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    OpenPayerNPI Medicare & MedicaidCharles Licata
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    Charles Licata — Billing Profile & Reimbursement Data

    NPI 1538172523 · Bristol, CT · Internal Medicine Physician

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    Charles Licata is a internal medicine physician provider located in Bristol, Connecticut. This profile covers 37 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCharles Licata
    Address625 Clark Ave
    CityBristol
    StateCT
    ZIP06010
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$118.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…510$90$44.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100$140$14K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$7.5K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…60$80$4.6K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…150$30$4.4K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.340$10$4.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.370$10$3.7K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$180$3.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…210$20$3.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.360$10$2.9K

    Showing 1–10 of 37

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    37 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143536,48090$90$14.2K
    G04393901,51060$130$10K
    992134,6506,44070$60$8.1K
    992151,5611,84030$130$6.7K
    9067713866020$280$6.2K
    9069429679040$70$5.7K
    906621,0861,12030$70$3.5K
    G04383014020$170$3.1K
    823061011040$30$2.6K
    800532024090$10$2.5K

    Showing 1–10 of 37

    Nearby Providers

    Other providers in the same ZIP code as Charles Licata, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wheeler Clinic Inc.CTFederally Qualified Health Center (FQHC)$0$21.8M
    Bristol Hospital Ems, LLCCTLand Ambulance$1M$7.1M
    Hartford County Oral Maxillofacial & Implant Surgery PCCTOral and Maxillofacial Surgery (Dentist)$0$7.9M
    The Pediatric Care Center, LLCCTPediatrics Physician$0$7.8M
    Bristol Hospital Multi Specialty Group, IncCTGeneral Practice Physician$0$7.5M
    City Of BristolCTLocal Education Agency (LEA)$0$6M
    Kids Dental Care, LLCCTPediatric Dentistry$0$5.9M
    Usacs Of Connecticut, LLCCTEmergency Medicine Physician$0$3.7M
    Pediatric Associates, LLCCTPrimary Care Clinic/Center$0$3.7M
    Bristol Oral Surgery & Implant CenterCTOral and Maxillofacial Surgery (Dentist)$0$2.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Connecticut Distribution
    Charles Licata — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut