Toothman, James

Toothman, James was paid $20K by Medicaid between Jun 2019 and Jul 2021, across 2 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 93% of everything it billed.

33Billing provider infoTOOTHMAN, JAMES
HURRICANE, WV 25526

33aNPI1992758411assigned 05/18/2006

33bProvider typeInternal Medicine Physician

28Total paid$20K

24GClaims530

24DCodes billed2

24AFirst – last monthJun 2019 – Jul 2021

Compared with peers

Next to other Internal Medicine Physician providers in West Virginia

Rank by total paid#52 of 96

Median peer was paid$24K

This provider vs. median0.8×

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	142	$5K
2020	299	$12K
2021	89	$3K

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	93%	478	381	$18K
99308	Subsequent nursing facility care, per day, straightforward	7.1%	52	50	$1K

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.