NEVVI Medicare utilization intelligence

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URGENT CARE CENTER OF PORT ORANGE LLC

PAC 5890712806 Physician group
NURSE PRACTITIONER · PORT ORANGE, FL · hospital-affiliated
Specialty NURSE PRACTITIONER — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in PORT ORANGE, FL · bills Medicare in 1 state (FL)
Scale 9 providers on the CMS registry roster · 3 codes billed (five-year data window)
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (386) 271-2273 — CMS registry listing
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 1Advanced-practice 6Other clinicians 0= 7 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 7 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.
Medicare Part B FFS · CY2024 · as published by CMS
Data year: CY2024 CY2023 CY2022  CY2021  CY2020 

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes)
1548745060 Abdurahman, Arsheema · member of 3 groups ARNP Nurse Practitioner Port OrangeFL
1790266013 Bryant, Amber · member of 2 groups ARNP Nurse Practitioner DeltonaFL
1528666575 Derita, Jeannette · member of 3 groups ARNP Nurse Practitioner Port OrangeFL
1972277622 Gomes, Loren · member of 2 groups APRN Nurse Practitioner Daytona BeachFL
1689976037 Grayson, Tammy · member of 2 groups PA-C Physician Assistant Daytona BeachFL
1912964040 Siddiqui, Rehana · member of 2 groups MD General Practice Port OrangeFL
1306114483 Sorrell, Vickie · member of 3 groups FNP-BC Nurse Practitioner Port OrangeFL

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.