James R. Toothman DO PLLC

James R. Toothman DO PLLC was paid $103K by Medicaid between Jun 2019 and Oct 2024, across 8 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 81% of everything it billed.

33Billing provider infoJAMES R. TOOTHMAN DO PLLC
GALLIPOLIS, OH 45631

33aNPI1528627957assigned 06/10/2019

33bProvider typeInternal Medicine Physician

28Total paid$103K

24GClaims11,817

24DCodes billed8

24AFirst – last monthJun 2019 – Oct 2024

Compared with peers

Next to other Internal Medicine Physician providers in Ohio

Rank by total paid#196 of 663

Median peer was paid$17K

This provider vs. median5.9×

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	1,504	$4K
2020	2,799	$10K
2021	2,960	$15K
2022	2,860	$35K
2023	756	$25K
2024incomplete	938	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	81%	9,270	6,877	$84K
99336		7.6%	979	934	$8K
99305		4.0%	273	251	$4K
99349		3.7%	80	72	$4K
99308	Subsequent nursing facility care, per day, straightforward	1.5%	892	681	$1K
99318		<1%	201	201	$944.14
99497		<1%	52	52	$767.04
99307		<1%	70	47	$271.65

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.

From NPPES

Who's on the registration

Authorized officialCARDENAS, ALLY (AUTHORIZED OFFICIAL/CREDENTIALING S)