Who bills the most Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare in Massachusetts?
Medicare Part B FFS · CY2024 · as published by CMS46 physician groups billed Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (99490) to Medicare fee-for-service in Massachusetts in 2024; the top five named groups hold 67% of that volume, and independent (non-hospital-affiliated) groups deliver 0%.
99490 — Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.
Snapshot covers the whole Massachusetts market — the table below shows the top 100 groups (free tier).
Medicare fee-for-service covers 64% of Medicare in Massachusetts; Medicare Advantage penetration 27% → 36% since 2020.
| # | Physician group | City | St | Specialty | Providers | 99490 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | SOUTHCOAST PHYSICIANS GROUP INC | FALL RIVER | MA | NURSE PRACTITIONER | 868 | 10,356 | 16.7% | (508) 973-5919 |
| 2 | VALLEY MEDICAL GROUP PC | GREENFIELD | MA | PHYSICIAN ASSISTANT | 108 | 6,716 | 10.8% | (413) 774-6301 |
| 3 | GREATER BOSTON UROLOGY LLC | FRAMINGHAM | MA | UROLOGY | 42 | 3,468 | 5.6% | — |
| 4 | PRIMA CARE, PC | FALL RIVER | MA | NURSE PRACTITIONER | 220 | 3,454 | 5.6% | — |
| 5 | FAMILY MEDICINE ASSOCIATES | WESTFIELD | MA | INTERNAL MEDICINE | 3 | 2,475 | 4.0% | 4135625173106 |
| 6 | CHESTNUT MEDICAL ASSOCIATES, INC | SPRINGFIELD | MA | NURSE PRACTITIONER | 7 | 1,943 | 3.1% | (413) 734-4206 |
| 7 | MYHOME HEALTHCARE PLLC | NORTH ANDOVER | MA | NURSE PRACTITIONER | 9 | 1,585 | 2.6% | (978) 494-0441 |
| 8 | SELECT REHABILITATION, LLC | GLENVIEW | MA | FAMILY PRACTICE | 2028 | 1,034 | 1.7% | — |
| 9 | MAMDOUH RIAD MD PC | HYANNIS | MA | INTERNAL MEDICINE | 3 | 930 | 1.5% | (508) 790-4568 |
| 10 | PERSONAL PRIMARY CARE AND WEIGHT MANAGEMENT LLC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 12 | 869 | 1.4% | (413) 787-2575 |
| 11 | ENDOCRINE ASSOCIATES OF WESTERN MASS, P.C. | SPRINGFIELD | MA | ENDOCRINOLOGY | 3 | 800 | 1.3% | (413) 746-0903 |
| 12 | KATHERINE J ATKINSON MD PC | AMHERST | MA | NURSE PRACTITIONER | 9 | 656 | 1.1% | (413) 549-8400 |
| 13 | COASTAL MEDICAL ASSOCIATES | WEYMOUTH | MA | PHYSICIAN ASSISTANT | 458 | 576 | 0.9% | (781) 792-4136 |
| 14 | DAVID AUGUST MD LLC | CHESTNUT HILL | MA | INTERNAL MEDICINE | 2 | 509 | 0.8% | (617) 916-0895 |
| 15 | CHELMSFORD FAMILY PRACTICE, PC | NORTH CHELMSFORD | MA | FAMILY PRACTICE | 10 | 457 | 0.7% | (978) 251-3159 |
| 16 | IDEAL HEALTHCARE SOLUTIONS LLC | SHARON | MA | NURSE PRACTITIONER | 9 | 440 | 0.7% | (781) 562-0468 |
| 17 | COMPREHENSIVE REHAB CONSULTANTS PLLC | FAIRHAVEN | MA | NURSE PRACTITIONER | 223 | 336 | 0.5% | (508) 997-3193 |
| 18 | GATHER HEALTH PRIMARY CARE OF MASSACHUSETTS PC | QUINCY | MA | NURSE PRACTITIONER | 13 | 312 | 0.5% | (617) 820-5968 |
| 19 | WEST BROOKFIELD FAMILY PRACTICE | W BROOKFIELD | MA | FAMILY PRACTICE | 2 | 283 | 0.5% | (508) 867-8977 |
| 20 | SHABBIR HUSAIN JAMALI MD PA | TOMBALL | MA | GASTROENTEROLOGY | 2 | 205 | 0.3% | (281) 357-1977 |
| 21 | CARDIOVASCULAR ASSOCIATES OF THE DELAWARE VALLEY,P A | HADDON HEIGHTS | MA | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 94 | 196 | 0.3% | (856) 546-3003 |
| 22 | MARLBORO INTERNAL MEDICINE PC | MARLBOROUGH | MA | INTERNAL MEDICINE | 2 | 190 | 0.3% | (508) 303-8553 |
| 23 | INTEGRATED GASTROENTEROLOGY CONSULTANTS, P.C. | ANDOVER | MA | GASTROENTEROLOGY | 28 | 177 | 0.3% | (978) 459-6737 |
| 24 | NEW ENGLAND CENTER FOR UROGYNECOLOGY LLC | WELLESLEY | MA | OBSTETRICS/GYNECOLOGY | 3 | 169 | 0.3% | (617) 340-6446 |
