PrimeCare
PrimeCare is a Florida-based Independent Physician Association (IPA) that connects 100+ affiliated primary care clinics with Medicare Advantage health plans through global risk contracts, administering 16 MA contracts covering 15,000+ lives across 11 Florida counties.
- Company typePrivate
- Founded2006
- HeadquartersSpring Hill, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What PrimeCare does
PrimeCare, LLC is a Florida-based Independent Physician Association (IPA) that connects affiliated primary care physicians with Medicare Advantage (MA) health plans through global risk contracts. The company was founded in 1999 as InterMed, LLC by Raul Revello, MD, Jai Cho, MD, and Pariksith Singh, MD; it rebranded to PrimeCare in April 2006 following the Medicare Modernization Act and is now solely owned by Dr. Pariksith Singh as of April 2020. Operating from Spring Hill, Florida, PrimeCare supports more than 100 affiliated PCP clinics across roughly 11 Florida counties (Tampa Bay through the Treasure Coast) and currently administers 16 MA risk contracts covering 15,000+ MA lives with five named health plan partners (Freedom, Optimum, Wellcare, Coventry, Ultimate).
PrimeCare delivers an integrated suite of nine service modules to its affiliated PCPs: Claims Analysis, Compliance, Credentialing, Financial Analysis, Medicare Advantage MCO Risk-Contracting, Nurse Case Management, Quality Management, Software/EDI Support, and Utilization Management. Underlying technology includes a proprietary credentialing workflow via the CredAxis platform (reducing processing time by up to 50%), EDI/MRA software tools for claims and funding capture, and HCC/MRA reconciliation tooling. These capabilities cover HEDIS, Medicare Risk Adjustment, STAR ratings, IBNR analysis, utilization review, and CMS-compliance documentation.
The business model is built on global-risk contracting: PrimeCare assumes financial risk for the cost of care delivered to enrolled MA members and earns revenue through capitation and risk-share arrangements with MA MCOs, supplemented by administrative and management fees from affiliated PCP clinics for credentialing, compliance, claims, and quality services. The go-to-market is relationship-driven, targeting both PCPs (affiliation and onboarding into risk contracts) and MA health plans (network development and contract negotiation). The 18-person internal staff plus the contracted PCP base drives the operating model; no outside institutional investors, funding rounds, or M&A activity are disclosed.
PrimeCare firmographics
Firmographics- Name
- PrimeCare
- Legal name
- PrimeCare LLC
- Website
- https://primecarellc.com
- Company type
- Private
- Founded year
- 2006
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- PrimeCare is a Florida-based Independent Physician Association (IPA) that connects 100+ affiliated primary care clinics with Medicare Advantage health plans through global risk contracts, administering 16 MA contracts covering 15,000+ lives across 11 Florida counties.
- Ownership category
- akta.pro rank
PrimeCare industry classification
Industry- Product category
- Independent Physician Association (IPA) Services
- NAICS
- HMO Medical Centers (621491), Offices of Physicians (except Mental Health Specialists) (621111)
- SIC
- Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- MA HMO Plans (HLAEACAA)
- akta.pro secondary industry
- MA Care Coordination & Utilization Management (UM) Programs (HLAEACAK)
Keywords
Where PrimeCare is headquartered
LocationHeadquarters
- HQ city
- Spring Hill
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
PrimeCare business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Medicare Advantage Risk Contracts: PrimeCare earns revenue through global risk contracts with Medicare Advantage health plans, managing healthcare delivery for enrolled lives and bearing financial risk for patient care costs
- Physician Network Management Fees: Administrative and management fees from affiliated PCP clinics for credentialing, compliance, claims analysis, and quality management services
Go-to-market motion1 record
Distribution channels2 records
Marketing channels3 records
PrimeCare product offering
Product offeringCore offering
PrimeCare is an Independent Physician Association (IPA) that connects affiliated primary care physicians (PCPs) with Medicare Advantage (MA) health plans through global risk contracts across Florida. It delivers nine integrated services to physicians — Claims Analysis, Compliance, Credentialing, Financial Analysis, Medicare Advantage MCO Risk-Contracting, Nurse Case Management, Quality Management, Software/EDI Support, and Utilization Management — enabling physicians to manage MA risk, regulatory compliance, and quality (HEDIS/STAR/MRA) performance.
