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Southwest Florida

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Southwest Florida · 3 clinics · value based senior primary care

Southwest Florida region

23 clinicians across 3 clinics · 4,016 Medicare beneficiaries served · 14,493 services · $733K Medicare paid (2024)

clinics

46%

of Medicare beneficiaries across 2 counties choose Medicare Advantage (June 2026)

60%

of prescriptions filled under Medicare Advantage plans

1.47

Complex care panel: HCC risk score, well above the 1.00 national average

13%

of beneficiaries also have Medicaid support

4,016

Medicare beneficiaries cared for in 2024

803

value based care services delivered

418

annual wellness and preventive visits

clinicians offering telehealth

average MIPS quality score out of 100 · 1 ACO

9/ 13

physicians / advanced practice providers

17yrs

average years in practice

Care team mix

Active clinicians by credential group

Complex care panel

HCC risk score, beneficiary weighted across the region

Specialties

Clinicians per specialty

Beneficiary age

Medicare beneficiaries served, by age band

Medicare Advantage by county

Share of Medicare beneficiaries in Medicare Advantage (June 2026)

Medicare Advantage trend · Lee County

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

Medicare Advantage prescriptions

Part D claims under MA-PD plans (2024)

Beneficiaries by clinic

Medicare beneficiaries served at each clinic

Services by category

Every HCPCS line billed across the region, grouped

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

Top procedures

Highest volume HCPCS codes across the region

Drill down by clinic

Open a clinic for its own dashboard.

ClinicCliniciansBenesServicesPaid

Fort Myers 13861 Plantation Rd, Ste 10492,5257,811$432K

3 / 6

Physicians / APPs

1.58

HCC risk score

41%

MA-PD share

Lee County · Internal Medicine (2), Nurse Practitioner (2), Physician Assistant (2), Hospitalist (1), Nurse Practitioner, Family (1), Physician Assistant, Medical (1)

Open Fort Myers dashboard →

Naples 15455 Collier Blvd, Ste 20179563,215$179K

3 / 4

Physicians / APPs

1.23

HCC risk score

55%

MA-PD share

Collier County · Nurse Practitioner (3), Family Practice (1), Physician Assistant (1), Internal Medicine (1), General Practice (1)

Open Naples dashboard →

North Fort Myers 18900 N Tamiami Trl, Ste 975353,467$122K

3 / 3

Physicians / APPs

1.40

HCC risk score

82%

MA-PD share

Lee County · Family Practice (2), Nurse Practitioner (1), Physician Assistant (1), Internal Medicine (1), Counselor, Mental Health (1), Nurse Practitioner, Adult Health (1)

Open North Fort Myers dashboard →

Drill down by specialty

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

SpecialtyCliniciansBenesServicesMA-PD

Nurse Practitioner 0 MD/DO · 6 APP61,2215,31367%

1.88

HCC risk score

$195K

Medicare paid

Avg MIPS

Category	Benes	Services	Paid
Home & facility visits	1,095	1,589	$60K
Procedures & surgery	790	1,399	$48K
Labs & pathology	486	703	$7K
Office visits	418	600	$44K
Annual wellness & preventiveVBC	132	132	$9K
Chronic & transitional care managementVBC	47	58	$3K
Cardiac testing	52	52	$438
Drugs & injections	17	26	$242
Hospital & emergency	15	15	$806

Internal Medicine 4 MD/DO · 0 APP41,2024,28750%

1.23

HCC risk score

$263K

Medicare paid

Avg MIPS

Category	Benes	Services	Paid
Office visits	1,552	2,856	$228K
Labs & pathology	318	398	$10K
Drugs & injections	82	228	$1K
Procedures & surgery	175	199	$2K
VaccinesVBC	168	168	$10K
Virtual & telephone careVBC	44	51	$3K
Cardiac testing	38	41	$463

Physician Assistant 0 MD/DO · 4 APP49312,38074%

1.38

HCC risk score

$138K

Medicare paid

Category	Benes	Services	Paid
Office visits	835	1,276	$94K
Hospital & emergency	233	234	$17K
Procedures & surgery	103	125	$1K
Annual wellness & preventiveVBC	110	110	$12K
Cardiac testing	55	56	$381
Labs & pathology	41	51	$112
Chronic & transitional care managementVBC	39	43	$6K
VaccinesVBC	37	37	$2K
Drugs & injections	13	14	$136

