Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $503 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
903
Rank: 3rd
out of 32 providers in this state & specialty
Services
Performed
10,659
Rank: 1st
out of 32 providers in this state & specialty
Avg Services
Per Patient
11.8 This Provider is in the top 10%
Avg 4.7
Total Paid
by Medicare
$584K
Rank: 2nd
out of 32 providers in this state & specialty
Avg Paid
Per Patient
$647 This Provider
Avg $503

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 76 different services in 2015
(54 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
5,447
times performed,
51% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

763
patients got this service, 84% of his patients
7.1
average number of visits a patient made for this service
(Peers: 2.4)
$588,276.00an average of $108.00 per time performed $394,689.62
an average of $72.46 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
1,667
times performed,
16% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

199
patients got this service, 22% of his patients
1.7
average number of visits a patient made for this service
$80,882.84an average of $48.52 per time performed $200.04
an average of $0.12 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
1,372
times performed,
13% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

203
patients got this service, 22% of his patients
1.7
average number of visits a patient made for this service
$33,092.64an average of $24.12 per time performed $6,270.04
an average of $4.57 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
390
times performed,
4% of his services

4th 3rd

most performed service for this provider most performed service in this state & specialty

174
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$26,699.40an average of $68.46 per time performed $4,781.40
an average of $12.26 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
386
times performed,
4% of his services

5th 5th

most performed service for this provider most performed service in this state & specialty

73
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$2,316.00an average of $6.00 per time performed $524.96
an average of $1.36 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
347
times performed,
3% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

206
patients got this service, 23% of his patients
1.7
average number of visits a patient made for this service
$333,120.00an average of $960.00 per time performed $53,493.52
an average of $154.16 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
208
times performed,
2% of his services

7th 1st

most performed service for this provider most performed service in this state & specialty

135
patients got this service, 15% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$17,353.44an average of $83.43 per time performed $10,262.72
an average of $49.34 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
171
times performed,
2% of his services

8th 11th

most performed service for this provider most performed service in this state & specialty

171
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,726.64an average of $173.84 per time performed $19,930.05
an average of $116.55 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
70
times performed,
0.66% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

32
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,917.20an average of $55.96 per time performed $688.10
an average of $9.83 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
65
times performed,
0.61% of his services

10th 17th

most performed service for this provider most performed service in this state & specialty

51
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$8,146.45an average of $125.33 per time performed $2,854.80
an average of $43.92 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
48
times performed,
0.45% of his services

11th 15th

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,989.92an average of $62.29 per time performed $475.20
an average of $9.90 per time performed
medical
RADIOLOGY

X-ray of wrist, 2 views

Service Code: 73100
Performed in an office
38
times performed,
0.36% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

13
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
$1,782.58an average of $46.91 per time performed $357.58
an average of $9.41 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
34
times performed,
0.32% of his services

13th 48th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,517.70an average of $74.05 per time performed $341.02
an average of $10.03 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
31
times performed,
0.29% of his services

14th 8th

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,374.72an average of $141.12 per time performed $2,268.58
an average of $73.18 per time performed
medical
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
30
times performed,
0.28% of his services

15th 12th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,251.80an average of $75.06 per time performed $335.70
an average of $11.19 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of spinal instrumentation for spinal stabilization +

Insertion of spinal instrumentation for spinal stabilization ×

Service Code: 22851
Performed in a facility
26
times performed,
0.24% of his services

16th 13th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$54,391.48an average of $2,091.98 per time performed $8,031.40
an average of $308.90 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
19
times performed,
0.18% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$2,048.58an average of $107.82 per time performed $801.42
an average of $42.18 per time performed
medical
MUSCULOSKELETAL SYSTEM

Harvest of bone fragments for spine surgery graft

Service Code: 20937
Performed in a facility
18
times performed,
0.17% of his services

18th 36th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,658.52an average of $1,092.14 per time performed $2,288.34
an average of $127.13 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation for spinal ... +

Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments ×

Service Code: 22842
Performed in a facility
16
times performed,
0.15% of his services

19th 28th

most performed service for this provider most performed service in this state & specialty

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,600.00an average of $4,725.00 per time performed $9,253.76
an average of $578.36 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of lower spine bones with removal of disc, posteri... +

Fusion of lower spine bones with removal of disc, posterior or posterolateral approach ×

Service Code: 22633
Performed in a facility
15
times performed,
0.14% of his services

20th 44th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$150,727.80an average of $10,048.52 per time performed $20,890.50
an average of $1,392.70 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
15
times performed,
0.14% of his services

21st 9th

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$947.10an average of $63.14 per time performed $480.75
an average of $32.05 per time performed
medical
MUSCULOSKELETAL SYSTEM

Removal of both knee cartilages using an endoscope

Service Code: 29880
Performed in a facility
11
times performed,
0.1% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$42,203.81an average of $3,836.71 per time performed $4,629.46
an average of $420.86 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

James Edwin Rice
Average for Orthopaedic Surgery of the Spine Providers in North Carolina

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.