Product overview
PrimeCare is a unified healthcare management platform offered by PrimeCare LLC, an Independent Physician Association (IPA) serving Florida physicians. The platform provides an integrated suite of nine service modules including Claims Analysis, Compliance, Credentialing, Financial Analysis, Medicare Advantage MCO Risk-Contracting, Nurse Case Management, Quality Management, Software/EDI Support, and Utilization Management. These services work together to help physicians manage Medicare Advantage risk contracts, achieve quality metrics, maintain regulatory compliance, and optimize financial performance.
Differentiator
Problem solved
Functional benefit
Products and services
- Claims Analysis Claims analysis service providing PMPM claims expense peer comparison, specialist and facility rates analysis, hospital and SNF contract reviews, and identification of overpayments and high-cost claims trends for affiliated primary care physicians and Medicare Advantage health plans.
- Compliance Compliance services helping healthcare organizations develop internal audit processes, create compliance plans, and meet state and federal regulatory requirements including RAC audit preparation.
- Credentialing Credentialing service through the CredAxis platform that streamlines medical professional profiles for insurance network participation, including Medicare/Medicaid setup, PECOS revalidation, and CAQH maintenance, reducing processing time by up to 50%.
- Financial Analysis Financial analysis services including monthly/quarterly MCO financial settlement review, HCC funding review, Medicare Risk Adjustment analysis, IBNR analysis, and assigned membership reconciliation.
- Medicare Advantage MCO Risk-Contracting Medicare Advantage managed care organization risk-contracting services offering affiliation opportunities, physician/practice evaluation, network development, and contract analysis for primary care physicians and MA health plans.
- Nurse Case Management Nurse case management services providing coverage interpretation, utilization review, discharge planning assistance, out-of-area hospitalization liaison, and pharmacy cost-savings analysis.
- Quality Management Quality management services focused on patient-centered care approaches, HEDIS measures, STAR ratings optimization, and disease management protocol development.
- Software/EDI Support Software and EDI support providing access to specialized category indicators, real-time MCO data conversion, proprietary funding/claims analysis software, EDI capabilities, and MRA software tools for funding capture.
- Utilization Management Utilization management services enabling goal-based medicine tracking, self-evaluation systems, data collection, analysis, and performance measurement for accountable care organizations and HMOs.
Quantifiable outcome
- Credentialing processing time reduced by as much as 50% via CredAxis platform
- +1 more outcomes
Companies that use PrimeCare
Customer profileNamed customers5 records
Segments2 records
Ideal customer profiles2 records
PrimeCare technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
PrimeCare partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered supporting and primary.
- CredAxissupportingCredAxis provides streamlined credentialing services that reduce processing time by up to 50%, handling Medicare/Medicaid setup, PECOS revalidation, CAQH maintenance, and NPI registry management for PrimeCare's affiliated providers.
- Freedom Health PlansprimaryMedicare Advantage health plan partner accepting patients through PrimeCare's affiliated physician network under global risk contracting arrangements.
- Optimum Health PlansprimaryMedicare Advantage health plan partner accepting patients through PrimeCare's affiliated physician network under global risk contracting arrangements.
- Wellcare Health PlansprimaryMedicare Advantage health plan partner accepting patients through PrimeCare's affiliated physician network under global risk contracting arrangements.
- Coventry Health PlansprimaryMedicare Advantage health plan partner accepting patients through PrimeCare's affiliated physician network under global risk contracting arrangements.
- Ultimate Health PlansprimaryMedicare Advantage health plan partner accepting patients through PrimeCare's affiliated physician network under global risk contracting arrangements.
