Licen, Vicente

Licen, Vicente was paid $406K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoLICEN, VICENTE
HOPEWELL, VA 23860

33aNPI1316903529assigned 04/25/2006

33bProvider typePediatrics Physician

28Total paid$406K

24GClaims13,735

24DCodes billed34

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#154 of 817

Median peer was paid$29K

This provider vs. median14×

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	3,936	$117K
2019	1,722	$51K
2020	918	$31K
2021	25	$2K
2022	1,175	$39K
2023	3,382	$98K
2024incomplete	2,577	$68K

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	65%	4,556	4,098	$264K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.9%	456	416	$32K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.2%	372	367	$29K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.6%	245	245	$19K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	141	135	$11K
92551		2.5%	1,028	1,002	$10K
90670		1.6%	269	263	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	244	233	$5K
90686		1.1%	410	409	$5K
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	<1%	37	37	$3K
90651		<1%	83	83	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	1,812	1,738	$2K

22 more codes

87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	162	$2K
99173		<1%	736	$2K
90698		<1%	97	$2K
81002		<1%	869	$1K
96127		<1%	251	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	177	$1K
90734		<1%	23	$822.91
99177		<1%	207	$777.02
90461		<1%	816	$665.50
90680		<1%	54	$638.98
90633		<1%	44	$490.60
90619		<1%	17	$447.86
96160		<1%	185	$422.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$409.84
90677		<1%	27	$286.00
90715		<1%	17	$255.92
90685		<1%	13	$148.77
90621		<1%	12	$132.00
94760		<1%	211	$131.23
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	124	$57.80
97802		<1%	13	$30.00
90473		0%	15	$0.00

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.