Physician

James P. Hooten, M.D.

According to 2025 Medicare claims, James Hooten, M.D. (NPI: 1194745893) practices orthopedic surgery in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. Hooten is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

Hooten's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 193 traditional Medicare patients, billed 810 HCPCS/CPT codes, and received $76,319 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 469 prescription claims across 165 beneficiaries totaling $4,420 in drug costs, led by Celecoxib (Celecoxib). DME data shows 15 claims. Open Payments data shows 1 records totaling $21. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $14,363 to $4,420. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $1,235 to $3,949.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	272	861	$107,089
2016	310	1,155	$119,332
2017	262	804	$85,010
2018	249	824	$97,663
2019	239	763	$89,614
2020	233	732	$92,011
2021	229	937	$101,863
2022	190	659	$76,991
2023	199	723	$88,916
2024	193	810	$76,319

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	179	304	$14,363
2016	181	350	$12,038
2017	186	364	$9,472
2018	195	378	$10,387
2019	166	325	$6,016
2020	155	324	$4,303
2021	170	480	$10,274
2022	174	481	$7,431
2023	166	412	$3,449
2024	165	469	$4,420

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	11	11	$551
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	11	11	$517
2021	26	26	$1,346
2022	12	12	$613
2023	35	35	$2,012
2024	15	15	$728

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	55	$109
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	95	102	$55
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	42	$36
73562	X-ray of knee, 3 views	133	172	$26
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	75	78	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	77	2,238	$1,981
Amoxicillin	Amoxicillin	187	193	$199
Pantoprazole Sodium	Pantoprazole Sodium	11	14	$146
Metoclopramide Hcl	Metoclopramide Hcl	14	17	$87
Gabapentin	Gabapentin	15	189	$48

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	15	15	$728

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$21	Sanara MedTech Inc.
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 P. Hooten, M.D.?

Tedicare shows public-source Medicare data for James P. Hooten, M.D. (NPI 1194745893), 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 P. Hooten, M.D. have ACO affiliation data?

James P. Hooten, M.D. is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to James P. Hooten, M.D.?

James P. Hooten, M.D. is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does James P. Hooten, M.D. have Open Payments data?

James P. Hooten, M.D. has 1 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.