Medicare Enrolled
Dr. Chester Miltenberger, M.D.
Internal Medicine · Lake Mary, FL
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. Miltenberger 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. Miltenberger
Dr. Chester Miltenberger is an internal medicine specialist in Lake Mary, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Miltenberger performed 3,219 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Miltenberger received a total of $13,559 from 68 pharmaceutical and/or device companies across 871 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. Miltenberger 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.
✓ 20 years of NPI registration
▲ Top 13% volume in FL
$13,559 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,219
Medicare services
Top 13% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$53
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 |
|---|---|---|---|
| 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. |
953 | $87 | $321 |
| Blood glucose test using reagent strip A test that measures the level of sugar in the blood using a chemical reagent strip. |
369 | $5 | $30 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
193 | $75 | $149 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
189 | $30 | $50 |
| Drug screening test A laboratory test that uses a chemistry analyzer to detect the presence of drugs in a sample. |
177 | $61 | $250 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
165 | $37 | $147 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
163 | $30 | $121 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
158 | $8 | $25 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
111 | $47 | $127 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
109 | $36 | $143 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
97 | $37 | $157 |
| 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. |
72 | $10 | $76 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
53 | $40 | $87 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
53 | $30 | $51 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
52 | $1 | $10 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
39 | $241 | $365 |
| 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. |
33 | $9 | $55 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
30 | $120 | $150 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
30 | $127 | $430 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
29 | $3 | $10 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
29 | $38 | $50 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
25 | $118 | $164 |
| Remote physiologic monitoring setup and education Initial setup of remote monitoring equipment and patient education on its use. |
22 | $14 | $54 |
| Additional vaccine administration This code covers the administration of each additional vaccine given during the same encounter. It is billed alongside the primary vaccine administration code. |
20 | $11 | $25 |
| 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. |
14 | $65 | $219 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
12 | $13 | $64 |
| Pneumococcal vaccine, 23-valent A vaccine that protects against 23 types of pneumococcal bacteria. It is used to prevent infections caused by these bacteria. |
11 | $131 | $282 |
| 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 | $79 | $500 |
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 ↗$13,559
Total received (2018-2024)
Avg $1,937/year across 7 years
Top 5% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
68
Companies
871
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
$1,823
2023
$2,090
2022
$1,877
2021
$1,839
2020
$2,082
2019
$1,571
2018
$2,278
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$264
ABBVIE INC.
$213
Novo Nordisk Inc
$197
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$176
Takeda Pharmaceuticals U.S.A., Inc.
$147
PFIZER INC.
$135
Astellas Pharma US Inc
$115
Braeburn Inc.
$96
Otsuka America Pharmaceutical, Inc.
$93
JAZZ PHARMACEUTICALS INC.
$57
Lundbeck LLC
$53
Amgen Inc.
$40
IDORSIA PHARMACEUTICALS US INC
$33
Mylan Specialty L.P.
$28
Antares Pharma, Inc.
$23
Corium, LLC
$23
Axsome Therapeutics, Inc.
$22
Exact Sciences Corporation
$21
Abbott Laboratories
$21
Lilly USA, LLC
$20
Esperion Therapeutics, Inc.
$16
Supernus Pharmaceuticals, Inc.
$15
Boehringer Ingelheim Pharmaceuticals, Inc.
$13
Top 3 companies account for 37.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,787
AstraZeneca Pharmaceuticals LP
$1,725
Lilly USA, LLC
$829
ABBVIE INC.
$648
Takeda Pharmaceuticals U.S.A., Inc.
$606
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$606
SANOFI-AVENTIS U.S. LLC
$448
Amgen Inc.
$410
Kowa Pharmaceuticals America, Inc.
$407
Xeris Pharmaceuticals, Inc.
$364
Astellas Pharma US Inc
$348
Alkermes, Inc.
$347
PFIZER INC.
$344
Otsuka America Pharmaceutical, Inc.
$321
Boehringer Ingelheim Pharmaceuticals, Inc.
$264
AbbVie Inc.
$251
Impulse Dynamics (USA) Inc.
$228
IDORSIA PHARMACEUTICALS US INC
$211
JAZZ PHARMACEUTICALS INC.
$208
Janssen Pharmaceuticals, Inc
$183
Watermark Medical, Inc.
$170
Indivior Inc.
$152
Orexo US, Inc.
$148
GlaxoSmithKline, LLC.
$140
Esperion Therapeutics, Inc.
$134
Abbott Laboratories
$130
Medtronic Vascular, Inc.
