What is James Rice's specialty?

James Rice (NPI 1265509285) is a Medicare-billing provider whose primary specialty is Orthopedic Surgery in Winchester, KY.

Where does James Rice practice?

James Rice practices in Winchester, KY, based on the location reported in the CMS Medicare provider datasets for NPI 1265509285.

How much does Medicare pay James Rice?

James Rice (NPI 1265509285) received approximately $248K in total Medicare Part B payments, serving 478 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1265509285

James RiceMD

PRACTICEMICHAEL R. HEILIG, MD, PLLCSee all providers at this practice →

Orthopedic SurgeryWinchester, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,253

Unique beneficiaries

—

Total services

21,988

Distinct HCPCS

Medicare payment

$155K

Peer benchmark

Total Medicare services vs. 309 Orthopedic Surgery providers in KY — top quintile (cohort median 1,474).

PRESCRIBING · PART D · 2024

Total Rx claims

741

Beneficiaries

—

Total drug cost

$6K

Distinct drugs

Brand share

62.8%

Top prescribed drugs

Hydrocodone/Acetaminophen247 claims

Oxycodone Hcl/Acetaminophen176 claims

Gabapentin95 claims

Acetaminophen With Codeine42 claims

Methylprednisolone37 claims

QUALITY · MIPS · 2024

Final MIPS score

25.2

Quality

0.0

Cost

84.1

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.97%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$5K

Payment records

By payment type

Travel and Lodging$4K

Food and Beverage$698

Top paying entities

Travel and Lodging$4K

Food and Beverage$698

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (7)

Home health agency

Home health agency

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where James Rice's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 1 inbound referrers · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Mayola Boykin Diagnostic Radiology · Ashland, KY	19	45

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
ASHLAND HOSPITAL CORPORATION	74	410
Erik Fraley Diagnostic Radiology · Ashland, KY	35	172
KENTUCKY HOSPITAL, LLC	28	102
Ash Motimaya Diagnostic Radiology · Ashland, KY	20	54
Michael Heilig Orthopedic Surgery · Richmond, KY	13	64
Laboratory Corporation Of America Holdings Clinical Laboratory · Dublin, OH	11	31

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events