 653 billed services this clinician did in 2024, up to 85 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive84$16,294
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES59$2,060
Return visit (30+ min)418$1,698
Short return visit (20+ min)54$226
Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument38$0
Medicaid work by year
2024653585$20,279
20231,4393110$37,523
20221,024378$12,241
2021713462$2,880
2020162341$495
201934116$1,333
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Return visit (30+ min)1,158$27,917
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES238$8,425
Psychiatric diagnostic evaluation with medical services43$1,181

2022

Largest Medicaid services in 2022
Return visit (30+ min)876$6,314
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES134$5,123
SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES14$803

2021

Largest Medicaid services in 2021
Return visit (30+ min)599$1,410
Short return visit (20+ min)77$788
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES20$682
Short return visit17$0

2020

Largest Medicaid services in 2020
SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES16$495
Short return visit (20+ min)73$0
Return visit (30+ min)73$0

2019

Largest Medicaid services in 2019
SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES34$1,333

Drugs they prescribed that Part D paid

$166,311

Pharmacies billed $166,311 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 1,344) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.

1,245 generic and 99 brand-name prescriptions · $166,311 in drug cost · 100 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Invega Sustenna19$52,858$2,782
Trintellix46$26,465$575
Lurasidone39$5,712$146
Aripiprazole113$4,999$44
Clozapine29$2,476$85
See all 28 drugs
Every Part D drug this clinician prescribed
Invega Sustenna19$52,858$2,782
Trintellix46$26,465$575
Lurasidone39$5,712$146
Aripiprazole113$4,999$44
Clozapine29$2,476$85
Hydroxyzine88$2,050$23
Divalproex Sodium Er28$1,316$47
Olanzapine39$1,109$28
Quetiapine57$967$17
Buspirone51$802$16
Venlafaxine Hcl Er54$662$12
Bupropion Xl77$625$8
Trazodone115$609$5
Mirtazapine26$537$21
Propranolol31$490$16
Prazosin28$473$17
Hydroxyzine Pamoate27$456$17
Benztropine Mesylate43$449$10
Risperidone23$354$15
Clonazepam21$300$14
Duloxetine25$295$12
Escitalopram51$293$6
Lithium Carbonate30$282$9
Lamotrigine30$234$8
Ziprasidone13$197$15
Gabapentin20$181$9
Sertraline75$176$2
Citalopram Hbr14$57$4

Year by year

Part D prescribing by year
20241,3441140% (0)7%$166,311
20231,8431110% (0)11%$302,994
20221,7391300% (0)9%$246,713
20211,772970% (0)6%$142,524
2020465660% (0)7%$22,685
201933None0% (0)None$3,529

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 36 drugs

Part D drugs prescribed in 2023
Invega Sustenna15$52,207$3,480
Trintellix93$48,749$524
Fanapt11$25,362$2,306
Latuda13$19,229$1,479
Lurasidone22$17,807$809
Aripiprazole115$11,135$97
Clozapine27$3,381$125
Hydroxyzine129$3,199$25
Prazosin99$3,092$31
Divalproex Sodium Er58$2,211$38
Trazodone188$2,062$11
Quetiapine60$1,565$26
Bupropion Xl119$1,447$12
Olanzapine36$1,098$30
Propranolol42$1,034$25
Buspirone45$1,027$23
Sertraline110$959$9
Venlafaxine Hcl Er58$888$15
Ziprasidone12$775$65
Lamotrigine59$774$13
Mirtazapine33$697$21
Oxcarbazepine22$594$27
Escitalopram63$565$9
Duloxetine42$557$13
Gabapentin37$515$14
Hydroxyzine Pamoate41$505$12
Clonazepam19$351$18
Benztropine Mesylate31$310$10
Amitriptyline19$301$16
Lithium Carbonate Er15$278$19
Risperidone18$260$14
Bupropion Hcl Sr14$181$13
Lithium Carbonate26$175$7
Fluoxetine17$88$5
Citalopram Hbr11$82$7
Topiramate11$73$7

2022: 32 drugs

Part D drugs prescribed in 2022
Latuda42$71,735$1,708
Trintellix27$16,292$603
Aripiprazole95$10,864$114
Paliperidone Er22$5,170$235
Divalproex Sodium Er42$4,105$98
Quetiapine71$3,325$47
Clozapine26$3,167$122
Vilazodone12$3,042$254
Prazosin94$3,006$32
Hydroxyzine108$2,567$24
Oxcarbazepine33$2,473$75
Trazodone155$1,851$12
Bupropion Xl89$1,583$18
Propranolol55$1,507$27
Buspirone69$1,465$21
Sertraline134$1,394$10
Venlafaxine Hcl Er63$1,160$18
Olanzapine27$930$34
Duloxetine42$899$21
Gabapentin39$742$19
Fluoxetine62$614$10
Ziprasidone20$562$28
Escitalopram55$541$10
Lamotrigine61$537$9
Mirtazapine12$490$41
Benztropine Mesylate34$339$10
Hydroxyzine Pamoate46$324$7
Risperidone18$305$17
Amitriptyline11$227$21
Bupropion Hcl Sr12$202$17
Lithium Carbonate27$124$5
Citalopram Hbr23$124$5

2021: 32 drugs

Part D drugs prescribed in 2021
Latuda14$19,977$1,427
Invega19$18,822$991
Trintellix13$10,891$838
Paliperidone Er21$5,875$280
Aripiprazole45$5,590$124
Quetiapine103$4,923$48
Prazosin134$4,229$32
Clozapine23$3,110$135
Bupropion Xl96$2,577$27
Hydroxyzine84$1,886$22
Olanzapine66$1,835$28
Divalproex Sodium Er30$1,774$59
Buspirone90$1,722$19
Trazodone170$1,718$10
Oxcarbazepine28$1,395$50
Propranolol55$1,328$24
Venlafaxine Hcl Er63$1,282$20
Desvenlafaxine Succinate Er25$882$35
Sertraline114$873$8
Benztropine Mesylate67$839$13
Risperidone48$684$14
Mirtazapine46$672$15
Duloxetine32$612$19
Lamotrigine51$555$11
Fluoxetine54$548$10
Ziprasidone14$508$36
Escitalopram46$489$11
Haloperidol12$383$32
Hydroxyzine Pamoate38$331$9
Lithium Carbonate23$119$5
Citalopram Hbr21$95$5
Clonazepam11$69$6

2020: 16 drugs

Part D drugs prescribed in 2020
Paliperidone Er15$4,991$333
Prazosin32$641$20
Hydroxyzine36$525$15
Bupropion Xl25$437$17
Buspirone25$412$16
Trazodone40$388$10
Mirtazapine19$254$13
Sertraline50$240$5
Olanzapine14$207$15
Risperidone25$205$8
Fluoxetine13$157$12
Hydroxyzine Pamoate12$155$13
Quetiapine15$140$9
Benztropine Mesylate12$120$10
Clonazepam12$106$9
Citalopram Hbr12$50$4

Professional record

NPI
1124687462
Licence
CA 95180773, KS 14-127624-062, MO 2013036996, MO 2019017374
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LP0808X (363LP0808X); Federal specialty code 163W00000X (163W00000X)
Mailing address
1707 Eye St # 100, Bakersfield, CA, 93301
NPI first listed
2019-06-11
NPI last updated
2024-08-23
NPI record certified
2024-08-23

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 501 S Sunset Ln, Raymore, MO, 64083 · 17571 N Dam Access Rd, Warsaw, MO, 65355