Physician

James R Munns, M.D.

According to 2025 Medicare claims, James Munns, M.D. (NPI: 1992735922) practices cardiac surgery, with the plurality of this provider's patient population coming from Vermilion, IL. This provider's primary affiliated billing organization is CARLE HEALTH CARE INCORPORATED (NPI: 1154653947; TIN: 371140016) and primary practice location at 61801-2500. Munns is affiliated with the Aledade 59 AR MSSP Enhanced (ACO ID: A4776), Main Street Rural Health Magnolia ACO LLC (ACO ID: A5400), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Munns' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 151 traditional Medicare patients, billed 424 HCPCS/CPT codes, and received $140,161 in Medicare payments. The top billing code was 33533 (Coronary artery bypass using artery graft, 1 graft). Part D data shows 111 prescription claims across 71 beneficiaries totaling $10,093 in drug costs, led by Mupirocin (Mupirocin). Open Payments data shows 3 records totaling $79. 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 higher plateau to a lower plateau, from $283,252 to $140,161. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,954 and ending at $10,093. 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$142K$284K2015 Medicare payment: $283,252 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $283,771 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $228,094 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $198,441 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $213,546 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $244,636 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $67,066 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $165,521 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $119,414 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $140,161 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015297649$283,252
2016272609$283,771
2017292543$228,094
2018353575$198,441
2019294507$213,546
2020290538$244,636
2021151217$67,066
2022214464$165,521
2023152356$119,414
2024151424$140,161

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$5.0K$10K2015 Drug cost: $4,954 (USD; Tot_Drug_Cst)2016 Drug cost: $9,937 (USD; Tot_Drug_Cst)2017 Drug cost: $3,752 (USD; Tot_Drug_Cst)2018 Drug cost: $4,362 (USD; Tot_Drug_Cst)2019 Drug cost: $5,664 (USD; Tot_Drug_Cst)2020 Drug cost: $8,151 (USD; Tot_Drug_Cst)2021 Drug cost: $9,694 (USD; Tot_Drug_Cst)2022 Drug cost: $2,731 (USD; Tot_Drug_Cst)2023 Drug cost: $9,227 (USD; Tot_Drug_Cst)2024 Drug cost: $10,093 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201589271$4,954
201684235$9,937
201774234$3,752
201862162$4,362
201968129$5,664
202092166$8,151
20214481$9,694
20225797$2,731
202368104$9,227
202471111$10,093

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
33533Coronary artery bypass using artery graft, 1 graft3939$1,201
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5454$116
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2936$86
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3133$63
33508Harvest of vein using an endoscope4040$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MupirocinMupirocin46444$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.3$79Edwards Lifesciences Corporation
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 R. Munns, M.D.?

Tedicare shows public-source Medicare data for James R. Munns, M.D. (NPI 1992735922), 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 R. Munns, M.D. have ACO affiliation data?

James R. Munns, M.D. is shown with ACO affiliation data for Aledade 59 AR MSSP Enhanced (MSSP, ACO ID A4776), Main Street Rural Health Magnolia ACO LLC (MSSP, ACO ID A5400), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to James R. Munns, M.D.?

James R. Munns, M.D. is linked to CARLE HEALTH CARE INCORPORATED (billing NPI 1154653947) in the available physician profile data.

Does James R. Munns, M.D. have Open Payments data?

James R. Munns, M.D. has 3 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.