home visit in medical

House Calls – We Bring the Doctor’s Office to the Patient

At Mobile Physician Services, we provide comprehensive care to improve the health and quality of life of our patients – in the convenience and comfort of their own home. Our team of board-certified doctors, advance nurse practitioners, and physician assistants specialize in providing care for patients with medically complex and chronic conditions.

Our Services

We accept Medicare, many insurance plans, and self-pay.

To find out more about our services:

Call Toll-free: (855) 232-0644

E-mail us at [email protected]

Primary Care

Pain management, palliative care.

At Mobile Physician Services, our customized care teams provide patients with both comfort and familiarity as they work with a dedicated primary care provider and care coordinator to improve their health. Our physicians and staff take a proactive approach to preventive care, chronic disease management, and chronic illness support right where you live.

Each home visit includes an in-depth examination and individualized treatment plan, which is monitored and adjusted through routine follow-up visits. The primary care provider will deliver your ongoing care and will recommend to you specialty services as needed.

• Annual Wellness visits : This wellness visit allows your primary care provider to create or update your personalized prevention plan. This visit includes a review of your medical and social history related to your health and may include counseling about preventive services. This plan may help you to prevent or reduce the chances of future illness based on your current health and risk factors.
• New Illness Exams : When a new symptom or ailment arises, call us. Early indications of not feeling well could be a clue that you may be getting sick. A symptom in one part of the body may also be a sign of a problem in another part of the body. Moreover, unrelated symptoms that might seem minor on their own, could be warning signs of a more serious medical disease or condition. The new illness exam can be very brief or more detailed depending on your concerns and the provider’s findings.
• Follow-up Care: Involves a regular medical checkup, which may include a physical exam and laboratory testing. Follow-up care checks are a proactive way of assessing the potential for and preventing health problems from returning after treatment of a disease has ended or an illness has seemingly passed.
• Referral for Specialty Care : Referrals are the link between primary and specialty care. The referral coordination includes the documentation of patient care activities, the transfer of information, the inter-provider communication itself, and the integration of care services to the patient. Mobile Physician Services is a multi-specialty practice so many of these specialty referral services can be made seamlessly with little inconvenience or disruption to the patient and caregivers regular routines.
• Medication Management: Medication management is a treatment structure that ensures our patients are receiving optimal therapeutic results from their prescription medications, both in the short and long term. Our team’s goal is to mitigate medication noncompliance and monitor all prescriptions treatments so that drug interactions complement one another for the most optimal outcome for our patients.

The provider may be a physician, advanced practice nurse or a physician assistant. A dedicated care coordinator will also be assigned for each patient to help arrange comprehensive services and assist patients and their caregivers.

• Online Patient Portal: You and your designated caregiver, if you choose, will be able to connect with your provider through a convenient, safe and secure environment which allows access to your health records and a way to communicate with our staff in a timely manner.
• Telephone Assistance : On call providers are available 24/7 weekdays and weekends.

Our psychiatry team specializes in the diagnosis and management of mental, emotional and behavioral disorders. They carefully evaluate each patient to develop an individualized treatment plan to improve the patient’s overall mental and physical well-being.

• Depression : Depression is a common and often serious medical illness that negatively affects how you may feel, the way you may think, and how you may act. Depression can cause feelings of sadness, despair and hopelessness, which may lead to a loss of interest in activities you once enjoyed.
• Anxiety : Intense, excessive, and persistent worry and fear about everyday common situations. The worry or anxiety could make you feel fatigued, irritable, and interfere with your regular sleep habits.
• Dementia : An overall term that is used to describes a collection of symptoms related to an individual’s decline in memory or other thinking skills. It may be severe enough to diminish a person’s ability to perform everyday common activities. The effects of dementia can negatively influence your memory, thinking and social abilities.
• Phobias : A phobia is when you experience excessive panicking or an irrational fear reaction to a situation. If you have a phobia, you may experience a deep sense of dread or fright when you encounter the source of your fear. The fear may be a certain place, situation, object, animal or even another person.
• Behavioral disorders : Attention deficit, hyperactivity, bipolar, learning, defiant or conduct disorders are all examples of complaints that may have a detrimental impact on a person’s interpersonal relationships with family, friends, and co-workers.

Our team can provide behavioral counselling and medical therapy, when appropriate, to help a patient feel better about themselves and to assist them with better coping and managing their condition.

Our wound care specialists have been trained in the attention and treatment of all types of acute and chronic wounds. They have skill and experience in wound debridement and wound care procedures – managing chronic, non-healing wounds and infections, with a demonstrated care that fosters healing… right in the patient’s own home.

We specialize in serving homebound patients who may also be bed-bound or have difficulty in walking or moving around. As a result, immobility compression sores develop at pressure points on the body when the weight of an immobilized individual rests continuously on a firm surface, such as a mattress or wheel chair. Often these same patients are on oxygen or have high-risk medical conditions which makes it an even more challenging and stressful effort for them to travel to a doctor’s office for an appointment. Thus, the necessity for in home care and treatment.

Wounds that benefit from specialized wound care techniques include:

• Diabetic foot wounds and ulcers
• Post-surgical wounds
• Traumatic wounds caused by injury
• Arterial and vein stasis caused by lack of circulation
• Immobility pressure sores. (Bed sores from stillness)

We work closely with home health agencies to provide ongoing care and monitoring of patient’s wounds.

Our board-certified podiatrists treat foot pain, wounds, and more. Treatments may include but are not limited to treating conditions of the lower extremities which could hinder mobility.

• We will review each patients’ medical history to evaluate the condition of the feet, ankle or lower leg
• Carry out a diagnosis on the feet and lower legs through examination and medical tests
• Order physical therapy when deemed necessary
• Treat wounds of the lower extremities using various wound care modalities. This may include debridement to improve the healing potential
• Promote prevention, health & well being, the treatment and management of the foot and related problems, disability, deformity, and the pedal complications of chronic diseases for the elderly
• Prescribe and fit prosthetic appliances such as diabetic shoe inserts and evaluate for bracing if necessary
• Refer patients to other specialists for treatment, including conditions such as diabetes or arthritis
• Advise patients on ways to prevent future leg problems and increase speed of recovery
• Monitor the recovery progress of patients to determine the need for change in treatment

We know it’s not always easy to leave home to get the care you need for your eyes. Our optometrists bring state-of-the-art diagnostic eye equipment and technology to your home – making it much easier for you to get the vision care you need.

