Physician
Licea, Rosaura
Licea, Rosaura was paid $425K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoLICEA, ROSAURA
CICERO, IL 60804
CICERO, IL 60804
33aNPI1548299225assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$425K
24GClaims10,510
24DCodes billed28
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#242 of 2,947
Median peer was paid$43K
This provider vs. median10.0×
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 | 1,589 | $56K | |
| 2019 | 1,851 | $78K | |
| 2020 | 1,700 | $68K | |
| 2021 | 1,403 | $61K | |
| 2022 | 1,302 | $57K | |
| 2023 | 1,672 | $63K | |
| 2024incomplete | 993 | $41K |
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 | 67% | 6,334 | 4,871 | $285K |
| 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 | 16% | 1,087 | 836 | $67K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.2% | 361 | 335 | $30K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.7% | 838 | 738 | $20K |
| 99401 | <1% | 249 | 206 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | 39 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 37 | 37 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | 37 | $3K |
| 90734 | <1% | 35 | 30 | $1K | |
| 99490 | Ccm add 20min | <1% | 172 | 171 | $1K |
| 0001A | <1% | 35 | 35 | $920.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 74 | 66 | $779.51 |
16 more codes
| 90688 | <1% | 66 | $694.64 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 328 | $626.97 |
| 0002A | <1% | 14 | $589.96 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $479.05 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 149 | $362.50 |
| 86580 | <1% | 84 | $332.00 | |
| 90686 | <1% | 22 | $180.34 | |
| 36416 | <1% | 26 | $98.40 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20 | $74.62 |
| 1000F | 0% | 32 | $0.00 | |
| 3074F | 0% | 198 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| 1036F | 0% | 17 | $0.00 | |
| 3351F | 0% | 12 | $0.00 | |
| 1220F | 0% | 13 | $0.00 | |
| 3078F | 0% | 199 | $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.