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

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