James Miller, MD
Retina Specialist · Knoxville, TNNPI 1710983721
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 48 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Alcon at 44.6% of the total. That places this record below the midpoint for retina specialist clinicians in TN, where the typical reported total is $3,018.
Across 48 payments — averaging $60.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alcon$1K
- Regeneron$361
- Genentech USA, Inc.$255
- Apellis Pharmaceuticals, Inc.$196
- Bausch & Lomb Americas Inc.$195
- Genentech, Inc.$145
- plus $454 from 7 others
Across 1 payment — averaging $9897.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Novartis$10K
What the payments were for
- Food & beverage$2,898100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Alcon | 17 | $1,291 |
| Regeneron | 5 | $361 |
| Genentech USA, Inc. | 7 | $255 |
| Apellis Pharmaceuticals, Inc. | 3 | $196 |
| Bausch & Lomb Americas Inc. | 2 | $195 |
| Genentech, Inc. | 2 | $145 |
| Astellas Pharma Global Development | 1 | $92 |
| Eyepoint US, Inc. | 1 | $83 |
| Novartis | 1 | $78 |
| AstraZeneca | 1 | $68 |
| Pfizer | 4 | $63 |
| AbbVie(2 entities) | 3 | $50 |
| Sight Sciences, Inc. | 1 | $19 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$2,898 in reported general payments places this provider in the 45th percentile of 58 retina specialist providers in Tennessee.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Prednisolone Acetate | 284 | $12,251 |
| Ketorolac Tromethamine | 126 | $3,315 |
| Valganciclovir Hcl | 12 | $3,161 |
| Ofloxacin | 148 | $1,782 |
| Atropine Sulfate | 25 | $806 |
| Brimonidine Tartrate | 53 | $506 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 18 | $289 |
| Dorzolamide Hcl | 16 | $251 |
| Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha | 14 | $159 |
| Timolol Maleate | 11 | $122 |
Paid to pharmacies, not to this prescriber.
Other retina specialist in Knoxville
- Nicholas AndersonKnoxville$46K
- Timothy StoutKnoxville$13K
- Jacob CoxKnoxville$6K
- Jonathan FuerstKnoxville$3K
- Robert ShulerKnoxville$3K
- Joseph GoogeKnoxville$2K
- Stephen PerkinsKnoxville$2K
- Ailee LahamKnoxville$2K
- Tod McMillanKnoxville$850
- Steve CharlesGermantown$5.8M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.