NEVVI Medicare utilization intelligence

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ISLAND DOCTORS INTRASTATE LLC

PAC 5395161186 Physician group
PHYSICIAN ASSISTANT · ST AUGUSTINE, FL · hospital-affiliated
Specialty PHYSICIAN ASSISTANT — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in ST AUGUSTINE, FL · bills Medicare in 6 states (CA, FL, GU, MI, NY, PR)
Scale 77 providers on the CMS registry roster · 127 codes billed (five-year data window) · 8,005 services (all billed codes, CY2024)
Medicare paid $549K · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 31Advanced-practice 20Other clinicians 0= 51 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 51 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 34 of the group's 127 codes this year, across 3 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1609435239 Bass, Kathy Nurse Practitioner InterlachenFL premium
1942756895 Koppar, Shardul D.O. Osteopathic Manipulative Medicine Panama CityFL premium
1285707828 Franson, Charles D.O. Family Practice StarkeFL premium
1023138708 Creghan, Brian PA-C Physician Assistant DededoGU premium
1376151472 Chukwuocha, Canice MD General Practice Palm CoastFL premium
1558575696 Ang, Walter M.D Hospitalist Daytona BeachFL premium
1609869833 Menczelesz, Gabor MD Internal Medicine Saint AugustineFL premium
1518930155 Santiago, Juan M.D. General Practice ManatiPR premium
1831142330 Rynn, Kristine PA Physician Assistant DeltonaFL premium
1538372958 Moreno, Luis MD General Practice EdgewaterFL premium
1295842862 Colon, Marilu M.D. Rheumatology St AugustineFL premium
1891495453 Herranz, Edel Nurse Practitioner LoxahatcheeFL premium
1356899587 Bom Conselho, Julie ARNP Nurse Practitioner Ormond BeachFL premium
1861886806 Kuloba, Pamela NP Nurse Practitioner PaceFL premium
1083601900 Berry, Michael PA Physician Assistant OrlandoFL premium
1780645903 Taveras-Cruz, Alex M.D. General Practice Palm CoastFL premium
1225295728 Myint, Zaw MD Family Practice LakelandFL premium
1376557223 Nazario-Vidal, Uriel MD Family Practice MiddleburgFL premium
1841725389 Garcia Lopez, Emmanuel M.D. General Practice NaplesFL premium
1669092110 Denslow, Sara APRN Nurse Practitioner Saint AugustineFL premium
1881994267 Ortega Perez, Erick MD General Practice OrlandoFL premium
1124256532 Patterson, Sharol M.D. Internal Medicine PlantationFL premium
1932153525 Alea, F M.D. Internal Medicine PalatkaFL premium
1285670216 Blankenship, Tammy MD, MPH, MS Preventive Medicine TallahasseeFL premium
1104292846 Pineda Lopez, Juan M.D General Practice OrlandoFL premium
1932201944 Thoms, Eric ARNP Nurse Practitioner St AugustineFL premium
1780341669 Carr, Robin Physician Assistant Palm CoastFL premium
1497021059 Priddy, Ralph PA-C Physician Assistant St AugustineFL premium
1316268311 Skaggs, David Physician Assistant St AugustineFL premium
1154391753 Brennan, Teresa D.O. Family Practice St. AugustineFL premium
1922204478 Cordero, Luis MD General Practice St AugustineFL premium
1992909329 Reyes, Carlos M.D., M.S. Internal Medicine OcalaFL premium
1891714564 Stowell, Paula ARNP Nurse Practitioner St AugustineFL premium
1760595961 Johnson, Edward PAC Physician Assistant St AugustineFL premium
1326209073 Marrero Abascal, Luis MD General Practice San JuanPR premium
1356045280 Oyibo, Mojisola Nurse Practitioner GainesvilleFL premium
1508833427 Kefalidou, Lydia MD Internal Medicine Palm CoastFL premium
1760595821 Hinman, Roy MD PA Family Practice St AugustineFL premium
1154423267 Bermeo, William PAC Physician Assistant St AugustineFL premium
1205951175 Colombani, Leslie · member of 2 groups M.D. General Practice East PalatkaFL premium
1114034709 Farhat, Jawad · member of 2 groups MD Internal Medicine Saint AugustineFL premium
1346807625 Feliz Camilo, Alexandra · member of 3 groups MD General Practice Saint AugustineFL premium
1154586972 Llavona-Suarez, Marilyn · member of 2 groups M.D. General Practice OrlandoFL premium
1508834631 Matthews, Jennifer · member of 2 groups PA-C Physician Assistant Saint JohnsFL premium
1093852113 Medina, Teodoro · member of 2 groups M.D. General Practice DavenportFL premium
1538940317 Meristil, Estavelie · member of 2 groups Nurse Practitioner EdgewaterFL premium
1083998090 Morales Geraldino, Gary · member of 2 groups M. D. General Practice New Smyrna BeachFL premium
1568198026 Prosvetova, Olga · member of 2 groups APRN Nurse Practitioner Palm CoastFL premium
1912469230 Walden, Brittney · member of 2 groups APRN, FNP-BC Nurse Practitioner Palm CoastFL premium
1568514701 Williams, Robert · member of 2 groups D.O. Family Practice WauchulaFL premium
1457334757 Wu Chavez, Alexa · member of 2 groups MD General Practice JacksonvilleFL premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.