Leland for independent primary care.
For independent primary care

Your sickest patients, looked after between visits.

Leland gives your high-risk Medicare patients a navigator who stays with them, handling referrals, meds, and rides between visits. You stay their doctor. Medicare pays your practice for it. No new hire.

For independent physician practices.

An older patient smiling during a phone call at home
What it's worth

New Medicare revenue, no new hire.

It's the between-visit care that mostly slips through the cracks today. Our navigators make it routine, and now you can bill for it. Drag to your panel.

$270,000
Estimated new Medicare revenue a year
~90 high-risk patients a year

An estimate. About half your Medicare patients qualify, roughly 25% enroll.

New in 2024 Medicare PIN G0023 G0024

Medicare's Principal Illness Navigation benefit is new as of 2024. It pays your practice for the non-clinical navigation your seriously ill patients need, under codes G0023 and G0024. Most practices aren't billing it yet.

Not a call center. One person who knows your patient. That they don't drive anymore, who their daughter is, why this visit matters.

What independent PCPs told us they wanted

The work you already do

You're holding your patients' care together. Some of it still slips.

It falls on you and your front desk, off the clock. A named navigator carries it, so patients don't slip.

"My daughter lives in North Carolina."
So nobody brings Mrs. Jones to cardiology.
The referral that never closed
and no one circled back.
A refill, then silence
no follow-up, no reason to come back.
How it works

Three steps. Two are ours.

You start it
We run it
You sign off
01

You start it

At a visit you're already having, you tell the patient extra help is coming.

Your step~1 sentence from you
02

We run it

We capture consent, enroll, and a navigator supports the patient between visits. If they call about the service, we take it.

LelandA dedicated navigator
03

You sign off

Once a month, you approve one batch of claims. About 10 to 15 minutes. Your staff touches none of it.

You approve10 to 15 min a month

You stay the physician and billing provider. Navigators coordinate only; you approve every claim.

A primary care doctor talking with a patient in a bright exam room
Why practices say yes

The relationship stays yours

You stay the doctor and the billing provider. The patient and your records stay yours.

They come back

Patients refill and vanish. A navigator gets them a ride, an appointment, and back through your door.

Stay independent

A Medicare-covered service you can offer, no new hire. One more reason not to sell to the hospital.

Compliant by design

A record built to hold up.

You're the clinical gate

You decide who qualifies. Nothing is billed without your approval.

Never the outlier

We bill only when the time is logged, never to hit a threshold. Never above your peers.

Your data stays put

We sign a BAA. PHI never leaves your systems. Notes are non-clinical only.

Sample monthly record

One page per patient

PatientMargaret R. sample patient
EligibilityCHF confirmed by you
Cardiology referral & follow-up18 min
Arranged transport to visit12 min
Medication reconciliation20 min
Caregiver check-in14 min
Total logged64 min over the 60-min threshold
ConsentOn file

Sample · not real patient data.

You own the claim. We own the documentation, and never bill a month without the minutes. Built on Medicare's Principal Illness Navigation benefit.

Medicare PINHCPCS G0023G0024

Questions practices ask.

I already run CCM. Can I do both?
Yes, and they're different. CCM is a clinical service: your clinical staff managing chronic conditions against a care plan. Leland is non-clinical navigation: the referrals, rides, and resource-finding for a patient with one serious illness, handled by a non-clinical navigator who gives no medical advice. Many practices run both.
Will my patients owe anything?
We quote every patient their exact cost before enrolling, so it never lands on your front desk. Many are dual-eligible or have a supplement and owe little or nothing; the rest pay standard Medicare coinsurance, quoted up front.
How much work is this for me?
One sentence at the first qualifying visit, one batch approval a month. A solo Medicare-heavy panel runs 15 to 30 patients; a 3-doc panel, 30 to 60. Front-desk questions go to your named navigator, not you.
What does setup take?
A 30 to 45 minute kickoff, a signed BAA, and adding our navigators as EHR users scoped to navigation notes only (your IT signs off). We handle setup and training; your staff builds nothing. About a week to your first enrolled patient.
What happens if I leave?
Month-to-month to start, no exclusivity, and your documentation lives in your EHR and stays yours. We'll be clear on terms before you sign anything.
I'm in an ACO or MSSP. Does this conflict?
No. PIN is billed fee-for-service alongside your shared-savings work. Documentation lives in your EHR, so your ACO keeps visibility, and nothing changes attribution or methodology.
Let's talk

See if it fits your panel.

On the call we look at which of your patients this would reach, show you a sample patient record, and walk through how it runs in your practice and what it adds.

Built by people who've run care-management programs for Medicare populations. You'll talk to a named human, not a queue. Prefer email? hello@lelandcare.com.

Talk to us

No deck, no obligation. We work only with independent, physician-owned practices.

Thanks, we'll be in touch.

We'll run your panel's numbers and reach out to set up a short call.