Rice, Wayne

Rice, Wayne was paid $60K by Medicaid between May 2018 and Aug 2020, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 42% of everything it billed.

33Billing provider infoRICE, WAYNE
LOUISVILLE, KY 40202

33aNPI1568512895assigned 01/11/2007

33bProvider typePediatrics Physician

28Total paid$60K

24GClaims837

24DCodes billed3

24AFirst – last monthMay 2018 – Aug 2020

Compared with peers

Next to other Pediatrics Physician providers in Kentucky

Rank by total paid#70 of 156

Median peer was paid$41K

This provider vs. median1.4×

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	146	$10K
2019	646	$48K
2020	45	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	42%	276	276	$25K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	39%	475	473	$23K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	19%	86	85	$12K

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.