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Sebastian

WellMed at Sebastian

1627 US Highway 1, Ste 101, Sebastian, FL 32958 (772) 581-9551 Treasure Coast region Map ↗
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Treasure Coast · Indian River County · value based senior primary care

Sebastian clinic

4 clinicians across 3 organization NPIs · 498 Medicare beneficiaries served · 1,998 services · $91K Medicare paid (2024)

4
clinicians on site
43%
of Indian River County Medicare beneficiaries choose Medicare Advantage (June 2026)
87%
of prescriptions filled under Medicare Advantage plans
1.15
Complex care panel: HCC risk score
498
Medicare beneficiaries cared for in 2024
116
value based care services delivered
16
annual wellness and preventive visits
1
clinician offering telehealth
27yrs
average years in practice
4
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 1.01.15HCC risk score1.0 = national average0.52.5

Specialties

Clinicians per specialty

Family PracticeFamily Practice3Physician AssistantPhysician Assistant1

Beneficiary age

Medicare beneficiaries served, by age band

Under 65Under 65065 to 7465 to 7421175 to 8475 to 8420885 and over85 and over0

Medicare Advantage in Indian River County

Share of the county's Medicare beneficiaries in Medicare Advantage, by year · 63,111 beneficiaries as of June 2026 · 49% aged 75 and over

201827.5%201929.9%202032.6%202135.3%202237.9%202340.3%202442.1%202542.7%

Medicare Advantage prescriptions

Part D claims under MA-PD plans (2024)

87%MA-PD claimsMA-PD plansMA-PD plans · 87%Stand-alone PDPStand-alone PDP · 13%

Organizations at this address

Care team by organization NPI

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

Services by category

Every HCPCS line billed by the care team, grouped

Office visitsOffice visits854Procedures & surgeryProcedures & surgery551VaccinesVaccines100Labs & pathologyLabs & pathology47Annual wellness & preventiveAnnual wellness & preventive16

Top procedures

Highest volume HCPCS codes across the clinic

99214 · Established patient office visit99214 · Established patient office visit56636415 · Insertion of needle into vein…36415 · Insertion of needle into vein…55199213 · Established patient office visit99213 · Established patient office visit26781003 · Automated urinalysis test81003 · Automated urinalysis test47G0008 · Administration of influenza…G0008 · Administration of influenza…4190653 · Influenza vaccine, inactivated90653 · Influenza vaccine, inactivated3799212 · Established patient office visit99212 · Established patient office visit21G0439 · Annual Wellness Visit Follow-upG0439 · Annual Wellness Visit Follow-up1690677 · Pneumococcal conjugate vaccine,…90677 · Pneumococcal conjugate vaccine,…11G0009 · Administration of pneumococcal…G0009 · Administration of pneumococcal…11

Specialty × service heat map

Where each specialty's volume lands, services by category

Office visitsOffice visitsProcedures & surgeryProcedures & surgeryVaccinesVaccinesLabs & pathologyLabs & pathologyAnnual wellness & preventiveAnnual wellness & preve…Family PracticeFamily PracticeFamily Practice · Office visits: 600600Family Practice · Procedures & surgery: 434434Family Practice · Vaccines: 100Family Practice · Labs & pathology: 31Family Practice · Annual wellness & preventive: 16Physician AssistantPhysician AssistantPhysician Assistant · Office visits: 254254Physician Assistant · Procedures & surgery: 117117Physician Assistant · Vaccines: 0Physician Assistant · Labs & pathology: 16Physician Assistant · Annual wellness & preventive: 0

Value based care delivered

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

VaccinesVaccines100Annual wellness & preventiveAnnual wellness & preventive16

Drill down by procedure category

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

CategoryCodesBenesServicesPaid
Office visits3560854$66K
CodeDescriptionBenesServicesPaid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more338566$49K
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more202267$16K
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more2021$786
Procedures & surgery1320551$5K
CodeDescriptionBenesServicesPaid
36415Insertion of needle into vein for collection of blood sample320551$5K
VaccinesVBC497100$8K
CodeDescriptionBenesServicesPaid
G0008Administration of influenza virus vaccine3841$1K
90653Influenza vaccine, inactivated3737$3K
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1111$3K
G0009Administration of pneumococcal vaccine1111$362
Labs & pathology13647$103
CodeDescriptionBenesServicesPaid
81003Automated urinalysis test3647$103
Annual wellness & preventiveVBC11616$2K
CodeDescriptionBenesServicesPaid
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$2K

Drill down by specialty

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

SpecialtyCliniciansBenesServicesMA-PD
Family Practice 3 MD/DO · 0 APP33501,50387%
1.15
HCC risk score
$66K
Medicare paid
CategoryBenesServicesPaid
Office visits403600$47K
Procedures & surgery246434$4K
VaccinesVBC97100$8K
Labs & pathology2231$68
Annual wellness & preventiveVBC1616$2K
Physician Assistant 0 MD/DO · 1 APP114849587%
1.15
HCC risk score
$25K
Medicare paid
CategoryBenesServicesPaid
Office visits157254$19K
Procedures & surgery74117$1K
Labs & pathology1416$35

Drill down by organization NPI

Clinicians bill Medicare through these organization NPIs at this address.

OrganizationCliniciansBenesServicesPaid
Group 2 NPI 1033395397 · 158 statewide34651,888$87K
2 / 1
Physicians / APPs
1.14
HCC risk score
85%
MA-PD share

Specialties: Family Practice (2), Physician Assistant (1)

Group 1 NPI 1992719744 · 2 statewide133110$3K
1 / 0
Physicians / APPs
1.32
HCC risk score
93%
MA-PD share

Specialties: Family Practice (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.