Scale indicators8 records
Recent moves8 records
Expansion highlights4 records
PrimeCare competitors and assessment
Company assessmentEmerging players
- Aledade: PE-backed ACO enabler that partners with independent PCPs on risk-sharing arrangements across Medicare programs (including MA-adjacent models). Comparable PCP-enablement thesis, though ACO REACH/MSSP-centric rather than pure MA HMO.
Direct peers
- Privia Health: Public physician-enablement platform with a strong MA and value-based care franchise, organizing independent PCPs into risk-bearing networks — directly comparable in GTM and contract structure to PrimeCare.
- ChenMed: Private, family-owned MA-focused primary care group that bears risk on its senior patients through full-risk payer contracts. Comparable in Florida footprint and MA-only strategic focus.
- P3 Health Partners: Public value-based care company focused on MA risk-bearing arrangements for seniors through affiliated PCPs in multiple states, with similar global risk contracting and PCP enablement focus.
- Cano Health: MA-focused primary care and IPA operator with significant Florida presence, offering value-based care to seniors through owned and affiliated clinics. Similar membership model, though currently undergoing restructuring.
- Astrana Health: Public, California-rooted MA-focused IPA (formerly Apollo Medical Holdings / Network Medical Management) that takes global risk on MA lives delegated from PCPs. Operates the same risk-bearing IPA model as PrimeCare.
- agilon health: Public MA-focused value-based care enabler that partners with PCPs under global risk contracts with Medicare Advantage plans. Closest scaled analog to PrimeCare's IPA model, though materially larger and multi-state.
Regional players
- Better Health Group: Florida-rooted MSO/IPA that partners with independent PCPs on Medicare Advantage global risk contracts, headquartered in the same Tampa Bay / South Florida corridor. Highly comparable regional IPA.
Broad incumbents
- Oak Street Health (CVS Health): MA-focused value-based primary care platform, now owned by CVS Health. Operates a similar senior-focused, risk-bearing primary care model at national scale; relevant for capability and competitive benchmarking.
- VillageMD: Primary care platform majority-owned by Walgreens Boots Alliance that contracts with MA and ACO payers for value-based care. Comparable risk-bearing primary care model, but at much larger scale and with owned clinics.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
PrimeCare social profiles
Digital presencePrimeCare financial estimates
Financial estimateRevenue estimate
Valuation estimate
PrimeCare leadership team
Management profileNumber of profiles
Profiles12 records
PrimeCare funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
PrimeCare M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about PrimeCare
What does PrimeCare do?
PrimeCare is an Independent Physician Association (IPA) that connects affiliated primary care physicians (PCPs) with Medicare Advantage (MA) health plans through global risk contracts across Florida. It delivers nine integrated services to physicians — Claims Analysis, Compliance, Credentialing, Financial Analysis, Medicare Advantage MCO Risk-Contracting, Nurse Case Management, Quality Management, Software/EDI Support, and Utilization Management — enabling physicians to manage MA risk, regulatory compliance, and quality (HEDIS/STAR/MRA) performance.
Is PrimeCare a public or private company?
PrimeCare is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was PrimeCare founded?
PrimeCare was founded in 2006. It employs 11 to 50 people.
Where is PrimeCare based?
PrimeCare is headquartered in Spring Hill, United States, in the North America region.
How does PrimeCare make money?
Two revenue lines are on record. Medicare Advantage Risk Contracts are the primary driver. The others are physician Network Management Fees.
Who are PrimeCare's main competitors?
Aledade is listed as an emerging player. Direct peers are Privia Health, ChenMed, P3 Health Partners, Cano Health, Astrana Health and agilon health. Better Health Group is listed as a regional player. Broad incumbents are Oak Street Health (CVS Health) and VillageMD.
Does PrimeCare have an API?
No public API is recorded for PrimeCare.
What industry is PrimeCare in?
PrimeCare's product category is Independent Physician Association (IPA) Services. Its primary akta.pro industry code is HLAEACAA, MA HMO Plans, with a secondary code of HLAEACAK, MA Care Coordination & Utilization Management (UM) Programs. Its NAICS code is 621491 and its SIC code is 8000.