During a visit, your doctor will exam each eye for signs of serious issues such as glaucoma, cataracts, macular degeneration, and detached retinas, among other conditions.

Receiving regular eye exams regardless of the state of your vision can help detect serious eye problems at their earliest stages ─ when they are most treatable. During an eye exam, your doctor will observe and evaluate the health and condition of the blood vessels in your retina, which can be good indicators of the health of your blood vessels throughout the rest of your body.

• Comprehensive eye exams : This exam goes beyond a simple vision screening. A comprehensive eye exam includes a host of tests in order to do a complete evaluation of the health of your eyes and your vision.
• Annual retina exams : A retinal exam allows your doctor to evaluate the back of your eye, including the retina, the optic disk and the underlying layer of blood vessels that supply the retina.
• Eyeglass fittings : A prescription works best when your eyeglasses are properly fitted. Improper fitting may cause pinching, distorted vision, headaches, and even dizziness. Our doctors will make sure your prescription lenses and frames are working together for you.
• Diabetic eye exams : Diabetes does not have to lead to vision loss. Taking an active role in managing your diabetes can go a long way in curbing later complications. Regular eye exams, good management of your blood sugar and blood pressure, along with early intervention for vision problems can help prevent vision loss caused by diabetic retinopathy. Retinopathy is caused by damage to the blood vessels of the light-sensitive tissue at the back of your eye.
• Refractions: This test is given as part of your routine eye examination. It is often referred to as a vision test. This test assists your eye doctor in measuring you for the exact lens prescription you will need.
• Eye injuries: Eye trauma could be the result of a sudden blow to the eye. It may cause the eye to suddenly compress and retract which could cause damage to your eye and the surrounding tissue. Even if the injury may seem minor, all eye injuries should be furthered examined by a doctor for possible more serious and underlying injuries.
• Eye infections: The most common eye infection is conjunctivitis, also known as pink-eye. An eye infection can happen in almost any part of your eye, including your eye lid, cornea and optic nerve. Symptoms of eye infections may include redness, itching, swelling, discharge, pain, or problems with vision. Always consult with your doctor before treating, as recommended actions are contingent on the cause of the infection.
• Low-vision exams: A low vision exam is different from a normal eye exam. This functional-vision assessment determines how specific visual impairments affects your ability to perform everyday activities. The exam’s results assist your doctor in prescribing management tools and medications to better enhance and manage your remaining vision.

Pain management is the process of providing medical care that alleviates or reduces pain. Pain management is a subspecialty of general medicine employing an interdisciplinary approach to ease the suffering and improve the quality of life of those living with chronic pain by using a combination of pain medications, joint and muscles injections, and physical therapy techniques.

A pain management specialist is a provider with advanced training in diagnosing and treating pain. Our pain management specialists treat pain stemming from a variety of different causes, whether it’s neuropathic pain or headache, or the result of injury, a surgical procedure, cancer or another illness.

Palliative care is an approach to the holistic care of patients, including family and caregivers, to improve the quality of their lives after the diagnosis of a chronic debilitating disease or life-limiting illness that may cause a host of complaints.

Palliative care can begin at diagnosis and continue to be offered while the patient is continuing active treatment through different phases of their life limiting condition. Palliative care is for any patient with a chronic illness who is experiencing a decreased quality of life because of symptoms related to their illness or treatment, like renal dialysis, oxygen therapy or chemotherapy. The care is provided by a specially-trained team of doctors, nurse practitioners, physician assistants, and other specialists who work together to provide an extra layer of support to the patient and their caregivers.

Palliative care can help in symptom control including not only pain, but nausea, weakness, shortness of breath, fatigue and weight loss at any time during their diseases, not only at the end of life.

Mobile Physician Services, Inc. Corporate Headquarters 6804 Cecelia Drive New Port Richey, FL 34653

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HouseCalls is check-in care that comes to you

Did you know you can set up a yearly preventive care visit at home.

UnitedHealthcare® HouseCalls — our yearly in-home health and wellness service — is a health plan feature for Medicare and Medicaid members, offered at no additional cost to you. It’s a way to help our members stay on top of their health between regular doctor visits.

Why is a HouseCalls visit a good idea?

Benjamin Franklin said it best, “An ounce of prevention is worth a pound of cure.” We agree. The goal of our preventive care visits is to help you maintain your independence and continue doing what you love long into the future. We know there’s no way to prevent all health emergencies and accidents, but we believe that by taking care of yourself, you may be able to improve your odds of avoiding them. That’s where HouseCalls comes in. 

UnitedHealthcare® HouseCalls

Video transcript.

These days, you can have just about anything delivered to your door.

How about a home delivery of good health and wellness? It comes from UnitedHealthcare and is called HouseCalls.

HouseCalls is a yearly health and wellness visit that happens in the privacy of your very own home. No driving to an appointment. No sitting in a waiting room.

Here’s how it works.

Our HouseCalls team finds a time that’s convenient for you and schedules the visit. A health care practitioner, a physician’s assistant, medical doctor or nurse practitioner, comes to you at the scheduled time. The clinician completes a health evaluation, including a physical exam and other important screenings, then YOU decide what happens next.

You can discuss questions to ask your doctor at your next appointment, review instructions from your last doctor’s appointment or chat about other health concerns you haven’t had a chance to talk to your doctor about. Whatever you need.

The visit takes about 45-minutes to an hour – plenty of time to answer your important health questions.

Your practitioner will even send a summary of your HouseCalls visit to your doctor.

And unlike those other home deliveries – there’s no additional cost for a HouseCalls visit, it’s a feature of your medical plan. If you’re in good health or you already see your doctor regularly – you might not think HouseCalls is for you, but it is. Think of it as an extra layer of care – valuable one-on-one time you don’t always get in the doctor’s office.

