Physician
James H. Rice, M.D.,Pc
James H. Rice, M.D.,Pc was paid $448K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoJAMES H. RICE, M.D.,PC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1932411220assigned 07/02/2010
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$448K
24GClaims10,141
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in New Mexico
Rank by total paid#4 of 11
Median peer was paid$160K
This provider vs. median2.8×
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 | 971 | $48K | |
| 2019 | 1,077 | $43K | |
| 2020 | 1,326 | $57K | |
| 2021 | 1,551 | $55K | |
| 2022 | 1,928 | $69K | |
| 2023 | 1,852 | $86K | |
| 2024incomplete | 1,436 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 5,287 | 4,714 | $255K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 3,075 | 2,718 | $158K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 168 | 153 | $20K |
| 80305 | 1.4% | 820 | 800 | $6K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 536 | 527 | $4K |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 160 | 157 | $2K |
| 99422 | <1% | 38 | 37 | $1K | |
| 62323 | <1% | 12 | 12 | $1K | |
| 99441 | <1% | 18 | 17 | $833.82 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 27 | 24 | $154.18 |
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 a Rice DO LLC | Mount Vernon, IN | $92K |
| 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.