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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $261 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,062
Rank: 23rd
out of 659 providers in this state & specialty
Services
Performed
11,011
Rank: 16th
out of 659 providers in this state & specialty
Avg Services
Per Patient
10.4 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$526K
Rank: 6th
out of 659 providers in this state & specialty
Avg Paid
Per Patient
$496 This Provider is in the top 10%
Avg $261

Office Visits

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Top Billing

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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 E. Rice
Average for Orthopedic Surgery Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Patients saw before

James E. Rice

Patients saw after

This Provider's Services

This provider performed 25 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
3,146
times performed,
29% of his services

1st 5th

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

751
patients got this service, 71% of his patients
4.2
average number of visits a patient made for this service
(Peers: 1.3)
$339,768an average of $108 per time performed $239,096
an average of $76 per time performed
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
2,190
times performed,
20% of his services

2nd 2nd

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

748
patients got this service, 70% of his patients
2.9
average number of visits a patient made for this service
(Peers: 1.7)
$183,960an average of $84 per time performed $98,550
an average of $45 per time performed
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
2,080
times performed,
19% of his services

3rd Alert

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

253
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
$52,000an average of $25 per time performed $0
an average of $0 per time performed
DRUGS

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

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

Service Code: J0702
Performed in an office
1,258
times performed,
11% of his services

4th 10th

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

252
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$26,418an average of $21 per time performed $5,032
an average of $4 per time performed
RADIOLOGY

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

Service Code: 72100
Performed in an office
624
times performed,
6% of his services

5th 16th

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

264
patients got this service, 25% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$44,928an average of $72 per time performed $8,112
an average of $13 per time performed
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
415
times performed,
4% of his services

6th 83rd

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

253
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$398,400an average of $960 per time performed $73,040
an average of $176 per time performed
DRUGS

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

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

Service Code: J3301
Performed in an office
209
times performed,
2% of his services

7th 1st

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

110
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$3,553an average of $17 per time performed $209
an average of $1 per time performed
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
173
times performed,
2% of his services

8th 18th

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

173
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,102an average of $174 per time performed $20,068
an average of $116 per time performed
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
124
times performed,
1% of his services

9th 8th

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

124
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,484an average of $141 per time performed $8,556
an average of $69 per time performed
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
113
times performed,
1% of his services

10th 4th

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

89
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$14,238an average of $126 per time performed $5,650
an average of $50 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
102
times performed,
0.93% of his services

11th 13th

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

49
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$5,916an average of $58 per time performed $1,224
an average of $12 per time performed
RADIOLOGY

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

Service Code: 72040
Performed in an office
100
times performed,
0.91% of his services

12th 33rd

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

52
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$7,800an average of $78 per time performed $1,300
an average of $13 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
97
times performed,
0.88% of his services

13th 15th

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

48
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,305an average of $65 per time performed $970
an average of $10 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
70
times performed,
0.64% of his services

14th 12th

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

35
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,530an average of $79 per time performed $840
an average of $12 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
58
times performed,
0.53% of his services

15th 17th

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

26
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,770an average of $65 per time performed $812
an average of $14 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
39
times performed,
0.35% of his services

16th 21st

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,496an average of $64 per time performed $390
an average of $10 per time performed
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
38
times performed,
0.35% of his services

17th 97th

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,926an average of $77 per time performed $456
an average of $12 per time performed
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
32
times performed,
0.29% of his services

18th 46th

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)
$3,328an average of $104 per time performed $640
an average of $20 per time performed
MUSCULOSKELETAL SYSTEM

Insertion of spinal instrumentation for spinal stabilization +

Insertion of spinal instrumentation for spinal stabilization ×

Service Code: 22851
Performed in a facility
29
times performed,
0.26% of his services

19th 75th

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)
$60,668an average of $2,092 per time performed $8,700
an average of $300 per time performed
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
24
times performed,
0.22% of his services

20th 82nd

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$146,784an average of $6,116 per time performed $16,200
an average of $675 per time performed
MUSCULOSKELETAL SYSTEM

Harvest of bone fragments for spine surgery graft

Service Code: 20937
Performed in a facility
21
times performed,
0.19% of his services

21st 155th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,932an average of $1,092 per time performed $2,583
an average of $123 per time performed
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
20
times performed,
0.18% of his services

22nd 7th

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

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,260an average of $63 per time performed $640
an average of $32 per time performed
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
17
times performed,
0.15% of his services

23rd 32nd

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,836an average of $108 per time performed $731
an average of $43 per time performed
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
17
times performed,
0.15% of his services

24th 136th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$170,833an average of $10,049 per time performed $22,576
an average of $1,328 per time performed
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
15
times performed,
0.14% of his services

25th 113th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$70,875an average of $4,725 per time performed $8,565
an average of $571 per time performed

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 2013 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.

Notes: This provider has a self-reported specialty of "Orthopaedic Surgery of the Spine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.