Physophorina miranda is found along the east coast of Africa. It occurs in forest patches in the Eastern Cape and KwaZulu-Natal provinces of South Africa, and has also been documented from Tanzania. However, in the absence of additional collecting records outside of South Africa, this outlying record may be viewed with caution. While its extent of occurrence (EOO) is ca 470,000 km², its area of occupancy (AOO) is estimated to be between 48 and 500 km².
Physophorina miranda emerges seasonally, and has been observed from November to February. The population size and trend are not documented for the species. However, the population is considered to be severely fragmented with limited exchange between small and isolated subpopulations. The species has not been collected in the field since 1981. Although extensive surveys have not been conducted outside of South Africa, surveys within South Africa have failed to detect the species in 37 years. This indicates that the species is likely to be extremely rare and declining in at least part of its range.