Preventive Care · Bradenton, FL

Annual Physical Exam

A comprehensive yearly checkup to protect your health, catch problems early, and keep you feeling your best — all in one visit.

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Why Annual Physicals Matter

Many serious health conditions — high blood pressure, diabetes, high cholesterol, and even certain cancers — develop silently, without obvious symptoms. By the time you feel something is wrong, the condition may already be advanced. An annual physical exam is your best defense: it gives your doctor a complete picture of your health every year, so problems can be caught and treated early, when outcomes are best.

At Manatee Primary Care in Bradenton, Dr. Milian, MD, CWSP uses your annual physical to review your medical history, update your medications, order appropriate lab work, perform preventive screenings, and build a personalized plan to keep you healthy in the year ahead. It is also the right time to discuss any concerns you have been putting off — from fatigue and weight changes to mental health and sleep.

The American Academy of Family Physicians and the U.S. Preventive Services Task Force both recommend annual preventive visits for adults. Most insurance plans, including Medicare, cover these visits at no out-of-pocket cost.

What Your Annual Physical Includes

Every annual physical at Manatee Primary Care is thorough and unhurried. Here is what to expect during your visit:

Medical history review

Update of current medications, allergies, family history, and any new symptoms or concerns since your last visit.

Vital signs

Blood pressure, heart rate, respiratory rate, temperature, height, weight, and BMI.

Head-to-toe physical exam

Examination of the head, eyes, ears, nose, throat, neck, lymph nodes, heart, lungs, abdomen, skin, and extremities.

Neurological assessment

Basic reflexes, coordination, and cognitive screening as appropriate for your age.

Blood work orders

Comprehensive metabolic panel, CBC, lipid panel, thyroid function, HbA1c, and other labs based on your risk factors.

Preventive screening review

Age- and sex-appropriate cancer screenings, bone density, vision, hearing, and cardiovascular risk assessment.

Vaccination review

Review of your immunization record and administration of any due or overdue vaccines.

Medication reconciliation

Review of all current prescriptions, over-the-counter medications, and supplements for interactions and appropriateness.

Health risk assessment

Discussion of lifestyle factors including diet, exercise, alcohol use, tobacco, and mental health.

Personalized care plan

A written summary of your health status, recommended follow-up, referrals, and goals for the coming year.

Recommended Blood Work

Lab work is one of the most valuable parts of your annual physical. Blood tests can detect conditions that have no outward symptoms — often years before complications develop. Dr. Milian orders labs based on your age, sex, medical history, and risk factors. Common panels include:

Complete Blood Count (CBC)Screens for anemia, infection, immune disorders, and blood cancers.
Comprehensive Metabolic Panel (CMP)Evaluates kidney function, liver function, blood sugar, and electrolyte balance.
Fasting Lipid PanelMeasures total cholesterol, LDL, HDL, and triglycerides to assess cardiovascular risk.
Hemoglobin A1c (HbA1c)Reflects average blood sugar over the past 3 months — the gold standard for diabetes screening and management.
Fasting Blood GlucoseScreens for prediabetes and diabetes.
Thyroid-Stimulating Hormone (TSH)Detects hypothyroidism and hyperthyroidism, which affect energy, weight, and mood.
Vitamin D (25-OH)Deficiency is common in Florida despite the sunshine — low levels affect bone health, immunity, and mood.
PSA (men 50+)Prostate-specific antigen screening for prostate cancer risk, discussed with your doctor.
UrinalysisScreens for kidney disease, urinary tract infection, and diabetes.

Manatee Primary Care has in-house lab capabilities and partners with Quest Diagnostics for a full range of panels. Results are typically available within 1–3 business days, and Dr. Milian will review them with you directly.

