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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, $497 per patient in 2013.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,022
Rank: 1st
out of 35 providers in this state & specialty
Services
Performed
12,053
Rank: 1st
out of 35 providers in this state & specialty
Avg Services
Per Patient
11.8 This Provider is in the top 10%
Avg 4.5
Total Paid
by Medicare
$594K
Rank: 2nd
out of 35 providers in this state & specialty
Avg Paid
Per Patient
$582 This Provider
Avg $497

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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 Orthopaedic Surgery of the Spine Providers in North Carolina

This Provider's Services

This provider performed 92 different services in 2013
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
4,675
times performed,
39% of his services

1st 2nd

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

824
patients got this service, 81% of his patients
5.7
average number of visits a patient made for this service
(Peers: 2.2)
$504,994an average of $108 per time performed $334,496
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
2,170
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

258
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
$104,160an average of $48 per time performed $282
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
1,615
times performed,
13% of his services

3rd 6th

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

244
patients got this service, 24% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$42,200an average of $26 per time performed $7,171
an average of $4 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
731
times performed,
6% of his services

4th 1st

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

439
patients got this service, 43% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$61,039an average of $84 per time performed $30,527
an average of $42 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
570
times performed,
5% of his services

5th 4th

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

258
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$39,815an average of $70 per time performed $7,222
an average of $13 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
560
times performed,
5% of his services

6th 3rd

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

114
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$3,259an average of $6 per time performed $694
an average of $1 per time performed
medical
NERVOUS SYSTEM

Injection of lower or sacral spine nerve root using imagi... +

Injection of lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
433
times performed,
4% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

256
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
$415,680an average of $960 per time performed $71,787
an average of $166 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 12th

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

188
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,926an average of $175 per time performed $20,936
an average of $111 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration or injection of large joint or joint capsule

Service Code: 20610
Performed in an office
105
times performed,
0.87% of his services

9th 17th

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

83
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$13,160an average of $125 per time performed $4,051
an average of $39 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
95
times performed,
0.79% of his services

10th 15th

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

45
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,019an average of $63 per time performed $906
an average of $10 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
76
times performed,
0.63% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

36
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$4,453an average of $59 per time performed $847
an average of $11 per time performed
medical
RADIOLOGY

X-ray of hip 2 or more views

Service Code: 73510
Performed in an office
74
times performed,
0.61% of his services

12th 32nd

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

34
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,561an average of $62 per time performed $927
an average of $13 per time performed
medical
RADIOLOGY

X-ray of spine, 3 views or less

Service Code: 72040
Performed in an office
73
times performed,
0.61% of his services

13th 10th

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

36
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$5,455an average of $75 per time performed $885
an average of $12 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
55
times performed,
0.46% of his services

14th 26th

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

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$4,055an average of $74 per time performed $583
an average of $11 per time performed
medical
RADIOLOGY

X-ray of wrist, 2 views

Service Code: 73100
Performed in an office
50
times performed,
0.41% of his services

15th 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
2.4
average number of visits a patient made for this service
$2,421an average of $48 per time performed $534
an average of $11 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
44
times performed,
0.37% of his services

16th 46th

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

21
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,345an average of $76 per time performed $485
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
40
times performed,
0.33% of his services

17th 7th

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

40
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,645an average of $141 per time performed $2,986
an average of $75 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
28
times performed,
0.23% of his services

18th 13th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,575an average of $2,092 per time performed $8,316
an average of $297 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
27
times performed,
0.22% of his services

19th 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
average number of visits a patient made for this service
$2,014an average of $75 per time performed $446
an average of $17 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection of tendon sheath, ligament, or muscle membrane +

Injection of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
26
times performed,
0.22% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$2,803an average of $108 per time performed $941
an average of $36 per time performed
medical
MUSCULOSKELETAL SYSTEM

Harvest of bone fragments for spine surgery graft

Service Code: 20937
Performed in a facility
20
times performed,
0.17% of his services

21st 30th

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$21,843an average of $1,092 per time performed $2,440
an average of $122 per time performed
medical
RADIOLOGY

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

Service Code: 72110
Performed in an office
19
times performed,
0.16% of his services

22nd 9th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,931an average of $102 per time performed $318
an average of $17 per time performed
medical
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 22633
Performed in a facility
18
times performed,
0.15% of his services

23rd 31st

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)
$180,873an average of $10,049 per time performed $24,094
an average of $1,339 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
18
times performed,
0.15% of his services

24th 27th

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)
$85,050an average of $4,725 per time performed $9,978
an average of $554 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
17
times performed,
0.14% of his services

25th 5th

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: 1.3)
$1,050an average of $62 per time performed $514
an average of $30 per time performed
medical
NERVOUS SYSTEM

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

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

Service Code: 63047
Performed in a facility
11
times performed,
0.09% of his services

26th 19th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$71,440an average of $6,495 per time performed $7,038
an average of $640 per time performed

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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