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PROVIDER PROFILE · NPI 1538115282

Thomas RiceMD

PRACTICEUPMC COMMUNITY MEDICINE INCSee all providers at this practice →
Pulmonary DiseasePittsburgh, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
83.8
Quality
70.5
Cost
75.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.37%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
617
Beneficiaries
—
Total drug cost
$369K
Distinct drugs
20
Brand share
62.4%
Top prescribed drugs
Albuterol Sulfate89 claims
Fluticasone/Umeclidin/Vilanter78 claims
Umeclidinium Brm/Vilanterol Tr58 claims
Prednisone53 claims
Fluticasone/Vilanterol48 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
683
Unique beneficiaries
—
Total services
873
Distinct HCPCS
18
Medicare payment
$69K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 571 Pulmonary Disease providers in PA — above median (cohort median 707).
REFERRAL NETWORK

Where Thomas 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). 57 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UPMC PASSAVANT2981,039
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Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
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.