Services Overview Pepi Granat, MD
Services Overview — Comprehensive In-Home Medical Care in Greater Miami, Homestead, and Through the Lower Keys
medical care
Comprehensive In-Home Medical Care
At Pepi Granat, MD, we deliver a full spectrum of in-home medical services designed to meet the needs of families, seniors, and patients who require convenient, personalized care. Our services combine primary care, urgent care house calls, geriatric care, post-hospital follow-up, and same‑day emergency home visits. Below is a clear overview of each service type and why it matters — followed by details on how we deliver care and coordinate with local healthcare resources.
services
Why in-home medical services matter
In-home medical services reduce barriers to healthcare access, decrease the risks associated with travel and clinic exposure, and allow clinicians to see patients in their real living environment. This approach improves diagnostic accuracy for conditions related to mobility, falls, medication errors, and home safety. For chronic disease management and post-hospital recovery, home visits have been shown to lower readmission rates and improve patient satisfaction and adherence.
Our key service areas
Primary Care at Home
Routine annual wellness exams, chronic disease management (diabetes, hypertension, heart disease), medication management, preventive screenings, immunizations, and telehealth follow-up.
Urgent Care House Calls
Same-day assessments and treatment for acute non‑life‑threatening conditions such as infections, minor injuries, flu-like illnesses, and dehydration.
Senior Care (Geriatric Home Care)
Comprehensive geriatric assessment, cognitive screening, fall risk evaluations, polypharmacy reviews, and coordination with caregivers and home health aides.
Post-Hospital Home Visits
Transitional care after discharge that includes medication reconciliation, wound checks, follow-up exam, and coordination with physical therapy or home health services.
Same‑Day & Emergency Home Visits
Rapid-response visits for urgent concerns that require immediate medical attention at home, with clear pathways to emergency care if needed.
How we structure
our services
Intake and scheduling
Our intake staff collects medical history, medications, and insurance information to prepare for your visit. Call (305) 661-7609
to schedule.
On-site assessment
The physician performs a focused or comprehensive physical exam, orders point-of-care tests, and documents findings.
Diagnostics and coordination
For labs, imaging, or specialist referrals, we coordinate with trusted local providers and mobile testing services when appropriate.
Treatment and follow-up
We provide prescriptions, treatment instructions, and schedule telehealth or in-person follow-up. Post-hospital patients receive timely reviews within 24–72 hours when clinically indicated.
Documentation and care continuity
All visit notes are recorded and can be shared with other providers with your permission.
Payment Plans
Medicare Patients
For patients with Medicare, our office handles the billing process directly. Medicare pays our office, and if you have a supplemental policy, Medicare will typically forward the claim to your supplemental insurance for any additional payment to us.
Medicare Patients Paying at Time of Service
Medicare patients who are able to pay at the time of service may be asked to do so. Once Medicare pays our office, we will reimburse the patient. If supplemental insurance also sends payment to our office, that payment will also be passed along to the patient.
Non-Medicare, Private Insurance & Self-Pay Patients
For patients without Medicare, including those with individual insurance plans, employer-provided insurance, company plans, or no insurance, payment is due at the time of service. Due to the complexity and variation of non-Medicare insurance plans, we do not coordinate billing directly with those insurance companies. However, we can provide an invoice that patients may submit to their insurance plan for possible reimbursement.
Primary Care at Home
(overview)
Primary care at home focuses on prevention, screening, and chronic disease management:
- Sick Exams including children and preventative screenings
- Chronic disease monitoring and adjustments (A1c checks, BP management)
- Medication review and reconciliation
- Vaccinations delivered at home
- Behavioral counseling and lifestyle recommendations
- Telehealth follow-ups to monitor progress
- Annual Wellness Exams
Urgent Care House Calls
(overview)
Urgent care house calls handle acute presentations that do not require immediate emergency services. Examples include:
- Fever, flu-like illness, bronchitis, and mild pneumonia evaluation
- Urinary tract infections and infectious symptoms
- Minor lacerations, wound care, and suture removal
- Dehydration treatment and oral rehydration guidance
- Acute uncontrolled blood pressure or medication-related issues
Senior Care / Geriatric Home Care
(overview)
Geriatric home care concentrates on the unique needs of older adults:
- Comprehensive geriatric assessment including mental status, functional ability, and social supports
- Fall risk evaluation and home safety recommendations
- Management of multi-morbidity and polypharmacy
- Caregiver support and care planning
- Coordination for home-based physical and occupational therapy
Post-Hospital Home Visits
(overview)
Post-hospital visits are essential to prevent readmissions and complications:
- Medication reconciliation and education to prevent errors
- Wound and incision checks
- Assessments for mobility and functional status
- Timely coordination with home health agencies and rehab services
- Early intervention for signs of infection or deterioration
Same‑Day & Emergency Home Visits
(overview)
For urgent situations that demand immediate home evaluation:
- Rapid physician response with stabilization and triage
- On-site assessment and management to avoid unnecessary ER transfers
- Clear escalation pathways and coordination with EMS when hospital-level care is necessary
- Pepi Granat, MD and her assistant are available 24/7 by phone for urgent calls, after-hours concerns, and care coordination.
Key benefits
summarized
- Convenience and reliability: Avoid travel and long waits while receiving high-quality care in your home.
- Tailored care plans: Treatment is adapted to the patient’s environment and personal goals.
- Reduced hospitalization risk: Timely post-discharge visits and targeted interventions prevent readmission.
- Safety and dignity: Home-based care prioritizes comfort, privacy, and patient autonomy.
- Enhanced communication: Direct contact between the home visit physician and family/caregivers improves adherence and safety.
How we collaborate with the broader healthcare system
We maintain close relationships with local hospitals, imaging centers, and specialists across Miami‑Dade County. When tests, imaging, or inpatient care are required, we facilitate rapid referrals and provide detailed visit summaries to ensure continuity. For patients needing home health aides, physical therapy, or durable medical equipment, we coordinate referrals and follow-up.
Quality measures and patient satisfaction
Our practice measures success by clinical outcomes, patient and caregiver satisfaction, and reduction in unnecessary acute care utilization. We focus on measurable goals such as improved blood pressure and A1c control, reduced ER visits, and timely post-discharge follow-up.
Frequently Asked
Questions
How quickly can you arrange a same-day home visit?
Call (305) 661-7609 and explain the urgency. Same-day visits are triaged and scheduled based on clinical need and availability.
What areas do you serve for home visits?
We serve Greater Miami, Homestead, and communities through the Lower Keys.
Do you perform home vaccinations and blood draws?
Yes; we provide vaccinations and coordinate blood draws either on-site or with partner mobile phlebotomy services. This needs to be preapproved by Dr. Granat.
Can you manage chronic conditions at home?
Absolutely. We provide long-term management for diabetes, hypertension, COPD, heart disease, and other chronic illnesses, with routine monitoring and medication adjustments.
Contact and next steps
To learn more about any of these services or to request a home visit, call (305) 661-7609. We will walk you through scheduling, insurance verification, and what to expect at your visit. For urgent needs, please call and ask for an urgent house call.
Pepi Granat, MD is committed to providing reliable, compassionate, and effective home-based medical services that keep you safe and healthy in the comfort of your home.