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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, $486 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
949
Rank: 1st
out of 34 providers in this state & specialty
Services
Performed
10,802
Rank: 1st
out of 34 providers in this state & specialty
Avg Services
Per Patient
11.4 This Provider is in the top 10%
Avg 4.5
Total Paid
by Medicare
$576K
Rank: 2nd
out of 34 providers in this state & specialty
Avg Paid
Per Patient
$607 This Provider
Avg $486

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.

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 in 2014.

Patients saw before

JAMES RICE MD

Patients saw after

This Provider's Services

This provider performed 79 different services in 2014
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
4,794
times performed,
44% of his services

1st 2nd

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

760
patients got this service, 80% of his patients
6.3
average number of visits a patient made for this service
(Peers: 2.3)
$517,800an average of $108 per time performed $346,798
an average of $72 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
1,912
times performed,
18% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

223
patients got this service, 23% of his patients
1.8
average number of visits a patient made for this service
$94,854an average of $50 per time performed $287
an average of $0 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
1,628
times performed,
15% of his services

3rd 4th

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

230
patients got this service, 24% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$39,316an average of $24 per time performed $7,196
an average of $4 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
431
times performed,
4% of his services

4th 3rd

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

185
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$29,338an average of $68 per time performed $5,370
an average of $12 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
417
times performed,
4% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

235
patients got this service, 25% of his patients
1.8
average number of visits a patient made for this service
$400,320an average of $960 per time performed $66,603
an average of $160 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
390
times performed,
4% of his services

6th 7th

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

86
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,340an average of $6 per time performed $511
an average of $1 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
236
times performed,
2% of his services

7th 1st

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

174
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$19,706an average of $84 per time performed $11,170
an average of $47 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
188
times performed,
2% of his services

8th 11th

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

188
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,682an average of $174 per time performed $20,860
an average of $111 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
78
times performed,
0.72% of his services

9th 19th

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

69
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$9,776an average of $125 per time performed $3,263
an average of $42 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
63
times performed,
0.58% of his services

10th 15th

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

28
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,857an average of $61 per time performed $675
an average of $11 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
60
times performed,
0.56% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$3,448an average of $57 per time performed $679
an average of $11 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
43
times performed,
0.4% of his services

12th 8th

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

43
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,068an average of $141 per time performed $3,049
an average of $71 per time performed
medical
RADIOLOGY

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

Service Code: 72040
Performed in an office
42
times performed,
0.39% of his services

13th 12th

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: 1.5)
$3,153an average of $75 per time performed $543
an average of $13 per time performed
medical
RADIOLOGY

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

Service Code: 73510
Performed in an office
38
times performed,
0.35% of his services

14th 37th

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

15
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,240an average of $59 per time performed $507
an average of $13 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
37
times performed,
0.34% of his services

15th 6th

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

28
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$2,336an average of $63 per time performed $1,148
an average of $31 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
35
times performed,
0.32% of his services

16th 14th

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)
$73,219an average of $2,092 per time performed $10,691
an average of $305 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
31
times performed,
0.29% of his services

17th 50th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,327an average of $75 per time performed $374
an average of $12 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
24
times performed,
0.22% of his services

18th 35th

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)
$241,164an average of $10,049 per time performed $32,810
an average of $1,367 per time performed
medical
MUSCULOSKELETAL SYSTEM

Harvest of bone fragments for spine surgery graft

Service Code: 20937
Performed in a facility
23
times performed,
0.21% of his services

19th 33rd

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,119an average of $1,092 per time performed $2,871
an average of $125 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
13
times performed,
0.12% of his services

20th 32nd

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$61,425an average of $4,725 per time performed $7,537
an average of $580 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: 22634
Performed in a facility
12
times performed,
0.11% of his services

21st 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
$38,568an average of $3,214 per time performed $4,520
an average of $377 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation at base of ... +

Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace ×

Service Code: 22840
Performed in a facility
12
times performed,
0.11% of his services

22nd 34th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$52,920an average of $4,410 per time performed $6,599
an average of $550 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
11
times performed,
0.1% of his services

23rd 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
$1,186an average of $108 per time performed $485
an average of $44 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 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.

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.

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