Clinic
James a Rice DO LLC
James a Rice DO LLC was paid $92K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoJAMES A RICE DO LLC
MOUNT VERNON, IN 47620
MOUNT VERNON, IN 47620
33aNPI1265600332assigned 02/12/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$92K
24GClaims1,884
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Indiana
Rank by total paid#13 of 39
Median peer was paid$19K
This provider vs. median4.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 279 | $12K | |
| 2019 | 260 | $12K | |
| 2020 | 193 | $8K | |
| 2021 | 164 | $10K | |
| 2022 | 100 | $8K | |
| 2023 | 494 | $22K | |
| 2024incomplete | 394 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 66% | 1,205 | 1,054 | $60K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 444 | 371 | $29K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.6% | 184 | 161 | $2K |
| 90674 | <1% | 17 | 16 | $329.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | 16 | $171.76 |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | 16 | $30.18 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRICE, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| James H. Rice, M.D.,Pc | Albuquerque, NM | $448K |
| James E Rice DDS PA | Nellysford, VA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.