Southwest Florida · Lee County · value based senior primary care
North Fort Myers clinic
7 clinicians across 4 organization NPIs · 535 Medicare beneficiaries served · 3,467 services · $122K Medicare paid (2024)
7
clinicians on site
50%
of Lee County Medicare beneficiaries choose Medicare Advantage (June 2026)
82%
of prescriptions filled under Medicare Advantage plans
1.40
Complex care panel: HCC risk score, well above the 1.00 national average
19%
of beneficiaries also have Medicaid support
535
Medicare beneficiaries cared for in 2024
323
value based care services delivered
228
annual wellness and preventive visits
2
clinicians offering telehealth
92
average MIPS quality score out of 100 · 1 ACO
23yrs
average years in practice
3
clinicians with hospital affiliations
Care team mix
Active clinicians by credential group
Complex care panel
HCC risk score, beneficiary weighted. Higher means more chronic conditions managed per patient.
Specialties
Clinicians per specialty
Beneficiary age
Medicare beneficiaries served, by age band
Medicare Advantage in Lee County
Share of the county's Medicare beneficiaries in Medicare Advantage, by year · 226,228 beneficiaries as of June 2026 · 47% aged 75 and over
Medicare Advantage prescriptions
Part D claims under MA-PD plans (2024)
Organizations at this address
Care team by organization NPI
Services by category
Every HCPCS line billed by the care team, grouped
Top procedures
Highest volume HCPCS codes across the clinic
Specialty × service heat map
Where each specialty's volume lands, services by category
Value based care delivered
Wellness, care management, remote monitoring, advance care planning, screenings, vaccines, behavioral health and virtual care, by services delivered
Drill down by procedure category
Open a category for every code with beneficiaries, services and Medicare paid.
CategoryCodesBenesServicesPaid
Office visits4516882$67K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 372 | 678 | $53K |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 114 | 166 | $10K |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 12 | 20 | $2K |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 18 | 18 | $2K |
Labs & pathology14633855$8K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 107 | 154 | $2K |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 90 | 139 | $2K |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 78 | 95 | $723 |
| 83036 | Hemoglobin a1c level | 59 | 85 | $809 |
| 81003 | Automated urinalysis test | 58 | 65 | $143 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 39 | 53 | $872 |
| 82043 | Urine microalbumin (protein) level | 44 | 51 | $289 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 44 | 51 | $259 |
| 83525 | Insulin measurement, total | 29 | 46 | $515 |
| 84439 | Thyroxine (thyroid chemical), free | 24 | 38 | $336 |
| 82607 | Cyanocobalamin (vitamin b-12) level | 18 | 23 | $340 |
| 82746 | Folic acid level, serum | 18 | 23 | $331 |
| 84550 | Uric acid level, blood | 11 | 18 | $80 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 14 | 14 | $44 |
Procedures & surgery1200288$2K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 200 | 288 | $2K |
Annual wellness & preventiveVBC2228228$19K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 153 | 153 | $18K |
| G0444 | Annual depression screening, 5 to 15 minutes | 75 | 75 | $1K |
Drugs & injections247160$611
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 13 | 106 | $77 |
| 96372 | Injection of drug or substance under skin or into muscle | 34 | 54 | $533 |
Chronic & transitional care managementVBC24758$3K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| 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 | 34 | 43 | $470 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 13 | 15 | $2K |
VaccinesVBC23737$2K
| Code | Description | Benes | Services | Paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 19 | 19 | $625 |
| 90653 | Influenza vaccine, inactivated | 18 | 18 | $1K |
Drill down by specialty
Each specialty's panel, volume and Medicare Advantage share.
SpecialtyCliniciansBenesServicesMA-PD
Family Practice 2 MD/DO · 0 APP221795973%
1.41
HCC risk score
$43K
Medicare paid
99
Avg MIPS
| Category | Benes | Services | Paid |
|---|---|---|---|
| Office visits | 214 | 354 | $29K |
| Drugs & injections | 30 | 134 | $369 |
| Labs & pathology | 123 | 126 | $1K |
| Procedures & surgery | 63 | 78 | $622 |
| Annual wellness & preventiveVBC | 57 | 57 | $6K |
Nurse Practitioner 0 MD/DO · 1 APP11461,87782%
1.53
HCC risk score
$52K
Medicare paid
| Category | Benes | Services | Paid |
|---|---|---|---|
| Labs & pathology | 486 | 703 | $7K |
| Office visits | 135 | 261 | $21K |
| Annual wellness & preventiveVBC | 132 | 132 | $9K |
| Procedures & surgery | 68 | 122 | $1K |
| Chronic & transitional care managementVBC | 47 | 58 | $3K |
| Drugs & injections | 17 | 26 | $242 |
Physician Assistant 0 MD/DO · 1 APP112050582%
1.14
HCC risk score
$25K
Medicare paid
| Category | Benes | Services | Paid |
|---|---|---|---|
| Office visits | 136 | 235 | $16K |
| Procedures & surgery | 55 | 74 | $640 |
| Annual wellness & preventiveVBC | 39 | 39 | $4K |
| VaccinesVBC | 37 | 37 | $2K |
| Labs & pathology | 12 | 14 | $31 |
Internal Medicine 1 MD/DO · 0 APP15212682%
1.64
HCC risk score
$2K
Medicare paid
86
Avg MIPS
| Category | Benes | Services | Paid |
|---|---|---|---|
| Office visits | 31 | 32 | $804 |
| Procedures & surgery | 14 | 14 | $121 |
| Labs & pathology | 12 | 12 | $124 |
Counselor, Mental Health 0 MD/DO · 0 APP100—
Nurse Practitioner, Adult Health 0 MD/DO · 1 APP10099%
Drill down by organization NPI
Clinicians bill Medicare through these organization NPIs at this address.
OrganizationCliniciansBenesServicesPaid
Group 1 NPI 1033395397 · 158 statewide44152,962$97K
3 / 1
Physicians / APPs
1.48
HCC risk score
78%
MA-PD share
Specialties: Family Practice (2), Nurse Practitioner (1), Internal Medicine (1)
Group 2 3120505$25K
0 / 2
Physicians / APPs
1.14
HCC risk score
87%
MA-PD share
Specialties: Nurse Practitioner, Adult Health (1), Physician Assistant (1), Counselor, Mental Health (1)
About this data. Figures are compiled from CMS public use files and the NPI Registry, which publish on a lag and are not real time.
Medicare utilization and payments reflect calendar year 2024 fee-for-service Part B claims; Part D prescribing reflects 2024;
county enrollment is as of June 2026; registry and quality data were refreshed Sep 18, 2026.
Medicare Advantage claims are not published by CMS, so Medicare Advantage indicators here are county enrollment and MA-PD prescription share. CMS omits low volume lines (fewer than 11 beneficiaries), so totals are conservative. Card generated 2026-09-24.