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Central Florida / Orlando · Seminole County · value based senior primary care

Sanford clinic

4 clinicians across 4 organization NPIs · 585 Medicare beneficiaries served · 2,911 services · $151K Medicare paid (2024)

4
clinicians on site
54%
of Seminole County Medicare beneficiaries choose Medicare Advantage (June 2026)
76%
of prescriptions filled under Medicare Advantage plans
1.12
Complex care panel: HCC risk score
22%
of beneficiaries also have Medicaid support
585
Medicare beneficiaries cared for in 2024
539
value based care services delivered
439
annual wellness and preventive visits
1
clinician offering telehealth
21yrs
average years in practice
2
clinicians with hospital affiliations

Care team mix

Active clinicians by credential group

4cliniciansPhysiciansPhysicians · 75%Advanced practiceAdvanced practice · 25%

Complex care panel

HCC risk score, beneficiary weighted. Higher means more chronic conditions managed per patient.

benchmark 1.01.12HCC risk score1.0 = national average0.52.5

Specialties

Clinicians per specialty

Internal MedicineInternal Medicine3Nurse PractitionerNurse Practitioner1

Beneficiary age

Medicare beneficiaries served, by age band

Under 65Under 651165 to 7465 to 7432175 to 8475 to 8416485 and over85 and over37

Medicare Advantage in Seminole County

Share of the county's Medicare beneficiaries in Medicare Advantage, by year · 91,075 beneficiaries as of June 2026 · 44% aged 75 and over

201842.5%201944.1%202046.7%202149.1%202250.7%202352.4%202453.5%202553.6%

Medicare Advantage prescriptions

Part D claims under MA-PD plans (2024)

76%MA-PD claimsMA-PD plansMA-PD plans · 76%Stand-alone PDPStand-alone PDP · 24%

Organizations at this address

Care team by organization NPI

Group 1Physicians: 1Advanced practice: 1Group 2Physicians: 1Group 3Physicians: 1PhysiciansAdvanced practiceOther

Services by category

Every HCPCS line billed by the care team, grouped

Office visitsOffice visits1,098Annual wellness & preventiveAnnual wellness & preventive439Procedures & surgeryProcedures & surgery408Labs & pathologyLabs & pathology300Drugs & injectionsDrugs & injections298Chronic & transitional care managementChronic & transitional care management62Screenings & assessmentsScreenings & assessments38Cardiac testingCardiac testing16Medicare preventive & care servicesMedicare preventive & care services12

Top procedures

Highest volume HCPCS codes across the clinic

99214 · Established patient office visit99214 · Established patient office visit77636415 · Insertion of needle into vein…36415 · Insertion of needle into vein…40899213 · Established patient office visit99213 · Established patient office visit260J2919 · Methylprednisolone Injection 5mgJ2919 · Methylprednisolone Injection 5mg251G0439 · Annual Wellness Visit Follow-upG0439 · Annual Wellness Visit Follow-up231G0444 · Annual depression screening, 5…G0444 · Annual depression screening, 5…16587804 · Flu Rapid Test87804 · Flu Rapid Test84G2211 · Visit complexity inherent to…G2211 · Visit complexity inherent to…6281002 · Urinalysis, manual test81002 · Urinalysis, manual test6299215 · Established patient office visit99215 · Established patient office visit5096372 · Injection of drug or substance…96372 · Injection of drug or substance…4796127 · Behavioral Health Screening96127 · Behavioral Health Screening38

Specialty × service heat map

Where each specialty's volume lands, services by category

Office visitsOffice visitsAnnual wellness & preventiveAnnual wellness & preve…Procedures & surgeryProcedures & surgeryLabs & pathologyLabs & pathologyDrugs & injectionsDrugs & injectionsChronic & transitional care managementChronic & transitional…Screenings & assessmentsScreenings & assessmentsCardiac testingCardiac testingMedicare preventive & care servicesMedicare preventive & c…Internal MedicineInternal MedicineInternal Medicine · Office visits: 1,0431,043Internal Medicine · Annual wellness & preventive: 439439Internal Medicine · Procedures & surgery: 395395Internal Medicine · Labs & pathology: 182Internal Medicine · Drugs & injections: 298298Internal Medicine · Chronic & transitional care management: 62Internal Medicine · Screenings & assessments: 38Internal Medicine · Cardiac testing: 16Internal Medicine · Medicare preventive & care services: 0Nurse PractitionerNurse PractitionerNurse Practitioner · Office visits: 55Nurse Practitioner · Annual wellness & preventive: 0Nurse Practitioner · Procedures & surgery: 13Nurse Practitioner · Labs & pathology: 118Nurse Practitioner · Drugs & injections: 0Nurse Practitioner · Chronic & transitional care management: 0Nurse Practitioner · Screenings & assessments: 0Nurse Practitioner · Cardiac testing: 0Nurse Practitioner · Medicare preventive & care services: 0

