PrimeHealth Physicians LLC

What PrimeHealth Physicians LLC does

PrimeHealth Physicians LLC is a physician-led, privately held independent practice association headquartered in Miami, Florida, founded in May 2013 by 40 primary care physicians. The organization operates as a coordinated network of independent primary care providers — including internists, family medicine specialists, ARNPs, and physician assistants — delivering care across 12+ practice locations throughout Miami-Dade County. Its central mission is to preserve physician independence while enabling participating practices to succeed under value-based care models, including MACRA/MIPS and commercial health plan contracts.

The organization delivers a coordinated care model that transitions primary care from episodic visits to continuous, proactive patient engagement. Its technology stack is built around Electronic Medical Records (EMR) systems integrated with real-time clinical data feeds, claims-based quality tracking modules that monitor adherence to quality benchmarks, and population health management tooling. Patient engagement is supported via the Healow patient portal for appointment management, test results, prescription refills, and secure messaging. Centralized services include credentialing, revenue cycle management, human resources, practice performance analysis, and coding and documentation functions, all housed at the headquarters at 14680 SW 8th Street, Miami.

PrimeHealth's revenue model combines fee-for-service reimbursements from commercial health plans with value-based care contracts that reward quality benchmark performance and shared savings. Additional revenue streams include MACRA/MIPS incentive payments and reimbursable codes for Chronic Care Management, Transition of Care, and End-of-Life Management. In October 2018, the company formed a strategic partnership with Genuine Health Group to create one of the largest value-based providers in South Florida. The organization is governed by a Board of Managing Members comprising physicians and executive leadership (currently Dr. Martin Santiago as CEO, Noris Reyes as COO, and Nancy Brown as CFO), with no disclosed external private equity or venture capital ownership.

Name

PrimeHealth Physicians LLC

Legal name

PrimeHealth Physicians, LLC

Website

https://phpmds.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

101–250 employees

Short description

PrimeHealth Physicians LLC is a physician-led independent primary care network in Miami-Dade County, founded in 2013 to help independent physicians succeed under value-based care through coordinated care delivery, centralized administrative services, and MACRA/MIPS-aligned quality benchmarking.

Ownership category

akta.pro rank

Product category

Primary Care Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Value-Based Primary Care Organizations (Risk-Bearing) (HLAFAGAF)

Keywords

• Primary care services
• Value-based care
• Physician-led medical group
• Coordinated healthcare
• Preventive medicine

Headquarters

HQ city

Flushing

HQ country

United States

HQ region

North America

Offices12 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Healthcare Services Reimbursement: Fee-for-service reimbursements from health plans for patient visits and medical services rendered. Revenue cycle operations managed centrally for member practices.
2. Value-Based Care Contracts: Value-based contracts with commercial health plans focused on achieving quality benchmarks, cost-effective services, and shared savings. These arrangements reward outcomes over volume.
3. Quality Incentive Payments: Bonuses and incentive payments under MACRA/MIPS framework for meeting performance benchmarks. Additional reimbursable codes including Chronic Care Management, Transition of Care, and End-of-Life Management services.

Go-to-market motion2 records

Distribution channels1 record

Marketing channels1 record

Core offering

PrimeHealth Physicians LLC is a physician-led medical group that provides coordinated primary care to patients in Miami-Dade County, Florida. The organization delivers adult primary care, women's health, preventive care, and chronic disease management services, supported by value-based care contracts with health plans and a partnership with Genuine Health Group for performance analytics and population health support.

Product overview

PrimeHealth Physicians, LLC is a physician-led medical group network that operates as a multi-provider primary care practice rather than a traditional SaaS product. The core offering is a coordinated care model that transforms primary care delivery from episodic visits to continuous, proactive patient engagement. The organization provides business support services (credentialing, practice management, revenue cycle, HR, transformation consulting) and clinical support modules (EMR implementation, quality benchmark tracking via PQRS/Meaningful Use/MIPS, and claims-based analytics) to affiliated independent providers across South Florida. A Healow patient portal enables patient-facing engagement including appointment management, test results, and secure messaging.

Differentiator

Problem solved

Functional benefit

Products and services

• Adult Primary Care
• Women's Health Services Women's health services provided as part of the medical group's coordinated primary care offering to adult female patients in Miami-Dade County.
• Preventive Care and Chronic Disease Management Preventive care and chronic disease management services delivered through the medical group's coordinated care model, supporting value-based care contracts with health plans.

