Physician

James E Muto, MD

According to 2025 Medicare claims, James Muto, MD (NPI: 1134222151) practices cardiology in the Kahului-Wailuku, HI market, with the plurality of this provider's patient population coming from Maui, HI. This provider's primary affiliated billing organization is MAUI CARDIOLOGY, LTD. (NPI: 1265551311; TIN: 990320956) and primary practice location at 96732-3532.

Muto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,593 traditional Medicare patients, billed 10,452 HCPCS/CPT codes, and received $861,570 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 6,807 prescription claims across 1,336 beneficiaries totaling $1,777,374 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 32 claims. Open Payments data shows 4 records totaling $86. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $386,748 to $861,570. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $271,528 to $1,777,374. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	631	4,328	$386,748
2016	727	4,746	$381,631
2017	803	4,944	$399,072
2018	871	5,299	$416,292
2019	1,098	7,006	$586,564
2020	1,296	9,740	$870,834
2021	1,471	10,653	$933,030
2022	1,576	11,127	$910,385
2023	1,646	11,967	$940,642
2024	1,593	10,452	$861,570

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	327	2,349	$271,528
2016	422	3,006	$488,822
2017	472	3,037	$331,898
2018	509	2,854	$354,740
2019	552	2,982	$433,583
2020	783	4,244	$672,091
2021	976	5,056	$952,956
2022	1,284	6,551	$1,298,537
2023	1,442	7,765	$1,631,425
2024	1,336	6,807	$1,777,374

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	27	$1,318
2021	N/R	32	$1,680
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	1,162	1,327	$156
93978	Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	343	352	$139
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,463	2,915	$100
93356	Heart muscle strain imaging	1,062	1,210	$32
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	1,323	2,365	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	627	39,715	$752,457
Vyndamax	Tafamidis	12	360	$289,423
Xarelto	Rivaroxaban	207	14,710	$267,845
Repatha Sureclick	Evolocumab	87	4,940	$94,728
Entresto	Sacubitril/Valsartan	72	4,180	$91,453

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$86	E.R. Squibb & Sons, L.L.C.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James E. Muto, MD?

Tedicare shows public-source Medicare data for James E. Muto, MD (NPI 1134222151), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James E. Muto, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James E. Muto, MD?

James E. Muto, MD is linked to MAUI CARDIOLOGY, LTD. (billing NPI 1265551311) in the available physician profile data.

Does James E. Muto, MD have Open Payments data?

James E. Muto, MD has 4 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.