Pediatrics · Chicago, IL
NPI
1396806717
Since 2006
Specialty
Pediatrics
Code 208000000X
Group practices
2
Medicare group memberships
Hospitals
1
Hospital affiliations
5841 S Maryland Ave
Chicago, IL, 60637
Phone (888) 824-0200
Groups this clinician bills Medicare through
Medicare paid, 2024
$4,796
78 services
Medicare patients, 2024
40
Average age 45
Drug cost, 2024
$893K
838 prescriptions
Company payments, 2025
$71.03
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by James Tonsgard was code 99214 (office e&m - established), 26 times for 17 patients. In total James Tonsgard billed 78 services in 11 codes, and Medicare paid $4,796.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2022-10-24.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Office | 26 | 17 | $93.63 | $2,434 |
| 99214 Office E&M - Established | Facility | 15 | 11 | $75.04 | $1,126 |
| 99441 Telephone Services | Facility | 11 | 11 | $31.00 | $341 |
By year: 2022 $4,620 for 79 services; 2023 $4,048 for 70 services; 2024 $4,796 for 78 services.
Medicare prescription drug claims, 2024
In 2024, the drug James Tonsgard prescribed most often to Medicare patients was Lamotrigine, with 59 prescriptions and refills. In total James Tonsgard wrote 838 Medicare prescriptions that cost $893K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Lamotrigine Generic | 59 | 93 | Under 11 | $489 |
| Topiramate Generic | 55 | 98 | Under 11 | $753 |
| Divalproex Sodium Generic | 43 | 55 | Under 11 | $4,337 |
| Lacosamide Generic | 42 | 58 | Under 11 | $9,497 |
| Clonazepam Generic | 41 | 41 | Under 11 | $418 |
| Amitriptyline Hcl Generic | 39 | 74 | Under 11 | $593 |
| Carbamazepine Er Carbamazepine | 35 | 49 | Under 11 | $3,271 |
| Levetiracetam Generic | 34 | 82 | Under 11 | $2,316 |
| Divalproex Sodium Er Divalproex Sodium | 32 | 40 | Under 11 | $3,170 |
| Clobazam Generic | 31 | 37 | Under 11 | $2,418 |
| Tramadol Hcl Generic | 26 | 26 | Under 11 | $103 |
| Risperidone Generic | 26 | 54 | Under 11 | $1,633 |
| Phenobarbital Generic | 21 | 24 | Under 11 | $2,073 |
| Valproic Acid Valproic Acid (As Sodium Salt) | 18 | 30 | Under 11 | $617 |
| Gabapentin Generic | 16 | 38 | Under 11 | $186 |
Brand drugs: 91 claims; generic drugs: 726 claims; opioid claims: 34.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid James Tonsgard $71.03 ($71.03 in general payments such as food, travel and fees) from 1 company. The largest payer was Upsher-Smith Laboratories LLC with $71.03.
| Company | Payments | Amount |
|---|---|---|
| Upsher-Smith Laboratories LLC | 1 | $71.03 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.