So, when you get a phone call from our HouseCalls team – take advantage of this great program and schedule your HouseCalls visit. Or just call us and make an appointment!

It’s Easy. It’s Convenient. It’s UnitedHealthcare HouseCalls. 

What to expect during a HouseCalls visit

During a HouseCalls visit, you’ll meet with the same types of professionals you’d see in a doctor’s office — a licensed physician or nurse practitioner. They’ll answer your health-related questions, perform a physical exam and offer a health screening in the comfort of your own home. If you choose, your family members, loved ones or caregivers are welcome to sit in on this visit and ask additional questions. A typical visit will range from 45 minutes to a full hour.

The results of your exam and screening will be forwarded to your primary care provider (PCP) and you’ll receive a summary of your visit in the mail. 

During your visit, here are some typical topics you'll cover

• An overview of your medical history and prescription medications
• Conversations about overall well-being, like how to help you stay active, sleep well and manage stress
• Tips on to help you avoid trip hazards in your home
• Community resources and support

Open the door to the convenience of a medical visit in your home

Meet with licensed medical staff on your schedule, in the convenience of your home. Once they arrive, talk about health concerns at your pace (the visits are focused on you and you alone). Use the results to help coordinate care with your doctor. 

• Be prepared to provide a urine sample during your visit—drink fluids in advance
• Wear shoes or slippers that are easy to remove (your feet will be checked)
• Know where to find medication bottles so they are ready to review 
• If applicable, have blood pressure readings available for review
• If you have diabetes, please provide blood sugar test results, as well as your blood glucose meter 

Remember, at the end of your visit, you’ll receive a personalized checklist of topics to discuss with your doctor at your next appointment. Plus, you and your doctor will receive a mailed summary of your visit.

Want more good news?

HouseCalls is included at no extra cost in most Medicare and Medicaid members as part of your health plan. 1  Schedule at a convenient time and we’ll come to you. 

Call to request a visit 1-866-799-5895 , TTY 711 , Monday – Friday 8 a.m. – 8:30 p.m. ET

For medical emergencies, call 911. 

Related Content

From simple to complex, we’ll help answer your Medicare questions. Learn more about Medicare

Explore Medicare Advantage Plans from UnitedHealthcare in your area. Shop for a Medicare plan

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10 Important Things to Know About In-home Medical Visits

Learn what you can expect from in-home medical care.

If you have ever been curious about in-home medical care for yourself or a loved one, learn what you can expect.

• Your doctor or other provider comes to you, in your home. You don’t have to drive to the doctor’s office or sit in a waiting room. Instead, your provider visits you in the comfort of your home at a scheduled time.
• Your house call doctor can do lab work in your home. Urinalysis, blood draws and even x-rays can be done in your home.
• Landmark takes steps to help ensure your doctor is well before visiting you. During the pandemic, all Landmark providers wear personal protection equipment and are regularly monitored for symptoms.
• Your Landmark provider will spend ample time with you. Landmark’s in-home providers spend 45 – 60 minutes with you at each visit. This time allows you to address multiple concerns and ask any questions you may have.
• Landmark doctors can talk to your caregivers or family too, if you like. By having a doctor who comes to your home, your caregivers can easily speak with him or her, and ask questions.
• Your Landmark medical team is available to you 24/7. If you are sick, you can avoid visits to the emergency room or urgent care clinic. Landmark has nurses available to talk to you by phone 24/7. If needed, an on-call provider can visit you at home on an urgent basis, helping you to avoid urgent care and emergency room visits.
• Your Landmark provider can refer you to specialists. If you have a medical need best addressed by a specialist, Landmark can refer you to local specialists for your conditions.
• Support staff is available to you. Your nurse care manager can answer your questions by phone, help you schedule appointments, or address medical concerns. Beyond the nurse care manager, you can access additional support through Landmark’s social workers, pharmacists, dietitians, behavioral health specialists and others.
• Landmark in-home visits are generally no-cost or at standard visit copay. Depending upon your health plan, in-home visits by your Landmark doctor may be provided at no cost to you, or at a standard doctor visit copay.
• Landmark addresses your needs as a whole person. With Landmark, your provider can help address more than your medical needs. Your provider will help make sure you have the resources you need to address issues such as food insecurity, loneliness, and mental health concerns.

Landmark’s in-home medical care is designed around understanding your health needs and goals. We serve patients living with chronic conditions, and are available to you depending on where you live, your health history, and your current health plan. For eligible patients, Landmark is available 24/7 and works with you and your regular doctors to help you stay well and stay home.

View our Locations pages to see if Landmark is in your community.

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The information provided herein is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition.

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By: Neltada Charlemagne, DNP, APRN, PMHNP-BC, PHN, BHC

Outsmart Unplanned Medical Costs: 10 Steps for Managing the Unexpected

Older adults can safeguard themselves from the physical, mental and emotional toll of unexpected medical costs.

Optum Care Network – Monarch and Landmark Health bring care to you at home.

Optum Care Network – Monarch has teamed up with Landmark to deliver in-home medical care to members with multiple chronic conditions.

Home Visit Medical

A doctor at your doorstep.

We believe in personalized medicine, that enables you to age in place and thrive despite chronic conditions. Home Visit Medical brings doctors directly to your home or place of residence, and continues to help you manage your care between doctor visits, so you can enjoy your Golden Years with health and vitality.

Founded by Michael R. O’Brien, MD, a Yale-trained General Internist, former Senior Medical Director of Clinical Innovation and Home Visiting Complex Care programs at multiple publicly traded health plans, we fundamentally believe there is a better way to get the highest quality medical care.

By bringing a doctor to your doorstep, Home Visit Medical, works to ensure you or your loved one can stay safely in their home or residence for as long as possible, thriving and enjoying life.

We believe everyone deserves to live out their lives where ever they choice even when getting older and living with chronic medical conditions. By combining Medicare covered services , including house calls, chronic care management, and remote patient monitoring, we ensure you or your loved one can continue thrive at home or their assisted living residence, avoiding the hospital unless it is completely necessary.

Our services

Physician House Calls

Chronic Care Management

Transitions of Care

Advanced Care Planning

What people are saying.

