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Central Florida / Orlando · 28 clinics · value based senior primary care

Central Florida / Orlando region

171 clinicians across 28 clinics · 15,829 Medicare beneficiaries served · 63,434 services · $3.3M Medicare paid (2024)

28
clinics
62%
of Medicare beneficiaries across 6 counties choose Medicare Advantage (June 2026)
88%
of prescriptions filled under Medicare Advantage plans
1.52
Complex care panel: HCC risk score, well above the 1.00 national average
15%
of beneficiaries also have Medicaid support
15,829
Medicare beneficiaries cared for in 2024
5,088
value based care services delivered
2,558
annual wellness and preventive visits
64
clinicians offering telehealth
84
average MIPS quality score out of 100 · 8 ACOs
107/ 56
physicians / advanced practice providers
22yrs
average years in practice

Care team mix

Active clinicians by credential group

171cliniciansPhysiciansPhysicians · 63%Advanced practiceAdvanced practice · 33%Other cliniciansOther clinicians · 5%

Complex care panel

HCC risk score, beneficiary weighted across the region

benchmark 1.01.52HCC risk score1.0 = national average0.52.5

Specialties

Clinicians per specialty

Internal MedicineInternal Medicine51Family PracticeFamily Practice43Nurse PractitionerNurse Practitioner38Physician AssistantPhysician Assistant14Counselor, Addiction (Substance Use Disorder)Counselor, Addiction…6Family MedicineFamily Medicine5General PracticeGeneral Practice3Nurse Practitioner, FamilyNurse Practitioner, F…3

Beneficiary age

Medicare beneficiaries served, by age band

Under 65Under 6557765 to 7465 to 746,31075 to 8475 to 845,29185 and over85 and over1,470

Medicare Advantage by county

Share of Medicare beneficiaries in Medicare Advantage (June 2026)

Orange CountyOrange County61%Polk CountyPolk County68%Volusia CountyVolusia County61%Lake CountyLake County57%Seminole CountySeminole County54%Osceola CountyOsceola County72%

Medicare Advantage trend · Orange County

Share of the county's Medicare beneficiaries in Medicare Advantage, by year

201848.7%201950.6%202053%202155.7%202257.6%202359.1%202460.4%202560.7%

Medicare Advantage prescriptions

Part D claims under MA-PD plans (2024)

88%MA-PD claimsMA-PD plansMA-PD plans · 88%Stand-alone PDPStand-alone PDP · 12%

Beneficiaries by clinic

Medicare beneficiaries served at each clinic

OrlandoOrlando3,104LongwoodLongwood1,979KissimmeeKissimmee1,814ApopkaApopka1,626SanfordSanford774DeltonaDeltona623SanfordSanford585Altamonte SpringsAltamonte Springs517OrlandoOrlando477OviedoOviedo446LakelandLakeland439Winter ParkWinter Park429Lake MaryLake Mary425KissimmeeKissimmee381

Services by category

Every HCPCS line billed across the region, grouped

Office visitsOffice visits21,441Drugs & injectionsDrugs & injections6,970Procedures & surgeryProcedures & surgery6,482Hospital & emergencyHospital & emergency2,746Annual wellness & preventiveAnnual wellness & preventive2,558Labs & pathologyLabs & pathology2,458Home & facility visitsHome & facility visits2,216VaccinesVaccines1,321Medicare preventive & care servicesMedicare preventive & care services799Chronic & transitional care managementChronic & transitional care management773ImagingImaging684Cardiac testingCardiac testing413

