Physician
Toombs, James
Toombs, James was paid $31K by Medicaid between Feb 2019 and Jun 2020, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoTOOMBS, JAMES
BALLWIN, MO 63011
BALLWIN, MO 63011
33aNPI1417916222assigned 03/21/2006
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$31K
24GClaims992
24DCodes billed6
24AFirst – last monthFeb 2019 – Jun 2020
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Missouri
Rank by total paid#7 of 9
Median peer was paid$42K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 410 | $11K | |
| 2020 | 582 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 50% | 282 | 269 | $16K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 29% | 125 | 125 | $9K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 9.9% | 404 | 385 | $3K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.8% | 80 | 80 | $2K |
| 99051 | 2.6% | 89 | 77 | $804.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $158.64 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.