“As my doctor, Dr. O’Brien was the first person ever to diagnose me with asthma which relieved years of semiannual ‘bronchitis’. The structure of his practice was unlike any I had ever seen”

— Michael S.

“Old fashioned house calls for the modern age!”

Join the wait-list

Enter your email to learn when we will open physician home visits in your region

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Regions We Cover

Opening throughout Montgomery and Chester County, PA in early 2024.

Call or join our waiting list today! Learn when we open home visits in your region!

21 Gay St, Suite 901, Phoenixville, PA 19460

(610) 871-7522

[email protected]

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House Call Doctor Visits Make Life Easier for Seniors and Caregivers

Important: This is an informational article to explain how house call doctor visits can benefit seniors. DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations. We aren’t qualified to respond to any medical questions.

House call doctor visits benefit older adults and caregivers

Getting your older adult to the doctor’s office for an appointment can be difficult or sometimes impossible.

Whether they’re frail, can’t walk on their own, or have Alzheimer’s or dementia , getting out of the house is hard on both of you. Going to a doctor’s office can also expose seniors to germs or harsh weather.

We explain what a house call doctor is, what type of insurance they accept, how to find one, and what to look for in terms of services.

What is a house call doctor?

Today, many doctors are bringing back the old practice of visiting patients in their homes. With house calls, older adults don’t have to go through the stress and difficulty of getting to the doctor’s office. And neither do you.

Another bonus is that these doctors usually spend more time with patients. You won’t have to fit all your questions into a 15 minute visit.

Do they accept Medicare?

Yes, many house call doctors accept Medicare , private insurance, and sometimes Medicaid . It usually costs the same as a regular office visit.

But every house call doctor is different, so make sure you understand their fees and accepted insurance plans before making an appointment.

How to find a house call doctor

Some large health care systems like Kaiser Permanente or the VA have programs that include home visits by doctors and nurses. For example, Kaiser’s home-based palliative care program includes house calls.

Even your older adult isn’t part of a large health network, it’s worthwhile to ask your older adult’s doctor if they have home doctor visit programs.

The American Academy of Home Care Medicine’s provider directory is another way to locate a house call doctor in your area.

You can also use Google to search for “house call doctor” + your city or county or “home doctor visit” + your city or county (don’t include the quotation marks).

What to look for in a house call doctor

Before booking an appointment, make sure you understand the doctor’s services, fees, and billing.

Questions to ask:

• Do you specialize in treating seniors, people with Alzheimer’s or dementia , or those with  multiple chronic conditions ?
• Do you accept Medicare , Medicaid , or my older adult’s private insurance plan?
• If we want, can we also keep my older adult’s primary care doctor?
• Will you communicate with my older adult’s existing doctors and specialists so their care is coordinated?

Examples of house call doctor private practices

We want to be clear that we’re not recommending any specific home doctor services or companies and aren’t affiliated with any of these businesses. These are examples to give you an idea of what a house call doctor looks like and the type of services that are typically offered.

Examples of what a house call doctor looks like:

• Visiting Physicians Association (VPA)
• Bay Area House Call Physicians
• Kindred House Calls

Recommended for you:

• 4 Expert Tips for Managing Multiple Chronic Health Conditions in Seniors

7 Tips for Helping Seniors at the Doctor: Being a Health Advocate

• Should Seniors See a Geriatrician?

By DailyCaring Editorial Team Image: Now It Counts

This article wasn’t sponsored and doesn’t contain affiliate links. For more information, see How We Make Money .

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Related Articles

4 Common Eye Diseases That Cause Blindness in Aging Eyes

Improve Seniors’ Doctor Visits with 3 Communication Tips

Why Seniors Need a Health Advocate: 7 Health Benefits

18 comments, tony carrancho.

My parent s lives in [redacted for privacy]. How do i get started locating a house call doctor. I am pretty sure there insurance covers this. Thank you. TONY

DailyCaring

We hope the tips and suggestions in the article above will help you find a house call doctor in your parents’ local area.

Susan Quercio

My 95 year old father has a deep cough and he is disoriented. Temp 99 degrees.

Please contact your father’s doctor immediately or the local hospital to find out how to safely get him examined by a doctor (to reduce risk of exposure to Covid-19).

DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations.

Ruby m VanNostern

I live in [redacted for privacy] and need a doctor visit in home.

This article includes suggestions for how you can find house call doctor services in your area. At DailyCaring, we aren’t doctors and don’t provide any medical services. We hope you’re able to find a great house call doctor in your area.

Stewart Goldman

need Doctor for a home visit Andrews N.C.

Joseph Artusa

I need a doctor

Linda Williams

I was released from the hospital on Thursday after 5 days.I am not able to go to Dr office but most definitely need to be checked.Still having breaking problems and am very week.I have severe asthma and blood pressure was running very high from so much steroids.Could I possibly get help.Thanks so much.

I’m so sorry to hear that you’re not feeling well. Since you’re noticing some issues with your recovery, it’s essential to call your primary doctor immediately. Since they’re the ones who have been treating you and are familiar with your recent hospitalization, they’re the best people to advise you on what you need. If you need help getting to your doctor’s office, you may want to contact your local Area Agency on Aging or a ride sharing service. Or, use the tips in this article to search for a doctor in your area who makes house calls.

Here are some articles that may be helpful: — 8 Ridesharing Services for Seniors https://dailycaring.com/8-ridesharing-services-for-seniors/ — 6 Affordable Senior Transportation Options https://dailycaring.com/6-affordable-senior-transportation-options/ — Local Community Resources for Seniors and Caregivers: Area Agency on Aging (to connect you with local organizations that may be able to help) https://dailycaring.com/local-community-resources-for-seniors-and-caregivers-area-agency-on-aging/ — 4 Ways to Know If Seniors Need to Return to the Hospital https://dailycaring.com/4-ways-to-know-if-seniors-need-to-return-to-the-hospital/

(DailyCaring doesn’t provide any services and isn’t affiliated with any medical providers.)

What areas do you service?