Family Practice 3 MD/DO · 0 APP36512,49955%

1.26

HCC risk score

$136K

Medicare paid

Avg MIPS

Category	Benes	Services	Paid
Office visits	686	1,138	$102K
Drugs & injections	102	275	$1K
Annual wellness & preventiveVBC	176	176	$22K
Procedures & surgery	111	127	$1K
Labs & pathology	123	126	$1K
VaccinesVBC	28	28	$2K

Hospitalist 1 MD/DO · 0 APP11114—

3.21

HCC risk score

$909

Medicare paid

Nurse Practitioner, Family 0 MD/DO · 1 APP100—

Physician Assistant, Medical 0 MD/DO · 1 APP1007%

General Practice 1 MD/DO · 0 APP10088%

Counselor, Mental Health 0 MD/DO · 0 APP100—

Nurse Practitioner, Adult Health 0 MD/DO · 1 APP10099%

Drill down by procedure category

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

CategoryCodesBenesServicesPaid

Office visits53,4915,870$468K

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	2,264	4,022	$348K
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,092	1,705	$104K
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$11K
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$2K
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

Procedures & surgery101,1791,850$52K

Code	Description	Benes	Services	Paid
36415	Insertion of needle into vein for collection of blood sample	457	573	$5K
17003	Destruction of precancer skin growth, 2-14 growths	131	463	$2K
17000	Destruction of precancer skin growth, 1 growth	236	362	$14K
17110	Destruction of skin growth, 1-14 growths	162	244	$18K
11102	Biopsy of related skin growth, first growth	71	73	$4K
11301	Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	43	51	$4K
11103	Biopsy of related skin growth, each additional growth	29	29	$981
11302	Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	26	$2K
11311	Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	18	$2K
11300	Shaving of skin growth of body, arms, or legs, 0.5 cm or less	11	11	$477

Home & facility visits91,0951,589$60K

Code	Description	Benes	Services	Paid
99347	Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	393	747	$22K
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	147	215	$11K
99341	Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes	201	201	$6K
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	89	146	$4K
99304	Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	112	112	$6K
99342	Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	61	61	$3K
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	44	51	$4K
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	25	33	$2K
99344	Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes	23	23	$2K

Labs & pathology169681,278$18K

Code	Description	Benes	Services	Paid
83036	Hemoglobin a1c level	207	306	$3K
80053	Blood test, comprehensive group of blood chemicals	119	166	$2K
80061	Blood test, lipids (cholesterol and triglycerides)	90	139	$2K
81003	Automated urinalysis test	120	136	$299
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	95	101	$7K
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	78	95	$723
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
87880	Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$292
84550	Uric acid level, blood	11	18	$80
81001	Manual urinalysis test with examination using microscope, automated	14	14	$44

Drugs & injections4214543$3K

Code	Description	Benes	Services	Paid
96372	Injection of drug or substance under skin or into muscle	137	262	$3K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	135	$123
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	13	106	$77
J1100	Injection, dexamethasone sodium phosphate, 1 mg	13	40	$3

Annual wellness & preventiveVBC2418418$43K

Code	Description	Benes	Services	Paid
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	343	343	$41K
G0444	Annual depression screening, 5 to 15 minutes	75	75	$1K

Hospital & emergency6248249$17K

Code	Description	Benes	Services	Paid
99284	Emergency department visit with moderate level of medical decision making	69	69	$5K
99285	Emergency department visit with high level of medical decision making	49	50	$5K
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$4K
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	36	$2K
99238	Hospital discharge day management, 30 minutes or less	26	26	$1K
99283	Emergency department visit with low level of medical decision making	25	25	$923

VaccinesVBC2233233$13K

Code	Description	Benes	Services	Paid
G0008	Administration of influenza virus vaccine	121	121	$4K
90653	Influenza vaccine, inactivated	112	112	$9K

Cardiac testing2145149$1K

Code	Description	Benes	Services	Paid
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	120	123	$1K
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	25	26	$126

Chronic & transitional care managementVBC286101$8K

Code	Description	Benes	Services	Paid
99495	Transitional care management services for problem of at least moderate complexity	52	58	$8K
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

Virtual & telephone careVBC14451$3K

Code	Description	Benes	Services	Paid
99442	Telephone medical discussion with physician, 11-20 minutes	44	51	$3K

Counties served

Medicare market by county (June 2026)

County	Clinics	Medicare beneficiaries	In Medicare Advantage	MA share	Dual eligible	Aged 75+
Lee County	2	226,228	113,440	50%	11%	47%
Collier County	1	123,262	46,170	38%	7%	52%

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.