AdventHealth
Lung screening gap across 31 counties in Colorado, Florida, Georgia, Illinois, Kansas, Kentucky, North Carolina, Texas and Wisconsin
About 12,300 people here are diagnosed with lung cancer each year, and 63% are found at a late stage, when it is hardest to treat.
Estimates from public data only; no patient information. Sources and method below.
Where the eligible adults live
The counties where most of AdventHealth's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.
Florida
Illinois
Colorado
Kansas
Texas
Georgia, Kentucky and North Carolina
Plus 1 smaller areas listed in the table.
Adults likely eligible, per county
Acute care hospital in this system
Counties in the service area
| County | State | Adults likely eligible | Lung cancer deaths per 100k | Medicare screens billed locally, 2024 |
|---|---|---|---|---|
| Cook County | Illinois | 177,400 to 380,400 | 26.9 | 8,348 |
| Hillsborough County | Florida | 57,900 to 122,500 | 28.3 | 1,024 |
| Orange County | Florida | 52,000 to 105,200 | 24.6 | 1,512 |
| Pinellas County | Florida | 49,700 to 101,800 | 32.4 | 1,318 |
| DuPage County | Illinois | 29,700 to 72,700 | 23.3 | 1,418 |
| Polk County | Florida | 40,900 to 63,300 | 34.6 | 688 |
| Volusia County | Florida | 33,900 to 56,300 | 36.8 | 866 |
| Pasco County | Florida | 33,000 to 52,900 | 36.4 | 242 |
| Will County | Illinois | 27,000 to 51,000 | 33.4 | 553 |
| Johnson County | Kansas | 19,500 to 47,100 | 23.2 | 1,220 |
| Denver County | Colorado | 18,200 to 46,600 | 20.7 | 333 |
| Arapahoe County | Colorado | 20,300 to 46,000 | 19.4 | 1,412 |
| Seminole County | Florida | 17,100 to 40,200 | 26.6 | 70 |
| Marion County | Florida | 27,000 to 38,000 | 40.1 | 392 |
| Lake County | Florida | 22,400 to 36,400 | 31.6 | 113 |
| Osceola County | Florida | 16,600 to 31,200 | 26.9 | 158 |
| Douglas County | Colorado | 10,000 to 24,600 | 13.6 | 98 |
| Boulder County | Colorado | 9,300 to 23,400 | 15.3 | 127 |
| Bell County | Texas | 13,900 to 22,400 | 34.7 | 22 |
| Johnson County | Texas | 9,200 to 13,800 | 36.6 | None billed locally |
| Flagler County | Florida | 8,100 to 12,900 | 33.4 | 128 |
| Henderson County | North Carolina | 6,400 to 12,600 | 30.9 | None billed locally |
| Highlands County | Florida | 7,000 to 11,800 | 34.9 | 35 |
| Floyd County | Georgia | 5,300 to 8,100 | 41.9 | 1,350 |
| Gordon County | Georgia | 3,500 to 4,800 | 48.3 | None billed locally |
| Murray County | Georgia | 2,400 to 3,500 | 55.6 | None billed locally |
| Hardee County | Florida | 1,400 to 2,300 | 35.1 | None billed locally |
| Franklin County | Kansas | 1,500 to 2,200 | 45.2 | None billed locally |
| Clay County | Kentucky | 1,800 to 2,100 | 82.7 | None billed locally |
| Lampasas County | Texas | 1,300 to 2,000 | 34.0 | None billed locally |
| Pepin County | Wisconsin | 440 to 720 | 24.9 | None billed locally |
9 of the 31 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.
What closing the gap would mean
If screening in these counties rose from 17.7% to 22.7%, five points above today, about 36,200 to 71,900 more people would be screened each year.
In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 63% of lung cancers here are found at a late stage.
Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.
Each year in these counties
NCI and CDC State Cancer Profiles, annual averages.
Screening at AdventHealth today
Clinicians at AdventHealth locations billed 1,495 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 3,200 to 8,800 screenings a year.
Most adults who qualify see a primary care clinician every year. We count 3,950 primary care clinicians, 56 pulmonologists and 49 thoracic surgeons practicing at AdventHealth locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.
CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to AdventHealth by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (54%, CMS) and, at the high end, by the share of eligible adults under 65 (63%).
41 acute care hospitals
- Adventhealth OrlandoOrlando, FL
- Adventhealth TampaTampa, FL
- Adventhealth OcalaOcala, FL
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth Shawnee MissionShawnee Mission, KS
- Adventhealth WatermanTavares, FL
- Adventhealth Fish MemorialOrange City, FL
- Adventist Hinsdale HospitalHinsdale, IL
- Adventhealth RedmondRome, GA
- Texas Health HuguleyBurleson, TX
- Adventhealth Central TexasKilleen, TX
- Adventhealth SebringSebring, FL
And 29 more acute care hospitals.
Find them, reach them, give radiologists a second opinion
LungIQ Find
Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.
LungNAV Reach
An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.
LungAI Second opinion
Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.
LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.How we estimate the gap
Modeled estimates from public data. They are not a count of AdventHealth patients and contain no patient information.
- Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
- Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
- Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
- Screening rate: American Lung Association, State of Lung Cancer 2025.
- Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
- Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.
LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.
See AdventHealth's own numbers
In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.
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