This article explains that house call doctor services are available and could help senior and caregivers. We also share suggestions for finding one in your area, but we do not provide any services ourselves. I hope you’re able to find a great local house call doctor!

What areas do you service

This article includes suggestions for finding house call doctor services in your area. We at DailyCaring aren’t doctors and don’t provide any medical services. I hope you’re able to find a great house call doctor in your area.

need a home care doctor

I hope the information above helps you find a great home care doctor in your area.

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House Call Program - MedStar Total Elder Care

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Promoting the health and dignity of frail elders

Many elders struggle with disability and severe chronic illness and have difficulty getting to the doctor’s office. As a result, their health may suffer and lead to unnecessary ER visits, hospitalization, or nursing home care. In 1999, recognizing the needs of such elders and their families, we created the MedStar House Call program - MedStar Total Elder Care to provide full medical and social services that help elders remain in their homes with dignity. These teams now serve both Washington, D.C., and Baltimore, MD.

The MedStar House Call Program - MedStar Total Elder Care is nationally recognized for the quality and outcomes of our care. We serve patients at home with a team of geriatricians, nurse practitioners (NPs), social workers, office nurses, and coordinators. We make routine and urgent house calls (in-person or via telehealth with video or audio-only phone visits). Our medical staff is also available by phone 24/7 for urgent issues. We provide access to state-of-the-art hospital and specialty care. Additionally, our physician team follows our patients if and when they are admitted to the MedStar Washington Hospital Center.

The House Call program serves our neighbors in Washington, D.C., and Baltimore.

Medstar house call program .

(operating under MedStar Total Elder Care, LLC) 

Our program services

Medical house calls and primary care by doctors and nurse practitioners with expertise in the care of older adults

Counseling and caregiver support by social workers and team staff

We offer tests and treatments at-home, and at the hospital as needed

Home delivery of most medications and equipment

Coordination of specialist care at MedStar Washington or MedStar Good Samaritan

Coordination of home nursing, rehab therapy, and hospice

Coordination of support services such as home aides and legal assistance

On-call physicians: 24 hours a day, 7 days a week (by phone)

Mobile electronic health record (EHR)

D.C. Neighborhood only – Case management for Medicaid Elderly Persons with Disabilities (EPD) Waiver

Hospital care and specialists

Our team coordinates emergency, hospital, and specialty care at MedStar Washington and MedStar Good Samaritan. Patients may keep their previous specialist doctors; we work with them as needed. We refer to MedStar Good Samaritan, MedStar Washington, for home-based podiatry or other new specialist care. If House Call patients require hospitalization, and 911 is not needed, our team can arrange transportation and admission to MedStar Good Samaritan or MedStar Washington when beds are available.

Social work services

Our dedicated team of social workers provides:

Psychosocial assessment

Care Coordination

Development of an individual treatment plan

Information and referral to community resources and supports

Caregiver education, support, and counseling

Advocacy to connect with other service networks and legal counseling

Crisis intervention

Assistance with identifying alternative living arrangements, as needed

Eligibility

Enrollment and insurance.

To qualify for the MedStar House Call Program, patients must:

Be 65 years or older and have difficulty getting to the doctor’s office

Have Medicare, Medicaid, or another participating insurance plan

Stop seeing their previous primary doctor and agree to have us take on that role following the first visit

Live in a qualifying ZIP code

Our office is open 8:30 a.m. to 4:30 p.m., Monday - Friday.

When calling about new patient enrollment, please have the following information:

Patient's name, address, telephone number

Patient's date of birth and social security number

Patient's next of kin and emergency contact information

Patient's health insurance information (including type and group number)

Patient's current medical conditions and concerns

Ability to retrieve patient's recent medical records

Baltimore neighbors, print and complete our  Intake Questionnaire form

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Coding for E/M home visits changed this year. Here’s what you need to know

CPT has revised codes for at-home evaluation and management (E/M) services as of Jan. 1, 2023. Services to patients in a private residence (e.g., house or apartment) or temporary lodgings (e.g., hotel or shelter) are now combined with services in facilities where only minimal health care is provided (e.g., independent or assisted living) in these code families:

Home or residence E/M services, new patient

• 99341, straightforward medical decision making (MDM) or at least 15 minutes total time,

• 99342, low level MDM or at least 30 minutes total time,

• 99344 (code 99343 has been deleted), moderate level MDM or at least 60 minutes total time, 

• 99345, high level MDM or at least 75 minutes total time.

Home or residence services, established patient   

• 99347, straightforward MDM or at least 20 minutes total time,

• 99348, low level MDM or at least 30 minutes total time,

• 99349, moderate level MDM or at least 40 minutes total time,

• 99350, high level MDM or at least 60 minutes total time. 

Select these codes based on either your level of medical decision making or total time on the date of the encounter , similar to selecting codes for office visits . The E/M codes specific to domiciliary, rest home (e.g., boarding home), or custodial care (99324-99238, 99334-99337, 99339, and 99340) have been deleted, and the above codes should also be used in those settings.

When total time on the date of the encounter exceeds the threshold for code 99345 or 99350 by at least 15 minutes, you can add code 99417 to report prolonged services. The exception to this is for patients with Medicare. For those patients, report prolonged home or residence services to Medicare with code G0318 in addition to 99345 (requires total time ≥140 minutes) or 99350 (requires total time ≥110 minutes). Code G0318 is not limited to time on the date of the encounter, but includes any work within three days prior to the service or within seven days after.

Services provided in facilities where significant medical or psychiatric care is available (e.g., nursing facility, intermediate care facility for persons with intellectual disabilities, or psychiatric residential treatment facility) are reported with codes 99304-99310 .

— Cindy Hughes, CPC, CFPC

Posted on Jan. 19, 2023

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Florida pre-med student stabs mother more than 70 times, killing her during visit, authorities say

A Florida pre-med university student killed his mother by stabbing her over 70 times without saying a word when he visited her from college over the weekend, authorities said.

After Emmanuel Espinoza, 21, killed his mother on Saturday, he perplexedly told detectives that he loved her and that they had a good relationship — but that he had wanted to kill her for years because she irritated him, Polk County Sheriff Grady Judd said.