Quantifiable outcome

• Reduced hospital admissions, emergency room visits, and overall healthcare costs through value-based care partnerships
• +1 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Seven partnerships are on record, tiered flagship, core and minor.

• Genuine Health GroupflagshipStrategic or Co-development Partner · 1 October 2018In October 2018, PrimeHealth Physicians and Genuine Health Group joined forces to create one of the largest value-based providers in South Florida. This strategic partnership combined PrimeHealth's physician network with Genuine Health Group's infrastructure to expand value-based care delivery across the region.
• Accountable Care Organizations (ACOs)coreStrategic or Co-development PartnerPartnership with Accountable Care Organizations to align on quality and cost goals, enabling coordinated care delivery and shared savings opportunities under value-based arrangements.
• Commercial Health PlanscoreStrategic or Co-development PartnerPartnerships with commercial health plans to implement coordinated and collaborative care delivery models, creating value-based contracts focused on achieving quality benchmarks and offering cost-effective services.
• HospitalscoreStrategic or Co-development PartnerCollaboration with hospitals to enhance discharge planning and care coordination, reducing hospital readmissions and improving patient outcomes through better care transitions.
• Diagnostic CenterscoreStrategic or Co-development PartnerPartnership with diagnostic centers to ensure timely and accessible diagnostic services for patients, supporting comprehensive care delivery and patient convenience.
• PharmaciesminorStrategic or Co-development PartnerWorking with pharmacies to improve medication adherence among patient populations, supporting chronic care management and patient health outcomes.
• IT VendorscoreTechnology or IntegrationIntegration with IT vendors to deliver actionable, real-time clinical data to providers, enabling informed clinical decision-making and performance tracking against quality benchmarks.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Cano Health: Cano Health is a Florida-headquartered value-based primary care provider serving seniors through a network of owned and affiliated clinics. Operates an almost identical playbook to PrimeHealth — risk-bearing contracts, care coordination for chronic disease, and PCP recruitment — making it the closest geographic peer.
• Privia Health: Privia Health provides practice management, MSO infrastructure, and value-based contracting for independent physician practices — overlapping heavily with PrimeHealth's centralized business support services and ACO partnership model.
• ChenMed: ChenMed is a physician-led, value-based primary care group focused on Medicare-eligible seniors — the same risk-bearing model and patient population PrimeHealth targets. Both operate coordinated-care clinics with centralized administrative support and outcome-based payer contracts.
• Agilon Health: Agilon Health partners with independent PCPs to take on full risk for Medicare Advantage populations, sharing savings under value-based contracts. Operates a closely related physician-enablement model in Florida and other states.
• Oak Street Health: Oak Street Health (acquired by CVS Health) operates value-based primary care clinics for Medicare beneficiaries with a heavy emphasis on care coordination, quality benchmarks, and risk-adjusted revenue — the same value-based economics PrimeHealth's contracts depend on.
• P3 Health Partners: P3 Health Partners operates value-based primary care clinics for senior populations, taking global risk on Medicare Advantage lives. Shares PrimeHealth's patient demographic, risk-bearing contracts, and Florida market exposure.

Emerging players

• Aledade: Aledade partners with independent primary care physicians to form ACOs under MSSP and risk-bearing arrangements. Comparable to PrimeHealth's ACO partnerships and quality benchmark focus, though Aledade operates at a national scale with more developed proprietary analytics.

Broad incumbents

• One Medical (Amazon): One Medical (owned by Amazon) is a membership-based primary care platform emphasizing coordinated, tech-enabled care. Represents a broader, better-capitalized incumbent that competes for the same value-conscious patient base and PCP talent as PrimeHealth.
• Carelon Health: Carelon Health (formerly CareMore/Aspire) is an Elevance Health-owned value-based primary care provider focused on complex, polychronic Medicare patients. Comparable risk-bearing care model and population focus, operating at enterprise scale across multiple states.

Others

• Genuine Health Group: Genuine Health Group is PrimeHealth's 2018 strategic partner and an MSO/IPA that provides value-based contracting infrastructure to physician networks. Included as a strategic ecosystem partner rather than a direct competitor given their mutual collaboration.

Market position

Strengths1 record

Weaknesses1 record

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/doral-healthcare-inc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PrimeHealth Physicians LLC