JESSE LICUANAN, M.D.
Internal Medicine Physician · LAKEWOOD, CA
Individual Active NPI 1396795514
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 310 | 1,633 | $231,415 | $145,515 | $106,480 |
| 2023 | 359 | 1,763 | $265,591 | $172,347 | $126,506 |
| 2022 | 218 | 757 | $131,540 | $85,829 | $61,315 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 472 | $138 | $89 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 342 | $81 | $65 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 143 | $17 | $13 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 140 | $54 | $40 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 108 | $55 | $42 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 108 | $42 | $33 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 78 | $140 | $140 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 63 | $94 | $62 |
| G0444 | Annual depression screening, 5 to 15 minutes | 60 | $21 | $21 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $179 | $142 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 12 | $180 | $86 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | A87633 | CA |
| Specialist | 174400000X | A-87633 | CA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Internal Medicine Physician providers in California
- NPI 1891726725
- NPI 1982603890
- NPI 1386048429
- NPI 1497786396
- NPI 1396740932
- NPI 1972035350
- NPI 1437247467
- NPI 1114218559
See all Internal Medicine Physician providers in California →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.