Dr. James Toothman, DO
13 Edgewood DR, Hurricane, WV 25526 • +1-921-555-7918
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Hurricane Percentiles
NPI #1992758411 • CBSA Regional • Internal Medicine
Within the Hurricane, WV (CBSA local) Internal Medicine cohort, Dr. James Toothman, DO with sub-specialty concentration in 16 Active CMS HCPCS Codes ranks at the 75th municipal percentile and 96.77th WV percentile (+2.42σ Z-score) based on 6,463 billed procedures for 1,167 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Toothman (averaging 5.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (2908 encounters), paired with 99213 (1680x).
Uninsured and high-deductible cash patients visiting Dr. James Toothman in Hurricane (25526) face an estimated $209.00 initial evaluation fee at 13 Edgewood DR (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.91/5 from 7 verified reports).
Credentialed as an DO specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Toothman coordinates 16 Active CMS HCPCS Codes workups from 13 Edgewood DR (+1-921-555-7918).
Compared against Hurricane, WV Internal Medicine peers
6,463 annual services across 1,167 beneficiaries
Standard deviations from WV Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 2,908 | 75th | $165 – $227 |
| 99213 | Established Preventive & Chronic Care Visit | 1,680 | 73th | $127 – $173 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 840 | 77th | $60 – $83 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 646 | 78th | $194 – $266 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 388 | 70th | $230 – $315 |
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Dr. James Toothman, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Toothman National Provider Identifier | NPI #1992758411 (DO) | CMS NPPES Registry (25526) |
| Dr. Toothman Hurricane CMS Volume Rank | 75.00th Pct (6,463 CMS svcs; Z +2.424σ) | CMS Medicare Part B (WV Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hurricane, WV) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.91/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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