$119
Braeburn Inc.
$116
Radius Health, Inc.
$111
Axsome Therapeutics, Inc.
$109
Eisai Inc.
$109
Supernus Pharmaceuticals, Inc.
$100
Ironwood Pharmaceuticals, Inc
$90
Bausch Health US, LLC
$90
Corium, LLC
$87
Antares Pharma, Inc.
$84
Amarin Pharma Inc.
$78
Shire North American Group Inc
$74
Teva Pharmaceuticals USA, Inc.
$73
Exact Sciences Corporation
$66
Lundbeck LLC
$64
Zealand Pharma US, Inc.
$63
Jazz Pharmaceuticals Inc.
$63
Gilead Sciences, Inc.
$54
Novartis Pharmaceuticals Corporation
$52
IRONWOOD PHARMACEUTICALS, INC
$48
IBSA Pharma Inc.
$45
Synergy Pharmaceuticals Inc
$39
AbbVie, Inc.
$35
Allergan Inc.
$32
Merck Sharp & Dohme LLC
$31
Amneal Pharmaceuticals LLC
$30
Allergan, Inc.
$28
Mylan Specialty L.P.
$28
Acerus Pharmaceuticals Corporation
$28
Biohaven Pharmaceutical Holding Company Ltd.
$23
Orexigen Therapeutics, Inc.
$21
Genentech USA, Inc.
$20
Medtronic MiniMed, Inc.
$19
TherapeuticsMD, Inc.
$18
Biohaven Pharmaceuticals, Inc.
$18
Arbor Pharmaceuticals, Inc.
$16
Merck Sharp & Dohme Corporation
$15
Azurity Pharmaceuticals, Inc.
$13
E.R. Squibb & Sons, L.L.C.
$13
ARBOR PHARMACEUTICALS, INC.
$11
Avanir Pharmaceuticals, Inc.
$11
Clarus Therapeutics Inc.
$6
Top 3 companies account for 32.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · APLENZIN · ARISTADA · Advisa · Aimovig · Amitiza · Androgel · Auvelity · Azstarys · BASAGLAR · BIJUVA · BREZTRI · BRIXADI · CHANTIX · COLOGUARD · CONTRAVE · Cologuard Collection Kit · DUZALLO · Dayvigo · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · FARXIGA · FORTEO · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GVOKE HYPOPEN · GVOKE PFS · Horizant · INVOKANA · JANUVIA · JARDIANCE · JATENZO · KRYSTEXXA · LEQVIO · LINZESS · LIVALO · Licart · Linzess · Livalo · MAVYRET · MIGRANAL · MYDAYIS · Mavyret · Micra · Motegrity · Myrbetriq · NEXLETOL · NOCDURNA · NORTHERA · NUEDEXTA · NURTEC ODT · Natesto · ONZETRA Xsail · OPTIMIZER · Octrode SCS Leads · Optimizer · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREVNAR 13 · PREVNAR 20 · Prolia · QELBREE · QULIPTA · QUVIVIQ · Qelbree · RELISTOR · RELISTOR ORAL · REXULTI · RYBELSUS · Repatha · Rybelsus · SEGLENTIS · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUBLOCADE · SUBOXONE SUBLINGUAL FILM · SUNOSI · Saxenda · Seglentis · Sunosi · TEZSPIRE · TLANDO · TOUJEO · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · Tirosint · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · UNITHROID · VIBERZI · VIIBRYD · VIVITROL · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Vivitrol · Vivitrol 380 mg · WELLBUTRIN · Wegovy · XARELTO · XIFAXAN · XYOSTED · XYREM · XYWAV · Xofluza · YUPELRI · ZEGALOGUE · Zubsolv · iPro2
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
Internal medicine physicians in nearby ZIP areas
1,054
County median income
$83,030
Nearest hospital to ZIP centroid (approximate)
CENTRAL FLORIDA LAKE MONROE HOSPITAL
3.7 mi
3.7 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. Miltenberger is a clinical cardiology specialist, with above-average Medicare volume (top 13% in FL), with 20 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. Miltenberger experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Miltenberger performed 953 office visit, established patient (30-39 min) 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. Miltenberger receive payments from pharmaceutical companies?
Yes. Dr. Miltenberger received a total of $13,559 from 68 companies across 871 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. Miltenberger's costs compare to other internal medicine physicians in Lake Mary?
Dr. Miltenberger's average Medicare payment per service is $53. 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. Miltenberger) 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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