Internal Medicine · Hurricane, WV
NPI
1992758411
Since 2006
Specialty
Internal Medicine
Code 207R00000X
Group practices
7
Medicare group memberships
Hospitals
5
Hospital affiliations
13 Edgewood Dr
Hurricane, WV, 25526
Phone (304) 539-5557
Groups this clinician bills Medicare through
Medicare paid, 2024
$540K
6,463 services
Medicare patients, 2024
1,167
Average age 78
Drug cost, 2024
$4.5M
65,906 prescriptions
Company payments
-
None reported
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by James R Toothman was code 99309 (snf e&m), 3,527 times for 733 patients. In total James R Toothman billed 6,463 services in 16 codes, and Medicare paid $540K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2024-11-08.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99309 SNF E&M | Office | 3,527 | 733 | $75.60 | $267K |
| 99309 SNF E&M | Facility | 871 | 354 | $80.09 | $70K |
| 99305 SNF E&M | Facility | 405 | 334 | $99.51 | $40K |
| 99349 Home E&M - New and Established | Office | 358 | 41 | $92.83 | $33K |
| 99305 SNF E&M | Office | 342 | 265 | $95.80 | $33K |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Office | 281 | 281 | $120.63 | $34K |
| 99497 Care Management/Coordination | Facility | 200 | 194 | $56.80 | $11K |
| 99497 Care Management/Coordination | Office | 103 | 100 | $58.91 | $6,067 |
| G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Office | 83 | 83 | $153.83 | $13K |
| G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Facility | 66 | 66 | $121.68 | $8,031 |
| 99316 SNF E&M | Facility | 65 | 62 | $98.79 | $6,421 |
| G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | Facility | 65 | 65 | $154.56 | $10K |
| 99316 SNF E&M | Office | 56 | 53 | $90.12 | $5,047 |
By year: 2022 $497K for 6,901 services; 2023 $531K for 6,325 services; 2024 $540K for 6,463 services.
Medicare prescription drug claims, 2024
In 2024, the drug James R Toothman prescribed most often to Medicare patients was Atorvastatin Calcium, with 3,112 prescriptions and refills. In total James R Toothman wrote 65,906 Medicare prescriptions that cost $4.5M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Atorvastatin Calcium Generic | 3,112 | 3,123 | 537 | $51K |
| Levothyroxine Sodium Generic | 2,923 | 2,936 | 369 | $37K |
| Furosemide Generic | 2,552 | 2,556 | 324 | $21K |
| Eliquis Apixaban | 2,258 | 2,264 | 271 | $641K |
| Amlodipine Besylate Generic | 1,548 | 1,556 | 270 | $17K |
| Gabapentin Generic | 1,529 | 1,531 | 198 | $24K |
| Pantoprazole Sodium Generic | 1,464 | 1,466 | 275 | $31K |
| Lisinopril Generic | 1,355 | 1,366 | 214 | $16K |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,342 | 1,342 | 147 | $23K |
| Sertraline Hcl Generic | 1,305 | 1,310 | 201 | $20K |
| Potassium Chloride Generic | 1,263 | 1,267 | 241 | $30K |
| Mirtazapine Generic | 1,168 | 1,178 | 219 | $41K |
| Metoprolol Succinate Generic | 1,156 | 1,158 | 220 | $24K |
| Metoprolol Tartrate Generic | 1,120 | 1,125 | 214 | $13K |
| Buspirone Hcl Generic | 985 | 988 | 173 | $20K |
Brand drugs: 14,365 claims; generic drugs: 51,243 claims; opioid claims: 3,157.
Money and other things of value reported by the companies
No payments from drug or medical device companies to James R Toothman were reported in the years we have.
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.