Value based care delivered

Wellness, care management, remote monitoring, advance care planning, screenings, vaccines, behavioral health and virtual care, by services delivered

Annual wellness & preventiveAnnual wellness & preventive439Chronic & transitional care managementChronic & transitional care management62Screenings & assessmentsScreenings & assessments38

Drill down by procedure category

Open a category for every code with beneficiaries, services and Medicare paid.

CategoryCodesBenesServicesPaid
Office visits47461,098$93K
CodeDescriptionBenesServicesPaid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more500776$69K
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more189260$17K
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4550$6K
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1212$1K
Annual wellness & preventiveVBC4439439$39K
CodeDescriptionBenesServicesPaid
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit231231$29K
G0444Annual depression screening, 5 to 15 minutes165165$3K
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment2424$4K
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1919$3K
Procedures & surgery1308408$4K
CodeDescriptionBenesServicesPaid
36415Insertion of needle into vein for collection of blood sample308408$4K
Labs & pathology8211300$4K
CodeDescriptionBenesServicesPaid
87804Detection test by immunoassay with direct visual observation for influenza virus3884$1K
81002Urinalysis, manual test4862$211
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3236$1K
80053Blood test, comprehensive group of blood chemicals2127$279
80061Blood test, lipids (cholesterol and triglycerides)2025$328
82044Urine microalbumin (protein) analysis1924$147
82570Creatinine level to test for kidney function or muscle injury1924$122
83036Hemoglobin a1c level1418$171
Drugs & injections235298$572
CodeDescriptionBenesServicesPaid
J2919Injection, methylprednisolone sodium succinate, 5 mg11251$57
96372Injection of drug or substance under skin or into muscle2447$515
Chronic & transitional care managementVBC14962$610
CodeDescriptionBenesServicesPaid
G2211Visit 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's4962$610
Screenings & assessmentsVBC13638$136
CodeDescriptionBenesServicesPaid
96127Assessment of emotional or behavioral problems3638$136
Cardiac testing11616$166
CodeDescriptionBenesServicesPaid
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1616$166
Medicare preventive & care services11112$495
CodeDescriptionBenesServicesPaid
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1112$495

Drill down by specialty

Each specialty's panel, volume and Medicare Advantage share.

SpecialtyCliniciansBenesServicesMA-PD
Internal Medicine 3 MD/DO · 0 APP35472,65672%
1.15
HCC risk score
$146K
Medicare paid
CategoryBenesServicesPaid
Office visits7011,043$91K
Annual wellness & preventiveVBC439439$39K
Procedures & surgery296395$3K
Drugs & injections35298$572
Labs & pathology118182$3K
Chronic & transitional care managementVBC4962$610
Screenings & assessmentsVBC3638$136
Cardiac testing1616$166
Nurse Practitioner 0 MD/DO · 1 APP13825590%
0.65
HCC risk score
$6K
Medicare paid
CategoryBenesServicesPaid
Labs & pathology93118$1K
Office visits4555$2K
Procedures & surgery1213$112

Drill down by organization NPI

Clinicians bill Medicare through these organization NPIs at this address.

OrganizationCliniciansBenesServicesPaid
Group 1 NPI 1053384214 · 266 statewide263332$13K
1 / 1
Physicians / APPs
0.79
HCC risk score
82%
MA-PD share

Specialties: Nurse Practitioner (1), Internal Medicine (1)

Group 2 NPI 1104866870 · 66 statewide183222$12K
1 / 0
Physicians / APPs
1.03
HCC risk score
67%
MA-PD share

Specialties: Internal Medicine (1)

Group 3 NPI 1104823400 · 3,431 statewide14392,357$127K
1 / 0
Physicians / APPs
1.18
HCC risk score
75%
MA-PD share

Specialties: Internal Medicine (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.