Specialty × service heat map

Where each specialty's volume lands, services by category

Office visitsOffice visitsDrugs & injectionsDrugs & injectionsProcedures & surgeryProcedures & surgeryHospital & emergencyHospital & emergencyAnnual wellness & preventiveAnnual wellness & preve…Labs & pathologyLabs & pathologyHome & facility visitsHome & facility visitsVaccinesVaccinesMedicare preventive & care servicesMedicare preventive & c…Chronic & transitional care managementChronic & transitional…Internal MedicineInternal MedicineInternal Medicine · Office visits: 6,1776,177Internal Medicine · Drugs & injections: 508Internal Medicine · Procedures & surgery: 1,3341,334Internal Medicine · Hospital & emergency: 910Internal Medicine · Annual wellness & preventive: 955Internal Medicine · Labs & pathology: 245Internal Medicine · Home & facility visits: 869Internal Medicine · Vaccines: 487Internal Medicine · Medicare preventive & care services: 57Internal Medicine · Chronic & transitional care management: 580Family PracticeFamily PracticeFamily Practice · Office visits: 7,3737,373Family Practice · Drugs & injections: 4,2804,280Family Practice · Procedures & surgery: 1,7541,754Family Practice · Hospital & emergency: 0Family Practice · Annual wellness & preventive: 1,3951,395Family Practice · Labs & pathology: 457Family Practice · Home & facility visits: 0Family Practice · Vaccines: 668Family Practice · Medicare preventive & care services: 39Family Practice · Chronic & transitional care management: 81Nurse PractitionerNurse PractitionerNurse Practitioner · Office visits: 3,0843,084Nurse Practitioner · Drugs & injections: 405Nurse Practitioner · Procedures & surgery: 930Nurse Practitioner · Hospital & emergency: 1,050Nurse Practitioner · Annual wellness & preventive: 103Nurse Practitioner · Labs & pathology: 459Nurse Practitioner · Home & facility visits: 0Nurse Practitioner · Vaccines: 90Nurse Practitioner · Medicare preventive & care services: 0Nurse Practitioner · Chronic & transitional care management: 41Physician AssistantPhysician AssistantPhysician Assistant · Office visits: 1,129Physician Assistant · Drugs & injections: 0Physician Assistant · Procedures & surgery: 266Physician Assistant · Hospital & emergency: 214Physician Assistant · Annual wellness & preventive: 105Physician Assistant · Labs & pathology: 39Physician Assistant · Home & facility visits: 1,3471,347Physician Assistant · Vaccines: 76Physician Assistant · Medicare preventive & care services: 0Physician Assistant · Chronic & transitional care management: 17Counselor, Addiction (Substance Use Disorder)Counselor, Addiction (Sub…Counselor, Addiction (Substance Use Disorder) · Office visits: 0Counselor, Addiction (Substance Use Disorder) · Drugs & injections: 0Counselor, Addiction (Substance Use Disorder) · Procedures & surgery: 0Counselor, Addiction (Substance Use Disorder) · Hospital & emergency: 0Counselor, Addiction (Substance Use Disorder) · Annual wellness & preventive: 0Counselor, Addiction (Substance Use Disorder) · Labs & pathology: 0Counselor, Addiction (Substance Use Disorder) · Home & facility visits: 0Counselor, Addiction (Substance Use Disorder) · Vaccines: 0Counselor, Addiction (Substance Use Disorder) · Medicare preventive & care services: 0Counselor, Addiction (Substance Use Disorder) · Chronic & transitional care management: 0Family MedicineFamily MedicineFamily Medicine · Office visits: 0Family Medicine · Drugs & injections: 0Family Medicine · Procedures & surgery: 0Family Medicine · Hospital & emergency: 0Family Medicine · Annual wellness & preventive: 0Family Medicine · Labs & pathology: 0Family Medicine · Home & facility visits: 0Family Medicine · Vaccines: 0Family Medicine · Medicare preventive & care services: 0Family Medicine · Chronic & transitional care management: 0General PracticeGeneral PracticeGeneral Practice · Office visits: 378General Practice · Drugs & injections: 84General Practice · Procedures & surgery: 49General Practice · Hospital & emergency: 0General Practice · Annual wellness & preventive: 0General Practice · Labs & pathology: 0General Practice · Home & facility visits: 0General Practice · Vaccines: 0General Practice · Medicare preventive & care services: 0General Practice · Chronic & transitional care management: 0Nurse Practitioner, FamilyNurse Practitioner, FamilyNurse Practitioner, Family · Office visits: 41Nurse Practitioner, Family · Drugs & injections: 0Nurse Practitioner, Family · Procedures & surgery: 19Nurse Practitioner, Family · Hospital & emergency: 0Nurse Practitioner, Family · Annual wellness & preventive: 0Nurse Practitioner, Family · Labs & pathology: 0Nurse Practitioner, Family · Home & facility visits: 0Nurse Practitioner, Family · Vaccines: 0Nurse Practitioner, Family · Medicare preventive & care services: 0Nurse Practitioner, Family · Chronic & transitional care management: 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 & preventive2,558VaccinesVaccines1,321Chronic & transitional care managementChronic & transitional care management773Advance care planningAdvance care planning218Behavioral healthBehavioral health180Screenings & assessmentsScreenings & assessments38

