Physician

James Louthan, MD

According to 2025 Medicare claims, James Louthan, MD (NPI: 1477556157) practices internal medicine in the Kingsport-Bristol, TN-VA market, with the plurality of this provider's patient population coming from Sullivan, TN. This provider's primary affiliated billing organization is HOLSTON MEDICAL GROUP PC (NPI: 1831110667; TIN: 621388079) and primary practice location at 37660-7569. Louthan is affiliated with the AnewCare Collaborative, LLC (ACO ID: A1241) and Emergent ACO, LLC (ACO ID: A4556), participating under the MSSP model.

Louthan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 3,246 traditional Medicare patients, billed 100,452 HCPCS/CPT codes, and received $768,133 in Medicare payments. The top billing code was 74177 (Ct scan of abdomen and pelvis with contrast). Part D data shows 21,272 prescription claims across 941 beneficiaries totaling $1,724,075 in drug costs, led by Eliquis (Apixaban). DME data shows 208 claims. Open Payments data shows 49 records totaling $696. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $28,654 and ending at $11,533.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$388K$777K2015 Medicare payment: $658,676 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $647,763 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $682,313 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $722,993 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $737,599 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $750,952 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $776,983 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $724,085 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $771,060 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $768,133 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,73159,663$658,676
20162,76853,958$647,763
20172,84650,599$682,313
20182,89259,146$722,993
20193,19662,389$737,599
20203,11859,489$750,952
20213,24357,974$776,983
20223,09877,295$724,085
20233,338100,159$771,060
20243,246100,452$768,133

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$862K$1.7M2015 Drug cost: $1,332,688 (USD; Tot_Drug_Cst)2016 Drug cost: $1,347,538 (USD; Tot_Drug_Cst)2017 Drug cost: $1,386,015 (USD; Tot_Drug_Cst)2018 Drug cost: $1,390,655 (USD; Tot_Drug_Cst)2019 Drug cost: $1,422,653 (USD; Tot_Drug_Cst)2020 Drug cost: $1,465,753 (USD; Tot_Drug_Cst)2021 Drug cost: $1,534,985 (USD; Tot_Drug_Cst)2022 Drug cost: $1,632,048 (USD; Tot_Drug_Cst)2023 Drug cost: $1,717,064 (USD; Tot_Drug_Cst)2024 Drug cost: $1,724,075 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201572521,515$1,332,688
201675021,226$1,347,538
201773920,314$1,386,015
201871218,468$1,390,655
201976017,469$1,422,653
202077619,198$1,465,753
202183119,775$1,534,985
202286520,661$1,632,048
202389820,524$1,717,064
202494121,272$1,724,075

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$12K$25K2015 Medicare payment: $24,916 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,126 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $11,342 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,099 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,488 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $11,749 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $6,742 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,346 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $12,848 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,273 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201579456$24,916
201660395$14,126
201773368$11,342
201846279$7,099
201942262$7,488
202052300$11,749
202137184$6,742
202224251$11,346
202340289$12,848
202411208$8,273

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
74177Ct scan of abdomen and pelvis with contrast250259$212
77067Screening mammography910910$118
77063Screening 3d breast mammography565565$49
77080Dxa bone density measurement of hip, pelvis, spine563563$36
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml50851,757$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban26310,458$197,867
MounjaroTirzepatide1554,900$176,776
JardianceEmpagliflozin1346,210$117,891
OzempicSemaglutide1053,534$103,057
FarxigaDapagliflozin Propanediol1004,270$76,607

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7031Face mask interface, replacement for full face mask, eachNN/R14$1,440
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R19$1,262
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R12$1,240
A7030Full face mask used with positive airway pressure device, eachNN/R13$1,101
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R16$783

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.49$696Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for James Louthan, MD?

Tedicare shows public-source Medicare data for James Louthan, MD (NPI 1477556157), 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 Louthan, MD have ACO affiliation data?

James Louthan, MD is shown with ACO affiliation data for AnewCare Collaborative, LLC (MSSP, ACO ID A1241) and Emergent ACO, LLC (MSSP, ACO ID A4556).

What billing organization is linked to James Louthan, MD?

James Louthan, MD is linked to HOLSTON MEDICAL GROUP PC (billing NPI 1831110667) in the available physician profile data.

Does James Louthan, MD have Open Payments data?

James Louthan, MD has 49 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.