Photo of Dr. Mandy Rice

Dr. Mandy Rice

Physician

Under 5 years of experience

Menopause Society Certified Practitioner

About Direct Integrative Health of Hot Springs

Dr. Rice is a general and trauma surgeon who started this separate practice for women in perimenopause and menopause. She prescribes bioidentical hormones and also coaches patients on lifestyle. New patients start with a long first consultation, in person in Hot Springs or by video, and then have follow-up visits. Patients can message her through an app portal, and she runs a monthly group video call.

Care

Treats

  • Perimenopause
  • Menopause
  • Hot flashes
  • Sleep problems
  • Mood & anxiety
  • Brain fog
  • Vaginal dryness
  • Low libido
  • Irregular periods

Prescribes

  • Hormone therapy
  • Supplements & lifestyle
  • Lab testing

Cost and insurance

Insurance

Doesn’t accept insurance

Ask whether they provide receipts for out-of-network reimbursement.

Self-pay

Initial consultation (60 to 90 min, in person)
$500
Initial consultation (telehealth)
$350
Follow-up visit (up to 60 min, in person)
$300 per visit
Follow-up visit (telehealth)
$200 per visit
Telehealth visit, established patients (up to 30 min)
$100 per visit
Monthly membership (established patients)
$150 per month
  • HSA and FSA accepted

Not in-network with any insurer, but insurance can usually cover labs, imaging, bone density and referrals ordered outside the clinic.

Verified September 2026.

Qualifications

DO, MSCP