Top procedures

Highest volume HCPCS codes across the region

99214 · Established patient office visit99214 · Established patient office visit12,20199213 · Established patient office visit99213 · Established patient office visit7,455J1010 · Injection, methylprednisolone…J1010 · Injection, methylprednisolone…4,79936415 · Insertion of needle into vein…36415 · Insertion of needle into vein…3,665G0439 · Annual Wellness Visit Follow-upG0439 · Annual Wellness Visit Follow-up1,67181003 · Automated urinalysis test81003 · Automated urinalysis test1,35899309 · Subsequent nursing facility care99309 · Subsequent nursing facility care1,27099223 · Initial hospital care99223 · Initial hospital care1,10196372 · Injection of drug or substance…96372 · Injection of drug or substance…711J1100 · Injection, dexamethasone sodium…J1100 · Injection, dexamethasone sodium…70799204 · New patient office visit99204 · New patient office visit70699308 · Subsequent nursing facility care99308 · Subsequent nursing facility care698

Drill down by clinic

Open a clinic for its own dashboard.

ClinicCliniciansBenesServicesPaid
Orlando 7400 Docs Grove Circle253,1048,802$474K
13 / 12
Physicians / APPs
1.26
HCC risk score
81%
MA-PD share

Orange County · Family Practice (7), Nurse Practitioner (5), Physician Assistant (5), Internal Medicine (4), Nurse Practitioner, Family (2), Family Medicine (2)

Open Orlando dashboard →
Longwood 515 W State Road 434, Ste 11091,9795,970$577K
9 / 0
Physicians / APPs
1.26
HCC risk score
90%
MA-PD share

Seminole County · Gastroenterology (2), Internal Medicine (2), Family Practice (2), Urology (1), Psychiatry (1), Family Medicine (1)

Open Longwood dashboard →
Kissimmee 339 Cypress Pkwy, Ste 10071,8149,604$531K
6 / 1
Physicians / APPs
1.33
HCC risk score
72%
MA-PD share

Osceola County · Internal Medicine (4), Family Practice (1), Nurse Practitioner (1), General Surgery (1)

Open Kissimmee dashboard →
Apopka 202 N Park Ave111,62611,602$311K
5 / 5
Physicians / APPs
1.56
HCC risk score
88%
MA-PD share

Orange County · Nurse Practitioner (4), Family Practice (4), Podiatry (1), Physician Assistant (1), Family Medicine (1)

Open Apopka dashboard →
Sanford 1621 W 1st St77742,479$178K
4 / 3
Physicians / APPs
1.89
HCC risk score
74%
MA-PD share

Seminole County · Internal Medicine (3), Nurse Practitioner (2), Physician Assistant (1), Family Practice (1)

Open Sanford dashboard →
Deltona 734 Elkcam Blvd86232,363$144K
4 / 4
Physicians / APPs
2.25
HCC risk score
89%
MA-PD share

Volusia County · Physician Assistant (2), Family Practice (2), Nurse Practitioner (2), Internal Medicine (2)

Open Deltona dashboard →
Sanford 1506 S French Ave45852,911$151K
3 / 1
Physicians / APPs
1.12
HCC risk score
76%
MA-PD share

Seminole County · Internal Medicine (3), Nurse Practitioner (1)

Open Sanford dashboard →
Altamonte Springs 140 N Westmonte Dr, Ste 100045171,237$96K
3 / 1
Physicians / APPs
1.66
HCC risk score
89%
MA-PD share

Seminole County · Internal Medicine (2), Family Practice (1), Nurse Practitioner (1)

Open Altamonte Springs dashboard →
Orlando 2000 Cypress Crossing Dr, Ste A84771,891$104K
8 / 0
Physicians / APPs
2.31
HCC risk score
89%
MA-PD share

Orange County · Internal Medicine (5), Family Practice (2), Hospitalist (1)

Open Orlando dashboard →
Oviedo 7139 Red Bug Lake Rd54461,177$72K
3 / 2
Physicians / APPs
2.41
HCC risk score
98%
MA-PD share

Seminole County · Internal Medicine (2), Nurse Practitioner (1), Physician Assistant (1), Family Practice (1)

Open Oviedo dashboard →
Lakeland 4740 Exploration Ave144391,908$53K
7 / 7
Physicians / APPs
1.54
HCC risk score
91%
MA-PD share

Polk County · Internal Medicine (7), Nurse Practitioner (4), Physician Assistant (1), General Practice (1), Nurse Practitioner, Family (1)