Adult Preventive Screenings

Preventive screenings are tests that look for disease before symptoms appear. Your annual physical is the right time to confirm you are up to date on all age-appropriate screenings. Dr. Milian follows U.S. Preventive Services Task Force (USPSTF) guidelines and will order or refer you for:

Blood pressure screening (all adults)
Colorectal cancer screening (ages 45–75)
Breast cancer / mammogram (women 40+)
Cervical cancer / Pap smear (women 21–65)
Lung cancer CT scan (heavy smokers 50–80)
Osteoporosis / bone density (women 65+)
Abdominal aortic aneurysm ultrasound (men 65–75 who smoked)
Skin cancer / full-body skin exam
Depression and anxiety screening
Obesity / BMI assessment
Alcohol and substance use screening
Prediabetes / diabetes screening (adults 35–70 with overweight)
Vision and hearing screening
STI screening (based on risk factors)

Vaccinations for Adults

Vaccines are not just for children. Adults need regular immunizations to stay protected against serious infections. During your annual physical, Dr. Milian will review your vaccination history and recommend any vaccines that are due or overdue. Commonly recommended adult vaccines include:

Influenza (flu)Recommended every year for all adults, ideally in September or October.
COVID-19Updated boosters recommended annually per current CDC guidance.
Tdap / TdTetanus-diphtheria-pertussis booster every 10 years; Tdap once if not previously received as an adult.
Shingles (Shingrix)Two-dose series recommended for adults 50 and older, even if you had chickenpox or a previous shingles vaccine.
Pneumococcal (PCV20 or PPSV23)Recommended for adults 65+ and younger adults with certain health conditions.
RSV vaccineRecommended for adults 60+ and pregnant women; discuss timing with your doctor.
Hepatitis BRecommended for unvaccinated adults up to age 59; shared decision-making for ages 60+.
Hepatitis AFor unvaccinated adults with risk factors including travel, liver disease, or certain occupations.

Annual Physical vs. Medicare Annual Wellness Visit

If you are on Medicare, it is important to understand the difference between these two visits — they are separate benefits and serve different purposes.

Annual Physical ExamMedicare Annual Wellness Visit (AWV)
Physical examFull head-to-toe examNot included
Health risk assessmentYesYes — detailed questionnaire
Cognitive screeningBasicStructured cognitive assessment
Personalized prevention planYesYes — written plan required
Advance care planningOptionalIncluded
Medicare coveragePart B (may have cost-share)Part B — $0 cost-share
FrequencyAnnuallyOnce per calendar year (after first year on Medicare)

Many Medicare patients choose to schedule both visits in the same year. Dr. Milian can perform both on the same day or separately, depending on your needs and insurance coverage. We will help you understand what your plan covers before your visit.

Want bundled blood work at a flat rate?

Our self-pay Wellness Packages include the labs, exam, and follow-up — starting at $199.

View Wellness Packages

Insurance Coverage

Manatee Primary Care accepts most major insurance plans. Annual preventive exams are covered at no cost to you under the Affordable Care Act when you see an in-network provider. This means no copay and no deductible for the preventive portion of your visit.

Important note: If you bring up a new medical problem or receive treatment for an existing condition during the same visit, your insurance may bill that portion as a separate sick visit — which may be subject to your copay or deductible. We will always be transparent about how your visit is being coded.

No insurance? No problem. We offer straightforward self-pay pricing with no hidden fees:

$85

New Patient Visit

Includes full physical exam and care plan

$60

Follow-Up Visit

Established patients; lab review included

Lab work is billed separately through Quest Diagnostics at discounted self-pay rates. Learn more about self-pay pricing →

Frequently Asked Questions

Schedule Your Annual Physical in Bradenton

Don't wait for something to feel wrong. An annual physical is the single most important appointment you can make for your long-term health. Dr. Milian is accepting new patients at our Bradenton office — same-week appointments often available.

Serving Bradenton, West Bradenton, Palma Sola, Cortez, Holmes Beach, Anna Maria, Longboat Key, Palmetto, and Lakewood Ranch.