CAROL TOUMA
Endocrinology, Diabetes & Metabolism Physician · LOUISVILLE, KY
Individual Active NPI 1659597466
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 254 | 832 | $161,067 | $55,095 | $40,501 |
| 2023 | 244 | 758 | $145,659 | $52,070 | $36,507 |
| 2022 | 239 | 669 | $129,022 | $46,956 | $32,474 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 317 | $124 | $87 |
| 36415 | Insertion of needle into vein for collection of blood sample | 204 | $9 | $9 |
| 83036 | Hemoglobin a1c level | 102 | $9 | $9 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 62 | $34 | $27 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 60 | $16 | $13 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $160 | $110 |
| G0008 | Administration of influenza virus vaccine | 16 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | $82 | $82 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 11 | $163 | $111 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ✓ | 036120532 | IL |
| Internal Medicine Physician | 207R00000X | LP00443 | RI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Endocrinology, Diabetes & Metabolism Physician providers in Kentucky
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See all Endocrinology, Diabetes & Metabolism Physician providers in Kentucky →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.