What is James Rice's specialty?

James Rice (NPI 1568499697) is a Medicare-billing provider whose primary specialty is Pain Management in Albuquerque, NM.

Where does James Rice practice?

James Rice practices in Albuquerque, NM, based on the location reported in the CMS Medicare provider datasets for NPI 1568499697.

How much does Medicare pay James Rice?

James Rice (NPI 1568499697) received approximately $202K in total Medicare Part B payments, serving 289 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1568499697

James RiceM.D.

Pain ManagementAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,349

Unique beneficiaries

—

Total services

39,989

Distinct HCPCS

Medicare payment

$196K

Peer benchmark

Total Medicare services vs. 19 Pain Management providers in NM — top quintile (cohort median 1,147).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$367

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Gabapentin30 claims

QUALITY · MIPS · 2024

Final MIPS score

74.0

Quality

44.7

Cost

87.1

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

-0.12%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

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). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	91	356
TRICORE REFERENCE LABORATORIES	69	327
PRESBYTERIAN HEALTHCARE SERVICES	30	67
NPI 1396781134	24	63
NPI 1154474344	15	28
LOVELACE HEALTH SYSTEM LLC	11	22
Bernalillo County Health Care Corporation Ambulance Service Provider · Albuquerque, NM	11	15

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.

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