Open Lakeland dashboard →
Winter Park 2304 Aloma Ave, Ste 10044291,065$69K
2 / 2
Physicians / APPs
1.63
HCC risk score
83%
MA-PD share

Orange County · Nurse Practitioner (2), Family Practice (1), Family Medicine (1)

Open Winter Park dashboard →
Lake Mary 109 Timberlachen Cir7425989$57K
4 / 3
Physicians / APPs
1.96
HCC risk score
93%
MA-PD share

Seminole County · Internal Medicine (3), Nurse Practitioner (2), Physician Assistant (1), Family Practice (1)

Open Lake Mary dashboard →
Kissimmee 461 W Oak St, Ste A83811,227$57K
5 / 3
Physicians / APPs
1.62
HCC risk score
91%
MA-PD share

Osceola County · Family Practice (5), Physician Assistant (2), Nurse Practitioner (1)

Open Kissimmee dashboard →
Kissimmee 1100 Cypress Glen Cir43351,837$69K
3 / 1
Physicians / APPs
1.27
HCC risk score
90%
MA-PD share

Osceola County · Internal Medicine (2), General Practice (1), Nurse Practitioner (1)

Open Kissimmee dashboard →
Winter Garden 1002 S Dillard St, Ste 12252611,871$103K
4 / 0
Physicians / APPs
1.43
HCC risk score
90%
MA-PD share

Orange County · Family Practice (2), Internal Medicine (2), Early Intervention Provider Agency (1)

Open Winter Garden dashboard →
Saint Cloud 1000 E Irlo Bronson Memorial Hwy32581,447$48K
2 / 1
Physicians / APPs
1.45
HCC risk score
92%
MA-PD share

Osceola County · Family Practice (1), Nurse Practitioner (1), Internal Medicine (1)

Open Saint Cloud dashboard →
Lake Wales 1143 State Road 60 E3235638$31K
2 / 1
Physicians / APPs
1.59
HCC risk score
94%
MA-PD share

Polk County · Internal Medicine (2), Nurse Practitioner (1)

Open Lake Wales dashboard →
Saint Cloud 2902 17th St42251,060$55K
3 / 1
Physicians / APPs
1.54
HCC risk score
92%
MA-PD share

Osceola County · Family Practice (3), Nurse Practitioner (1)

Open Saint Cloud dashboard →
Orlando 4614 E Michigan St5215778$38K
4 / 1
Physicians / APPs
1.37
HCC risk score
94%
MA-PD share

Orange County · Family Practice (2), General Practice (1), Nurse Practitioner (1), Internal Medicine (1)

Open Orlando dashboard →
Kissimmee 306 E Oak St10204745$33K
2 / 2
Physicians / APPs
1.52
HCC risk score
93%
MA-PD share

Osceola County · Counselor, Addiction (Substance Use Disorder) (6), Internal Medicine (2), Nurse Practitioner (2)

Open Kissimmee dashboard →
Davenport 2380 North Blvd W, Ste 13169602$30K
2 / 1
Physicians / APPs
1.64
HCC risk score
89%
MA-PD share

Polk County · Internal Medicine (1), Family Practice (1), Nurse Practitioner (1)

Open Davenport dashboard →
Davenport 2500 Berry Blvd2158506$40K
1 / 1
Physicians / APPs
1.74
HCC risk score
83%
MA-PD share

Polk County · Internal Medicine (1), Nurse Practitioner (1)

Open Davenport dashboard →
Orlando 2228 S Kirkman Rd479127$7K
2 / 2
Physicians / APPs
1.39
HCC risk score
88%
MA-PD share

Orange County · Nurse Practitioner (2), Family Practice (1), Internal Medicine (1)

Open Orlando dashboard →
Orlando 7242 W Colonial Dr352536$12K
2 / 1
Physicians / APPs
1.56
HCC risk score
99%
MA-PD share

Orange County · Family Practice (2), Nurse Practitioner (1)

Open Orlando dashboard →
Casselberry 7800 S US Highway 17/92, Ste 14411962$3K
1 / 0
Physicians / APPs
2.58
HCC risk score
97%
MA-PD share

Seminole County · Family Practice (1)

Open Casselberry dashboard →
Apopka 2226 E Semoran Blvd300$0
3 / 0
Physicians / APPs
94%
MA-PD share

Orange County · Family Practice (2), Internal Medicine (1)

