JAMES TOOTHMAN, D.O.
Internal Medicine Physician · HURRICANE, WV
Individual Active NPI 1992758411
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,167 | 6,463 | $1,087,988 | $688,305 | $539,891 |
| 2023 | 1,001 | 6,325 | $1,130,173 | $676,284 | $530,559 |
| 2022 | 978 | 6,901 | $1,145,608 | $657,224 | $497,313 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 3,527 | $101 | $76 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 871 | $102 | $80 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 405 | $126 | $100 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 358 | $121 | $93 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 342 | $126 | $96 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 281 | $121 | $121 |
| 99497 | Advance care planning, first 30 minutes | 200 | $71 | $57 |
| 99497 | Advance care planning, first 30 minutes | 103 | $77 | $59 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 83 | $154 | $154 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 66 | $122 | $122 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 65 | $124 | $99 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 65 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 1441 | WV |
| Personal Emergency Response Attendant | 146D00000X | 1441 | WV |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.