Robert Rice MD

Gender: M
Medical School: Other
Graduation Year: 1973
Primary Specialty: Urology

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted63
Total Provider Services5179
Total Medicare beneficiaries receiving the provider services1005
The total charges that the provider submitted for all services$1,822,676.00
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$489,090.14
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$358,402.40
Total Medicare Standardized Payment Amount$372,773.16
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File2
Total drug services, as defined from the Medicare Part B Drug ASP File536
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.59
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$297,600.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$107,401.86
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$82,882.95
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$82,882.95
Total number of HCPCS codes associated with medical (non-ASP) services61
Total medical (non-ASP) services4643
Total Medicare beneficiaries receiving medical (non-ASP) services1005
The total charges that the provider submitted for medical services (non-ASP)$1,525,076.00
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$381,688.28
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$275,519.45
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$289,890.21
Average age of beneficiaries76
Number of beneficiaries under the age of 6559
Number of beneficiaries between the ages of 65 and 74407
Number of beneficiaries between the ages of 75 and 84368
Number of beneficiaries over the age of 84171
Number of Female beneficiaries192
Number of Male Beneficiaries813
Number of Non-Hispanic White Beneficiaries922
Number of Black or African American Beneficiaries38
Number of American Indian/Alaska Native Beneficiaries0
Number of Beneficiaries With Race Not Elsewhere Classified31
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year920
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits85
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma7%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer25%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease17%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression18%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes33%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia56%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension73%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease37%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis4%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders2%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke7%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries1.2932

Source: data.cms.gov

Robert Rice MD's 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Shock wave crushing of kidney stones 13 12 13 $564.39 $3322.0 $432.0 769%
Insertion of indwelling bladder catheter 83 21 83 $60.62 $255.0 $40.28 633%
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 80 14 80 $85.52 $852.0 $66.21 1287%
Insertion of electronic device into bladder with voiding pressure studies 18 18 18 $85.55 $915.0 $64.01 1430%
Electronic assessment of bladder emptying 18 18 18 $4.22 $210.0 $3.19 6587%
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 18 18 18 $18.98 $596.0 $14.33 4158%
Insertion of device into the abdomen with measurement of pressure and urine flow rate 18 18 18 $40.77 $572.0 $30.79 1858%
Ultrasound measurement of bladder capacity after voiding 185 118 185 $18.18 $200.0 $12.96 1543%
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 115 94 115 $98.76 $900.0 $72.84 1236%
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 147 110 147 $157.71 $900.0 $106.31 847%
Dilation of bladder canal (urethra) using an endoscope 53 47 53 $152.83 $1041.0 $119.82 869%
Dilation of bladder canal (urethra) using an endoscope 84 65 84 $263.99 $1041.0 $202.83 513%
Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope 18 18 18 $238.17 $2327.0 $171.79 1355%
Insertion of stent in urinary duct (ureter) using an endoscope 21 21 21 $123.38 $3071.0 $96.73 3175%
Insertion of implant material in bladder using an endoscope 36 36 36 $230.82 $700.0 $180.97 387%
Insertion of implant material in bladder using an endoscope 122 36 36 $61.56 $200.0 $48.26 414%
Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope 15 15 15 $845.0 $4000.0 $658.09 608%
Destruction of prostate tissue through bladder canal (urethra) 30 30 30 $627.4 $2000.0 $491.88 407%
Biopsy of prostate gland 15 15 15 $133.04 $795.0 $104.3 762%
Biopsy of prostate gland 12 12 12 $230.74 $795.0 $180.9 439%
Ultrasound of rectum 15 15 15 $33.39 $259.0 $26.18 989%
Ultrasound of rectum 13 13 13 $91.07 $259.0 $71.4 363%
Automated urinalysis test 1378 810 1376 $3.08 $15.0 $3.0 499%
Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle 76 45 76 $30.93 $90.0 $18.72 481%
New patient office or other outpatient visit, typically 30 minutes 46 46 46 $105.1 $200.0 $71.87 278%
Source: 2017 Provider CMS Charge Data