Espinoza has been charged with first-degree murder in the death of his mother, 46-year-old Elvia Espinoza, the sheriff's office said.

The student at the University of Florida in Gainesville had traveled to Frostproof, Florida, for a family event Saturday and was going to stay with his mother, Judd said .

He arrived at her home around 2 p.m., knocked on the front door, and seemingly without provocation stabbed her "many times" after she opened the door, Judd said.

On Sunday, Judd shared doorbell camera video from Elvia's home that showed Emmanuel approach with a small knife in his right hand, hidden behind his back, and knock on the door. Judd said that Emmanuel had put AirPods in his ears and was playing Kanye West and Jay-Z's song “No Church in the Wild” when he drove up to the house and knocked on the front door. 

“His beautiful mother, who was so excited to see her son, opened the door. The second she opened the door, he charged in and started stabbing her,” Judd said.

The mother ran from him, but "he stabbed her until she fell down and died."

Judd said Emmanuel confessed to stabbing his mother repeatedly, even when he noticed her hands were still moving. He told detectives that he knew where to stab her for maximum effect because of his biology classes. 

Emmanuel told detectives that he had cut his hand in the stabbing. When he went to the kitchen sink to wash himself and the knife off, "he wanted to ask his mother for the Neosporin for the cut on his hand, but he noticed she was dead," Judd said.

Emmanuel immediately dialed 911 and confessed to operators. 

Audio of the dispatch call was played for reporters Sunday.

“I killed someone,” Emmanuel is heard telling dispatch. “I stabbed my mom.”

When Emmanuel spoke with detectives, he told them he loved his mother and had a good relationship with her but that she irritated him.

“We talked to him and he confessed. He said, 'You know, I have wanted to kill my mother for many, many years because she got on my nerves,'" Judd said.

When asked, "What’s your relationship with your mother?" Espinoza replied: "About a eight out of 10."

"He really loved her, but she irritated him and he made up his mind today on his way from Gainesville that he would murder her, and that’s exactly what he did," Judd said Saturday.

The sheriff said Emmanuel told detectives he wasn't on drugs or alcohol at the time of the stabbing — nor did he have any history of such abuse or mental health issues, no arrest record and there was no record of calls under the Baker Act (which focuses on crisis services for individuals with mental illness) to the home.

Emmanuel was known to be introverted and quiet, with zero issues, Judd told reporters. He was the Class of 2020 valedictorian at his high school and was "described as being a genius."

"[Elvia] wanted to come see him because she hadn’t seen him in a while. They text every day, every other day, they stay in constant contact. No issues over money. She would send him money to make sure she appropriately funded his ability to go to college and enjoy his college life. No argument that day. He never said a word to her," Judd said.

Elvia Espinoza was a mother of three and beloved second-grade teacher at Ben Hill Griffin Elementary in Frostproof, and was "well-loved" by the community, the sheriff's office said, calling the incident "an inexplicable vicious murder."

“I want you to understand this lady who was a school teacher for 20 years actually moved around and taught at different schools while her kids were in school so she could be close to them,” Judd said. “I want you to understand that she was the perfect mom. I want you to understand that she was very proud of his accomplishments.”

“Then I want you to understand that he viciously murdered her and confessed to it,” he added.

Polk County Public Schools said in a statement: “Her students and colleagues greatly loved her, and her sudden, unexpected death is a devastating loss. She was a very special part of her school family.”

Grief counselors have been made available at her school and another school where she previously worked. 

Breaking News Reporter

Pre-med student stabbed mother on visit home from college, charged with murder, sheriff says

A sheriff says the University of Florida pre-med student charged in the weekend stabbing death of his mother had no history of mental illness or substance abuse

FROSTPROOF, Fla. -- A University of Florida pre-med student who is charged with murder in the weekend stabbing death of his mother at her home had no history of mental illness or substance abuse, a sheriff said Monday.

Emmanuel “Manny” Espinoza stabbed his mother, Elvia, more than 70 times on Saturday after she opened the door of her home in central Florida to welcome him for a visit from college, Polk County Sheriff Grady Judd said at a news conference.

Espinoza, 21, was charged with first-degree murder and evidence tampering. He was being held Monday in the Polk County Jail.

Judd said Espinoza stabbed his mother in the chest and stomach as places he knew from his medical schooling that would be most effective. Espinoza then called 911 and confessed to killing his mother, a longtime elementary-school teacher in Polk County between Tampa and Orlando, the sheriff said.

“It is one of the most bizarre murders that we have dealt with in a very long time," Judd said, adding Espinoza was listening to the Jay-Z and Kanye West song, “No Church in the Wild,” on his ear buds during the stabbing.

Espinoza, the youngest of Elvia Espinoza's three children, told detectives he had been thinking about killing his mother for a “long time" and finally got up the courage to do it on the drive from the university in Gainesville in north Florida to the home in Frostproof, according to an arrest affidvait.

When asked why he did it, Espinoza told detectives that his mother had annoyed him since childhood but he loved her, it said.

Judd also said in noting Espinoza had no history of mental illness or substance abuse that he had been a high school valedictorian who others described as being “remarkably brilliant.”

Online court records on Monday showed Espinoza had declined the services of a public defender but there was no indication that he had hired an attorney to represent him. Another document showed that he was exercising his right not to be interviewed by investigators about the charges he is facing.

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• Russia, Ukraine and Belarus

Medical experience in Moscow

By Jason-Sasha February 19, 2008 in Russia, Ukraine and Belarus

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• Go to first unread post

31 posts in this topic

Recommended posts, jason-sasha   1.

So, I just passed my medical. Wasn't bad at all. It took me two days though but that's because I wasn't in a hurry and overslept my turn to go to the doctor's office for a couple of times.