Open Apopka dashboard →
Clermont 2603 S Hwy 27000$0
0 / 0
Physicians / APPs

Lake County ·

Open Clermont dashboard →

Drill down by specialty

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

SpecialtyCliniciansBenesServicesMA-PD
Internal Medicine 50 MD/DO · 1 APP513,62215,46887%
1.58
HCC risk score
$860K
Medicare paid
87
Avg MIPS
CategoryBenesServicesPaid
Office visits3,6366,177$461K
Procedures & surgery9231,334$11K
Annual wellness & preventiveVBC955955$101K
Hospital & emergency424910$66K
Home & facility visits152869$73K
Chronic & transitional care managementVBC393580$13K
Drugs & injections116508$2K
VaccinesVBC486487$30K
Cardiac testing252258$4K
Labs & pathology165245$4K
Medicare preventive & care services4557$2K
Screenings & assessmentsVBC3638$136
Family Practice 43 MD/DO · 0 APP434,48021,41289%
1.33
HCC risk score
$892K
Medicare paid
90
Avg MIPS
CategoryBenesServicesPaid
Office visits4,1767,373$564K
Drugs & injections2834,280$5K
Procedures & surgery1,3131,754$17K
Annual wellness & preventiveVBC1,3951,395$110K
VaccinesVBC653668$49K
Labs & pathology379457$8K
Imaging190193$4K
Cardiac testing135139$1K
Pulmonary testing104106$2K
Advance care planningVBC105105$6K
Chronic & transitional care managementVBC6881$9K
Medicare preventive & care services3339$1K
Nurse Practitioner 0 MD/DO · 38 APP383,4149,47689%
1.60
HCC risk score
$483K
Medicare paid
CategoryBenesServicesPaid
Office visits2,3083,084$187K
Hospital & emergency1,0001,050$119K
Procedures & surgery597930$19K
Labs & pathology426459$7K
Drugs & injections157405$2K
Annual wellness & preventiveVBC103103$10K
VaccinesVBC9090$5K
Chronic & transitional care managementVBC3741$2K
Physician Assistant 0 MD/DO · 14 APP141,2654,40986%
1.93
HCC risk score
$240K
Medicare paid
94
Avg MIPS
CategoryBenesServicesPaid
Home & facility visits5711,347$86K
Office visits7021,129$70K
Procedures & surgery166266$2K
Hospital & emergency206214$24K
Annual wellness & preventiveVBC105105$8K
VaccinesVBC7576$4K
Labs & pathology3339$86
Chronic & transitional care managementVBC1517$3K
Cardiac testing1616$104
Counselor, Addiction (Substance Use Disorder) 0 MD/DO · 0 APP600—
Family Medicine 5 MD/DO · 0 APP500—
General Practice 3 MD/DO · 0 APP32361,37393%
1.25
HCC risk score
$32K
Medicare paid
CategoryBenesServicesPaid
Office visits230378$23K
Drugs & injections4384$820
Procedures & surgery4549$416
Nurse Practitioner, Family 0 MD/DO · 3 APP3397793%
0.96
HCC risk score
$3K
Medicare paid
CategoryBenesServicesPaid
Office visits3241$2K
Procedures & surgery1519$164
Gastroenterology 2 MD/DO · 0 APP29651,81154%
1.00
HCC risk score
$292K
Medicare paid
82
Avg MIPS
CategoryBenesServicesPaid
Office visits742896$82K
Procedures & surgery763777$186K
Medicare preventive & care services2020$6K
Urology 1 MD/DO · 0 APP17403,65568%
1.31
HCC risk score
$242K
Medicare paid
80
Avg MIPS
CategoryBenesServicesPaid
Office visits8311,446$126K
Labs & pathology7101,258$3K
Procedures & surgery313382$64K
Imaging95103$6K
Hospital & emergency3640$4K
Podiatry 0 MD/DO · 0 APP15604,57478%
1.67
HCC risk score
$134K
Medicare paid
CategoryBenesServicesPaid
Drugs & injections821,667$283
Procedures & surgery368955$55K
Office visits548757$50K
Medicare preventive & care services219671$6K
Imaging254388$11K
General Surgery 1 MD/DO · 0 APP117637568%
1.62
HCC risk score
$94K
Medicare paid
87
Avg MIPS
CategoryBenesServicesPaid
Office visits146160$20K
Hospital & emergency4145$5K
Procedures & surgery1616$6K
Hospitalist 1 MD/DO · 0 APP117054378%
3.21
HCC risk score
$46K
Medicare paid
80
Avg MIPS
CategoryBenesServicesPaid
Hospital & emergency246437$39K
Advance care planningVBC8492$5K
Psychiatry 1 MD/DO · 0 APP1162261—
2.50
HCC risk score
$27K
Medicare paid
80
Avg MIPS
CategoryBenesServicesPaid
Behavioral healthVBC165180$21K
Hospital & emergency2750$5K
Early Intervention Provider Agency 0 MD/DO · 0 APP100—

