Physician

David J Licini, MD

According to 2025 Medicare claims, David Licini, MD (NPI: 1801086343) practices orthopedic surgery in the Bloomington, IN market, with the plurality of this provider's patient population coming from Monroe, IN. This provider's primary affiliated billing organization is INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC (NPI: 1013953983; TIN: 351747218) and primary practice location at 47408-9059. Licini is affiliated with the Indiana University Health ACO, Inc. (ACO ID: D0034), participating under the REACH model.

Licini's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 367 traditional Medicare patients, billed 1,988 HCPCS/CPT codes, and received $149,533 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 425 prescription claims across 189 beneficiaries totaling $7,616 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 24 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,132 and ending at $7,616. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $3,401 and ending at $5,408.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	450	2,580	$172,094
2016	443	2,361	$172,017
2017	514	2,402	$179,350
2018	489	2,435	$221,846
2019	435	2,246	$199,939
2020	370	1,617	$134,548
2021	421	2,135	$156,458
2022	474	2,444	$162,818
2023	383	2,002	$159,619
2024	367	1,988	$149,533

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	93	193	$3,132
2016	120	263	$5,056
2017	141	312	$7,460
2018	162	323	$7,911
2019	168	417	$9,254
2020	148	367	$8,135
2021	188	570	$7,689
2022	224	610	$5,981
2023	201	495	$8,706
2024	189	425	$7,616

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	18	$718
2016	11	32	$1,607
2017	N/R	15	$197
2018	N/R	N/R	N/R
2019	11	11	$524
2020	N/R	24	$1,733
2021	19	31	$2,226
2022	18	18	$1,056
2023	18	18	$1,038
2024	24	24	$1,260

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	127	151	$60
20610	Aspiration and/or injection of fluid from large joint	60	84	$47
73564	X-ray of knee, 4 or more views	98	102	$34
73502	X-ray of hip, 2-3 views	119	173	$31
73562	X-ray of knee, 3 views	88	122	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	113	740	$871
Cefadroxil	Cefadroxil	29	209	$166
Famotidine	Famotidine	30	820	$144
Mupirocin	Mupirocin	21	350	$136
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	13	86	$125

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	24	24	$1,260

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for David J. Licini, MD?

Tedicare shows public-source Medicare data for David J. Licini, MD (NPI 1801086343), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does David J. Licini, MD have ACO affiliation data?

David J. Licini, MD is shown with ACO affiliation data for Indiana University Health ACO, Inc. (REACH, ACO ID D0034).

What billing organization is linked to David J. Licini, MD?

David J. Licini, MD is linked to INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC (billing NPI 1013953983) in the available physician profile data.

Does David J. Licini, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.