Anyway, I went to AO Meditsina since it was really close to my job. I took my pass on the first floor and went straight to the GP's office. Two people were already waiting: a young girl with extremely angry face and a very nervous babushka. So I was tthe third and then the amily of three entered. In about 40 min of waiting I gave my passport and the invitation to the GP and in another 20 min she sent me to take my blood test and x-rays. I was done with that in 30 min. By the time I came back to the GP she was gone. She had an emergency or smth. I was told to come back the next day which I did. Saw the same people there who came to get the results. I had a quick conversation with the therapist. No questions about drugs, no getting naked. She told me that my x-rays and my blood test were fine. She asked questions about my medical history but since i had never been really sick we were done in less than 10 min. I took my sealed envelope and went home. The impressions are positive.

Good luck to those who will have their medical soon.

22 Jun 05 - We met in a tiny bar in Williamsburg, Va. (spent all summer together)

27 May 06 - Sasha comes back for a 2nd glorious summer (spent 8 months apart)

01 Jan 07 - Jason travels to Moscow for 2 weeks with Sasha

27 May 07 - Jason again travels to Moscow for 2 weeks of perfection

14 July 07 - I-129F and all related documents sent to VSC

16 July 07 - I-129F delivered to VSC and signed for by P. Novak

20 July 07 - NOA1 issued / receipt number assigned

27 Sep 07 - Jason travels to Moscow to be with Sasha for 2 weeks

28 Nov 07 - NOA2 issued...TOUCHED!...then...APPROVED!!!

01 Dec 07 - NVC receives/assigns case #

04 Dec 07 - NVC sends case to U.S. Embassy Moscow

22 Feb 08 - Moscow Interview! (APPROVED!!!)..Yay!

31 May 08 - Married

29 Dec 08- Alexander is born

11 Jan 10 - AOS / AP / EAD package sent

19 Jan 10 - AOS NOA1 / AP NOA1 / EAD NOA1

08 Feb 10 - AOS case transferred to CSC

16 Mar 10 - AP received

16 Mar 10 - AOS approved

19 Mar 10 - EAD received

22 Mar 10 - GC received

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• Created 16 yr
• Last Reply 16 yr

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Jason-Sasha 9 posts

mox 8 posts

Bobalouie 6 posts

Kazan' Tiger 4 posts

Feb 21 2008

Feb 19 2008

Feb 22 2008

Feb 20 2008

irish44   0

So, I just passed my medical. Wasn't bad at all. It took me two days though but that's because I wasn't in a hurry and overslept my turn to go to the doctor's office for a couple of times. Anyway, I went to AO Meditsina since it was really close to my job. I took my pass on the first floor and went straight to the GP's office. Two people were already waiting: a young girl with extremely angry face and a very nervous babushka. So I was tthe third and then the amily of three entered. In about 40 min of waiting I gave my passport and the invitation to the GP and in another 20 min she sent me to take my blood test and x-rays. I was done with that in 30 min. By the time I came back to the GP she was gone. She had an emergency or smth. I was told to come back the next day which I did. Saw the same people there who came to get the results. I had a quick conversation with the therapist. No questions about drugs, no getting naked. She told me that my x-rays and my blood test were fine. She asked questions about my medical history but since i had never been really sick we were done in less than 10 min. I took my sealed envelope and went home. The impressions are positive. Good luck to those who will have their medical soon. Sasha

Well Sasha.. the time you spent is not any worse than here in America! I'm glad it went well for you.

Thank you, guys. If you have any questions I'd be glad to help.

mox   298

This is great news Sasha, I'm happy it went so easy for you!

Bobalouie   0

Do you need the invitation letter to do the medical? The embassy screwed up when they mailed my fiancee's packet to her and it went to the wrong address, and they wont send her another one. They told me to get everything off of the website (which I did) but they told me nothing about the invitation for the medical.

--- AOS Timeline ---

07/22/08 --- Mailed AOS packet to Chicago

07/25/08 --- NOA for I-131, I-485, and I-765

08/27/08 --- Biometrics

10/01/08 --- AP received

10/14/08 --- EAD received

11/13/08 --- Notice of transfer to CSC

02/09/09 --- Permanent Resident Card Ordered Notice

02/09/09 --- 2 Yr Permanent Resident Card Received

--- Lifting Conditions ---

11/10/10 --- Mailed I-751 packet to VSC

11/12/10 --- NOA1

12/22/10 --- Biometrics

03/15/11 --- RFE

05/10/11 --- Approved

Don't worry, Robert. The invitation to the doctor's office is not in the packet. Elena will get it once she is in the medical center. If she goes to AO Meditsina she will have to go to the reception at first. There she will give her national passport and she will receive a pass and and invitation to the GP. And the GP will ask her for her international passport, this invitation and two photos and then send her to pay for the medical, take her blood test and x-rays. It's all very easy. Nothing to worry about. Good luck.

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Watch CBS News

Did you look at the solar eclipse too long? Doctors explain signs of eye damage

By Sara Moniuszko

Edited By Allison Elyse Gualtieri

Updated on: April 8, 2024 / 3:42 PM EDT / CBS News

Did you look up at the solar eclipse without your safety glasses ? Looking at the sun — even when it's partially covered like during the eclipse on April 8 — can cause eye damage.

There is no safe dose of solar ultraviolet rays or infrared radiation, said  Dr. Yehia Hashad , an ophthalmologist, retinal specialist and the chief medical officer at eye health company Bausch + Lomb.

"A very small dose could cause harm to some people," he said. "That's why we say the partial eclipse could also be damaging. And that's why we protect our eyes with the partial as well as with the full sun."

But how do you know if you've hurt your vision? We asked eye doctors what to know.

Is it a sign of eye damage if your eyes hurt after looking at the eclipse?

Your eyes likely won't hurt if you look at the eclipse without protection — but that doesn't make it any less dangerous.

In fact, the painlessness is part of why the event is so concerning to eye care professionals, said Dr. Jason P. Brinton, an ophthalmologist and medical director at Brinton Vision in St. Louis. 

"Everyone knows don't look at the sun. If you go out on a bright day and try to look at the sun — it's very uncomfortable, very bright. So most people intuitively associate that with something they should not be doing," Brinton said. "But with the eclipse, so much of that is blocked and so that natural sense of discomfort and aversion to the brightness is not there."

In some cases, the sun can also damage the cornea, which can be painful, Brinton says.

