Physician

Susan Claire Touma, MD

According to 2025 Medicare claims, Susan Touma, MD (NPI: 1578532271) practices dermatology in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Cabell, WV. This provider's primary affiliated billing organization is MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC (NPI: 1891892097; TIN: 550771197) and primary practice location at 25701-9998.

Touma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,112 traditional Medicare patients, billed 9,266 HCPCS/CPT codes, and received $173,539 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,469 prescription claims across 708 beneficiaries totaling $510,003 in drug costs, led by Otezla (Apremilast). Open Payments data shows 84 records totaling $1,478. 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 up and down with repeated peaks and valleys, starting at $153,557 and ending at $173,539. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $113,210 to $510,003. 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.

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$125K$249K2015 Medicare payment: $153,557 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $188,668 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $198,358 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $246,636 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $249,177 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $172,978 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $240,181 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $195,780 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $194,900 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $173,539 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159303,831$153,557
20161,1234,587$188,668
20171,1304,534$198,358
20181,31121,967$246,636
20191,34317,071$249,177
20201,11311,588$172,978
20211,3799,820$240,181
20221,1977,385$195,780
20231,19110,664$194,900
20241,1129,266$173,539

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$311K$622K2015 Drug cost: $113,210 (USD; Tot_Drug_Cst)2016 Drug cost: $69,561 (USD; Tot_Drug_Cst)2017 Drug cost: $171,280 (USD; Tot_Drug_Cst)2018 Drug cost: $192,978 (USD; Tot_Drug_Cst)2019 Drug cost: $299,930 (USD; Tot_Drug_Cst)2020 Drug cost: $287,560 (USD; Tot_Drug_Cst)2021 Drug cost: $622,241 (USD; Tot_Drug_Cst)2022 Drug cost: $421,575 (USD; Tot_Drug_Cst)2023 Drug cost: $592,271 (USD; Tot_Drug_Cst)2024 Drug cost: $510,003 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015290696$113,210
2016308700$69,561
2017286636$171,280
20184501,022$192,978
2019455993$299,930
20205171,179$287,560
20217261,627$622,241
20226031,332$421,575
20236581,414$592,271
20247081,469$510,003

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more373474$82
11102Biopsy of related skin growth, first growth201223$57
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more701942$55
17000Destruction of precancer skin growth, 1 growth367491$36
17003Destruction of precancer skin growth, 2-14 growths237981$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OtezlaApremilast26780$125,500
Dupixent PenDupilumab21616$85,870
FluorouracilFluorouracil2295,988$15,429
PimecrolimusPimecrolimus25860$8,638
MetronidazoleMetronidazole732,421$4,321

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.84$1,478ABBVIE 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 Susan Claire Touma, MD?

Tedicare shows public-source Medicare data for Susan Claire Touma, MD (NPI 1578532271), 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 Susan Claire Touma, 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 Susan Claire Touma, MD?

Susan Claire Touma, MD is linked to MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC (billing NPI 1891892097) in the available physician profile data.

Does Susan Claire Touma, MD have Open Payments data?

Susan Claire Touma, MD has 84 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.