Drill down by procedure category

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

CategoryCodesBenesServicesPaid
Office visits813,35121,441$1.6M
CodeDescriptionBenesServicesPaid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7,13812,201$1000K
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4,5367,455$439K
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more706706$74K
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more396396$26K
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more277329$13K
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more181217$28K
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional7292$1K
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more4545$7K
Drugs & injections116966,970$10K
CodeDescriptionBenesServicesPaid
J1010Injection, methylprednisolone acetate, 1 mg614,799$486
96372Injection of drug or substance under skin or into muscle374711$7K
J1100Injection, dexamethasone sodium phosphate, 1 mg74707$61
J2919Injection, methylprednisolone sodium succinate, 5 mg11251$57
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg31149$100
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg44119$111
J0696Injection, ceftriaxone sodium, per 250 mg2291$28
J1030Injection, methylprednisolone acetate, 40 mg3467$255
J1885Injection, ketorolac tromethamine, per 15 mg1241$20
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2222$2K
J1040Injection, methylprednisolone acetate, 80 mg1113$77
Procedures & surgery324,5196,482$360K
CodeDescriptionBenesServicesPaid
36415Insertion of needle into vein for collection of blood sample2,6403,665$31K
45380Biopsy of large bowel using a flexible endoscope451457$117K
11056Removal of noncancer thickened skin growth, 2-4 growths152442$25K
17003Destruction of precancer skin growth, 2-14 growths83303$1K
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope205212$33K
11057Removal of noncancer thickened skin growth, more than 4 growths56173$11K
17000Destruction of precancer skin growth, 1 growth124136$5K
52000Diagnostic exam of bladder and urethra using an endoscope113135$23K
17110Destruction of skin growth, 1-14 growths73124$9K
11102Biopsy of related skin growth, first growth8490$5K
51798Ultrasound measurement of bladder capacity after voiding6789$693
11721Removal of fingernails or toenails, 6 or more nails3479$2K
11055Removal of noncancer thickened skin growth, 1 growth2968$3K
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5757$18K
20600Aspiration and/or injection of fluid from small joint3154$2K
11103Biopsy of related skin growth, each additional growth2748$2K
11750Permanent removal fingernail or toenail2940$4K
20610Aspiration and/or injection of fluid from large joint3234$2K
52281Dilation of urethra using an endoscope2034$8K
20550Injection into tendon or ligament1531$1K
45381Injection beneath lining of large bowel using a flexible endoscope2424$3K
52310Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope1923$6K
52332Insertion of stent in ureter using an endoscope2022$2K
55700Biopsy of prostate gland2222$3K
69210Removal of impacted ear wax1820$708
52356Crushing of stone of ureter with insertion of stent using an endoscope1317$5K
49650Repair of groin hernia using an endoscope1616$6K
52648Complete laser vaporization of prostate including control of bleeding using an endoscope1515$8K
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm1415$12K
50590Shock wave crushing of kidney stones1313$6K
52351Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope1112$3K
45378Diagnostic exam of large bowel using a flexible endoscope1212$3K
Hospital & emergency81,9802,746$262K
CodeDescriptionBenesServicesPaid
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1,0471,101$129K
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes222661$41K
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes192436$40K
99239Hospital discharge day management, more than 30 minutes144153$13K
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes137144$14K
99285Emergency department visit with high level of medical decision making128134$17K
99284Emergency department visit with moderate level of medical decision making7880$7K
99238Hospital discharge day management, 30 minutes or less3237$2K
Annual wellness & preventiveVBC62,5582,558$229K
CodeDescriptionBenesServicesPaid
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1,6711,671$207K
G0444Annual depression screening, 5 to 15 minutes629629$11K
G0442Annual alcohol misuse screening, 5 to 15 minutes119119$2K
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes9696$2K
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
Labs & pathology201,7132,458$21K
CodeDescriptionBenesServicesPaid
81003Automated urinalysis test7861,358$3K
81002Urinalysis, manual test255291$992
87804Detection test by immunoassay with direct visual observation for influenza virus104150$2K
83036Hemoglobin a1c level120144$1K
