Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › FL › Fort Myers › NPI 1356336705
Physician

Physicians Primary Care of Southwest Florida PL

Physicians Primary Care of Southwest Florida PL was paid $14.26M by Medicaid between Aug 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoPHYSICIANS PRIMARY CARE OF SOUTHWEST FLORIDA PL
FORT MYERS, FL 33907
33aNPI1356336705assigned 09/13/2005
28Total paid$14.26M
24GClaims254,420
24DCodes billed51
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Florida

Rank by total paid#3 of 1,247
Median peer was paid$9K
This provider vs. median1,626×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201850$0.00
201943,563$2.35M
202036,723$2.03M
202149,827$3.03M
202260,535$3.57M
202350,587$2.72M
2024incomplete13,135$575K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42% 69,349 65,694 $5.92M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16% 18,733 17,914 $2.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13% 13,676 13,534 $1.79M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12% 13,688 12,836 $1.66M
90460 Immunization administration through 18 years of age via any route, first or only component 6.2% 27,837 27,306 $890K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4.3% 5,550 5,495 $616K
90461 1.9% 16,233 15,173 $276K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.6% 8,295 8,032 $229K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.3% 1,552 1,523 $186K
99188 <1% 8,137 7,928 $117K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,883 4,747 $99K
92587 <1% 5,209 5,124 $90K
39 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 3,613 $43K
90686 <1% 7,804 $27K
85018 <1% 6,081 $11K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,918 $11K
99215 Doctor's office visit, returning patient (complex) <1% 56 $8K
96127 <1% 5,142 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 106 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 923 $6K
90698 <1% 7,307 $4K
99205 Prolong outpt/office vis <1% 35 $3K
99203 Doctor's office visit, new patient (routine) <1% 24 $3K
82465 <1% 724 $2K
83655 <1% 193 $2K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 503 $2K
81003 <1% 311 $709.46
90696 <1% 171 $684.29
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 60 $573.37
0072A <1% 14 $560.00
90633 <1% 1,804 $464.13
96161 <1% 502 $437.57
90671 <1% 1,566 $238.66
90685 <1% 127 $208.07
90651 <1% 451 $168.07
87081 <1% 25 $159.60
90670 <1% 5,687 $106.04
90744 <1% 1,215 $84.03
90710 <1% 204 $30.00
99173 0% 3,095 $0.00
90715 0% 60 $0.00
80061 Lipid panel 0% 12 $0.00
90707 0% 26 $0.00
90680 0% 2,918 $0.00
90656 0% 348 $0.00
90716 0% 81 $0.00
90619 0% 86 $0.00
94760 0% 28 $0.00
80053 Comprehensive metabolic panel 0% 12 $0.00
91307 0% 33 $0.00
36415 Collection of venous blood by venipuncture 0% 13 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBURDZY, JON (PRESIDENT/MANAGING PHYSICIAN)