"The good news is that this fully heals without lasting issues, so this is why we don't think about this aspect as much. The retinal issues, on the other hand, are painless and can have permanent, lasting effects on vision," he said.

What are other signs of eye damage from looking at a solar eclipse?

Hashad says there are a few "alarming signals" to be aware of, including: 

• Blurred vision
• Scotomas, or dark spots: "You just see a black area or a black spot in the field of vision," Hashad said. 
• Color changes:  "You don't see the colors the same way you were seeing it before," he said.
• Distorted lines:  Hashad says this is clinically known as metamorphopsia, which makes lines appear warped, distorted or bent.

"This could be happening unilateral or bilateral," he said. "So it doesn't necessarily happen in both eyes. It could be affecting one over the other or both eyes together."

Issues may not be apparent immediately, either, sometimes appearing one to a few days following the event.

And while some will regain normal visual function, sometimes the damage is permanent. 

"Often there will be some recovery of the vision in the first few months after it, but sometimes there is no recovery and sometimes there's a degree to which it is permanent," Brinton said. 

What should you do if you show symptoms of eye damage?

If you're experiencing any symptoms of eye damage, Hashad suggested people "immediately" seek an ophthalmologist's advice.

"Seeing an eye care professional to solidify the diagnosis and for education I think is reasonable," Brinton said. 

Unfortunately, there isn't a treatment for solar retinopathy, the official name for the condition.

"Right now there is nothing that we do for this. Just wait and give it time and the body does tend to heal up a measure of it," Brinton explained.

That is why prevention is so important, and remains the "mainstay of treatment of solar retinopathy or solar damage to the retina," Hashad explained. 

How long is too long to look at a solar eclipse without glasses?

Any amount of time looking at the solar eclipse without glasses is too long, experts said.

"Damage from the solar eclipse could happen to the retina in seconds," Hashad said. "That's why we don't want people to stare even for a short period of time — even if for a few seconds to the direct sun — whether eclipsed or even partially eclipsed."

Sara Moniuszko is a health and lifestyle reporter at CBSNews.com. Previously, she wrote for USA Today, where she was selected to help launch the newspaper's wellness vertical. She now covers breaking and trending news for CBS News' HealthWatch.

More from CBS News

Doctors take on dental duties to reach low-income and uninsured patients

Couple gets engaged on flight to see total solar eclipse

Transcript: Avril Benoit, Doctors Without Borders executive director, and Janti Soeripto, Save the Children president, on "Face the Nation," April 7, 2024

Bill Nye shares tips for eclipse: "Be in the moment"

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Pre-med student stabbed mother on visit home from college, charged with murder, sheriff says

• Copy Link copied

FROSTPROOF, Fla. (AP) — A University of Florida pre-med student who is charged with murder in the weekend stabbing death of his mother at her home had no history of mental illness or substance abuse, a sheriff said Monday.

Emmanuel “Manny” Espinoza stabbed his mother, Elvia, more than 70 times on Saturday after she opened the door of her home in central Florida to welcome him for a visit from college, Polk County Sheriff Grady Judd said at a news conference.

Espinoza, 21, was charged with first-degree murder and evidence tampering. He was being held Monday in the Polk County Jail.

Judd said Espinoza stabbed his mother in the chest and stomach as places he knew from his medical schooling that would be most effective. Espinoza then called 911 and confessed to killing his mother, a longtime elementary-school teacher in Polk County between Tampa and Orlando, the sheriff said.

“It is one of the most bizarre murders that we have dealt with in a very long time,” Judd said, adding Espinoza was listening to the Jay-Z and Kanye West song, “No Church in the Wild,” on his ear buds during the stabbing.

Espinoza, the youngest of Elvia Espinoza’s three children, told detectives he had been thinking about killing his mother for a “long time” and finally got up the courage to do it on the drive from the university in Gainesville in north Florida to the home in Frostproof, according to an arrest affidvait.

When asked why he did it, Espinoza told detectives that his mother had annoyed him since childhood but he loved her, it said.

Judd also said in noting Espinoza had no history of mental illness or substance abuse that he had been a high school valedictorian who others described as being “remarkably brilliant.”

Online court records on Monday showed Espinoza had declined the services of a public defender but there was no indication that he had hired an attorney to represent him. Another document showed that he was exercising his right not to be interviewed by investigators about the charges he is facing.

Florida student who stabbed mom had no history of mental illness, sheriff says

• Associated Press

FROSTPROOF — A University of Florida pre-med student who is charged with murder in the weekend stabbing death of his mother at her home had no history of mental illness or substance abuse, a sheriff said Monday.

Emmanuel “Manny” Espinoza stabbed his mother, Elvia, more than 70 times on Saturday after she opened the door of her home in Central Florida to welcome him for a visit from college, Polk County Sheriff Grady Judd said at a news conference.

Espinoza, 21, was charged with first-degree murder and evidence tampering. He was being held Monday in the Polk County Jail.

Judd said Espinoza stabbed his mother in the chest and stomach as places he knew from his medical schooling that would be most effective. Espinoza then called 911 and confessed to killing his mother, a longtime elementary school teacher in Polk County, the sheriff said.

“It is one of the most bizarre murders that we have dealt with in a very long time,” Judd said, adding Espinoza was listening to the Jay-Z and Kanye West song “No Church in the Wild” on his earbuds during the stabbing.

Espinoza, the youngest of Elvia Espinoza’s three children, told detectives he had been thinking about killing his mother for a “long time” and finally got up the courage to do it on the drive from the university in Gainesville in north Florida to the home in Frostproof, according to an arrest affidavit.

When asked why he did it, Espinoza told detectives that his mother had annoyed him since childhood but he loved her, it said.

Judd also said in noting Espinoza had no history of mental illness or substance abuse that he had been a high school valedictorian whom others described as being “remarkably brilliant.”

Online court records on Monday showed Espinoza had declined the services of a public defender, but there was no indication that he had hired an attorney to represent him. Another document showed that he was exercising his right not to be interviewed by investigators about the charges he is facing.

The Associated Press is an independent, not-for-profit news cooperative headquartered in New York City. Our teams in over 100 countries tell the world's stories, from breaking news to investigative reporting.

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