| 25 | 360 HEALTHCARE LLC | BURLINGTON | MA | NURSE PRACTITIONER | 25 | 162 | 0.3% | (781) 488-6843 |
| 26 | IBIS HEALTH SERVICES- MASSACHUSETTS LLC | HARVARD | MA | NURSE PRACTITIONER | 10 | 151 | 0.2% | (978) 635-9090 |
| 27 | SOUTH SHORE MEDICAL CENTER, INC. | NORWELL | MA | NURSE PRACTITIONER | 176 | 122 | 0.2% | (781) 878-5200 |
| 28 | UMASS MEMORIAL MEDICAL GROUP INC | WORCESTER | MA | PHYSICIAN ASSISTANT | 2483 | 113 | 0.2% | (508) 334-1000 |
| 29 | NORTHEAST MEDICAL GROUP INC | NEW HAVEN | MA | PHYSICIAN ASSISTANT | 1380 | 113 | 0.2% | — |
| 30 | SPECIALTY MEDCONSULTANTS LLC | VENTNOR CITY | MA | NEPHROLOGY | 18 | 100 | 0.2% | (609) 350-6780 |
| 31 | CHARTER HEALTH PC | SALEM | MA | NURSE PRACTITIONER | 22 | 81 | 0.1% | (978) 354-4611 |
| 32 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC | BOSTON | MA | DIAGNOSTIC RADIOLOGY | 3532 | 79 | 0.1% | (617) 724-0287 |
| 33 | SOUTH SHORE NEPHROLOGY PC | PLYMOUTH | MA | NEPHROLOGY | 4 | 54 | 0.1% | (508) 747-4883 |
| 34 | MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC | SALEM | MA | NURSE PRACTITIONER | 803 | 48 | 0.1% | (978) 741-4133 |
| 35 | INTERNAL MEDICAL ASSOCIATES-EBNHC | EAST BOSTON | MA | NURSE PRACTITIONER | 255 | 47 | 0.1% | (617) 569-5800 |
| 36 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | BOSTON | MA | EMERGENCY MEDICINE | 143 | 43 | 0.1% | (617) 667-2000 |
| 37 | EVANS MEDICAL FOUNDATION INC | BOSTON | MA | INTERNAL MEDICINE | 530 | 41 | 0.1% | (617) 414-5405 |
| 38 | INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE LLC | PEABODY | MA | INTERNAL MEDICINE | 6 | 40 | 0.1% | (978) 531-7677 |
| 39 | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC | BOSTON | MA | PHYSICIAN ASSISTANT | 2942 | 39 | 0.1% | (617) 732-5500 |
| 40 | CIRCLE MEDICAL TEAM LLC | NORWOOD | MA | PHYSICIAN ASSISTANT | 7 | 37 | 0.1% | (781) 366-0310 |
| 41 | NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC | SMITHTOWN | MA | NURSE PRACTITIONER | 462 | 23 | 0.0% | (631) 751-3000 |
| 42 | MAIN LINE HEALTHCARE | BRYN MAWR | MA | NURSE PRACTITIONER | 1157 | 22 | 0.0% | — |
| 43 | SOUND PHYSICIANS OF MASSACHUSETTS INC | BROCKTON | MA | INTERNAL MEDICINE | 75 | 20 | 0.0% | (508) 941-7000 |
| 44 | NEUROLOGY CENTER OF NEW ENGLAND PC | FOXBORO | MA | NEUROLOGY | 14 | 19 | 0.0% | (781) 551-5812 |
| 45 | RIVERSIDE MEDICAL GROUP PC | LOWELL | MA | INTERNAL MEDICINE | 10 | 16 | 0.0% | (978) 452-9700 |
| 46 | MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC | MEDFORD | MA | DIAGNOSTIC RADIOLOGY | 424 | 16 | 0.0% | (781) 395-4909 |
*Share of Massachusetts's disclosed Medicare-FFS services for 99490, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99490 in Massachusetts — including groups registered elsewhere ("City" is each group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group.
How to read this. Figures are Medicare fee-for-service only — not all-payer — from the CMS Medicare Physician & Other Practitioners Public Use File (Part B), CY2024 release. CMS suppresses any provider×code row under 11 beneficiaries, so a missing group means "suppressed," never zero. "Charges" are provider-submitted amounts, not payments. Groups are ranked by measured service volume attributed to clinicians in exactly one group — clinicians affiliated with several groups are listed in rosters but never volume-attributed to a single group — a direct read of the public record, not a rating or quality score. Full method: Methods & Sources.
Comparing against an all-payer estimate?
These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →