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LOUTHAN, JAMESMD NPI 1477556157 Clinician

Internal Medicine · KINGSPORT, TN

Specialty Internal Medicine — from billed Medicare claims
Trained INDIANA UNIVERSITY SCHOOL OF MEDICINE — medical school, self-reported to CMS
In practice about 34 years since medical school (class of 1992, self-reported to CMS)
Location KINGSPORT, TN · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 96 codes billed · 99,944 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
HOLSTON MEDICAL GROUP PC
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2009-09

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Unlock to see the figure.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
A9575 Injection, gadoterate meglumine, 0.1 ml
77067 Screening mammography
77063 Screening 3d breast mammography
77080 Dxa bone density measurement of hip, pelvis, spine
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
74177 Ct scan of abdomen and pelvis with contrast
72020 X-ray of spine, 1 view
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
76536 Ultrasound scan of head and neck soft tissue
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose
76705 Limited ultrasound scan of abdomen
72148 Mri scan of lower spinal canal without contrast
71250 Ct scan of chest without contrast
J2785 Injection, regadenoson, 0.1 mg
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
82565 Blood creatinine level
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
70553 Mri scan of brain before and after contrast
76770 Complete ultrasound scan behind abdominal cavity
93880 Ultrasound of both sides of head and neck blood flow
74176 Ct scan of abdomen and pelvis without contrast
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect
73700 Ct scan of leg without contrast
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
36415 Insertion of needle into vein for collection of blood sample
72141 Mri scan of upper spinal canal without contrast
76700 Complete ultrasound scan of abdomen
71260 Ct scan of chest with contrast
73721 Mri scan of leg joint without contrast
93922 Ultrasound study of arm and leg arteries
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
93971 Ultrasound study of one arm or leg veins with compression and maneuvers
70450 Ct scan head or brain without contrast
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G0008 Administration of influenza virus vaccine
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
74183 Mri scan of abdomen before and after contrast
70551 Mri scan of brain without contrast
90662 Influenza vaccine split virus, preservative free
73221 Mri scan of arm joint without contrast
81003 Automated urinalysis test
77065 Diagnostic mammography of 1 breast
77066 Diagnostic mammography of both breasts
76642 Limited ultrasound scan of 1 breast
71046 X-ray of chest, 2 views
71271 Low dose ct scan of chest for lung cancer screening
74178 Ct scan of abdomen and pelvis before and after contrast
70486 Ct scan of face without contrast
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
71275 Ct scan of blood vessels of chest with contrast
70470 Ct scan of head or brain before and after contrast
74018 X-ray of abdomen, 1 view
81001 Manual urinalysis test with examination using microscope, automated
70491 Ct scan of soft tissue of neck with contrast
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
75574 Ct scan of blood vessels and grafts of heart with contrast
93246 Heart rhythm recording of continous external ekg over 8-15 days
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels
75635 Ct scan of abdominal aorta and both leg arteries with contrast
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
93923 Complete ultrasound study of arm and leg arteries
96372 Injection of drug or substance under skin or into muscle
A9537 Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries
76706 Ultrasound scan of abdominal aorta
78227 Nuclear medicine study of liver and bile duct system with use of drugs
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
J2805 Injection, sincalide, 5 micrograms
70496 Ct scan of blood vessels of head with contrast
74160 Ct scan of abdomen with contrast
76870 Ultrasound scan of scrotum
72146 Mri scan of middle spinal canal without contrast
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
72158 Mri scan of lower spinal canal before and after contrast
77049 Mri scan of both breasts
73502 X-ray of hip, 2-3 views
99495 Transitional care management services for problem of at least moderate complexity
70498 Ct scan of blood vessels of neck with contrast
70544 Mri scan of blood vessels of head without contrast
72131 Ct scan of lower spine without contrast
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
72110 X-ray of lower and sacral spine, minimum of 4 views
74150 Ct scan of abdomen without contrast
76856 Complete ultrasound scan of pelvis
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
G0009 Administration of pneumococcal vaccine

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.