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus8181$3K
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)6868$1K
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen4646$2K
80061Blood test, lipids (cholesterol and triglycerides)3440$525
85610Blood test, clotting time2038$160
82947Blood glucose (sugar) level1637$142
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3236$1K
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2627$2K
80053Blood test, comprehensive group of blood chemicals2127$279
82044Urine microalbumin (protein) analysis1924$147
82570Creatinine level to test for kidney function or muscle injury1924$122
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1415$114
84439Thyroxine (thyroid chemical), free1414$124
84443Blood test, thyroid stimulating hormone (tsh)1414$230
87502Detection test by nucleic acid for multiple types influenza virus1313$1K
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique1111$378
Home & facility visits57232,216$159K
CodeDescriptionBenesServicesPaid
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2931,270$99K
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more246698$34K
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more153166$21K
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1970$4K
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1212$1K
VaccinesVBC51,3041,321$87K
CodeDescriptionBenesServicesPaid
G0008Administration of influenza virus vaccine635651$20K
90653Influenza vaccine, inactivated403403$33K
90662Influenza vaccine split virus, preservative free123124$10K
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use7575$22K
G0009Administration of pneumococcal vaccine6868$2K
Medicare preventive & care services4328799$16K
CodeDescriptionBenesServicesPaid
G0127Trimming of dystrophic nails, any number219671$6K
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 and7788$3K
G0179Physician or allowed practitioner re-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 a1220$639
G0105Colorectal cancer screening; colonoscopy on individual at high risk2020$6K
Chronic & transitional care managementVBC3565773$39K
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's420611$7K
99496Transitional care management services for problem of high complexity116128$26K
99495Transitional care management services for problem of at least moderate complexity2934$5K
Imaging11539684$20K
CodeDescriptionBenesServicesPaid
73630X-ray of foot, minimum of 3 views250379$11K
71046X-ray of chest, 2 views101101$2K
76770Complete ultrasound scan behind abdominal cavity4242$3K
74420Imaging of urinary tract following injection of a contrast agent3139$729
73610X-ray of ankle, minimum of 3 views2227$851
76872Ultrasound scan of pelvic region through rectum2222$1K
72100X-ray of lower and sacral spine, 2-3 views1717$314
73502X-ray of hip, 2-3 views1717$518
73030X-ray of shoulder, minimum of 2 views1416$279
73562X-ray of knee, 3 views1213$343
73140X-ray of finger, minimum of 2 views1111$261
Cardiac testing3403413$5K
CodeDescriptionBenesServicesPaid
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report320330$3K
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing5555$255
93922Ultrasound study of arm and leg arteries2828$2K
Advance care planningVBC1210218$13K
CodeDescriptionBenesServicesPaid
99497Advance care planning, first 30 minutes210218$13K
Behavioral healthVBC2165180$21K
CodeDescriptionBenesServicesPaid
90792Psychiatric diagnostic evaluation with medical services149153$19K
90833Psychotherapy with evaluation and management visit, 30 minutes1627$1K
Pulmonary testing6104106$2K
CodeDescriptionBenesServicesPaid
94640Inhalation treatment for airway obstruction or sputum production1921$108
94664Evaluation of use of breathing device1818$216
94060Test to measure expiratory airflow and volume changes before and after medication administration1717$410
94200Test to measure largest amount of air breathed in an out1717$160
94727Test to determine lung volumes using gas dilution or washout1717$475
94729Test to examine how well the lungs exchange gases1616$619
Screenings & assessmentsVBC13638$136
CodeDescriptionBenesServicesPaid
96127Assessment of emotional or behavioral problems3638$136
Other services12424$3K
CodeDescriptionBenesServicesPaid
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected2424$3K

Counties served

Medicare market by county (June 2026)

CountyClinicsMedicare beneficiariesIn Medicare AdvantageMA shareDual eligibleAged 75+
Orange County9228,284140,20761%22%40%
Polk County4183,548125,68368%20%41%
Volusia County1173,548105,40361%13%43%
Lake County1127,72673,14857%11%46%
Seminole County791,07549,24354%13%44%
Osceola County676,62354,91872%28%38%
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 24, 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. Regional figures sum the clinics compiled so far. Generated 2026-09-24.