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Medicare North Carolina · CY2024

Who bills the most New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare in North Carolina?

Medicare Part B FFS · CY2024 · as published by CMS
901
Billing groups
252,497
Named-group FFS services
$94,344,423
Named-group submitted charges
$374
Avg charge / service
$148
Avg allowed / service
19%
Top-5 concentration
4%
Independent share

901 physician groups billed New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204) to Medicare fee-for-service in North Carolina in 2024; the top five named groups hold 19% of that volume, and independent (non-hospital-affiliated) groups deliver 4%.

99204 — New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more · Source: CMS Medicare Physician & Other Practitioners PUF (Part B), CY2024 release. Medicare fee-for-service only.

Snapshot covers the whole North Carolina market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 43% of Medicare in North Carolina; Medicare Advantage penetration 40% → 57% since 2020.

Market structure — concentration, independent share, and the consolidation trend for this market — is part of the market analytics platform — built, not launched yet. Notify me at launch →
#Physician groupCityStSpecialty Providers 99204 svcs Share*Phone
1 DUKE HEALTH INTEGRATED PRACTICE INC DURHAMNCPHYSICIAN ASSISTANT 3051 13,807 3.6% (919) 684-8111
2 EMERGEORTHO PA DURHAMNCPHYSICIAN ASSISTANT 725 9,891 2.6% (919) 544-7270
3 NOVANT HEALTH MEDICAL GROUP, LLC WINSTON SALEMNCPHYSICIAN ASSISTANT 2389 9,699 2.6% (704) 384-8200
4 CAROLINAS PHYSICIANS NETWORK INC CHARLOTTENCPHYSICIAN ASSISTANT 2360 8,236 2.2% (704) 667-1000
5 CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA CHARLOTTENCQUALIFIED AUDIOLOGIST 158 6,681 1.8% (704) 295-3414
6 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTON SALEMNCPHYSICIAN ASSISTANT 2609 6,211 1.6% (336) 713-9800
7 NORTH CAROLINA MG LLC RALEIGHNCPHYSICIAN ASSISTANT 674 5,693 1.5% (919) 881-0160
8 ORTHOCAROLINA CHARLOTTENCPHYSICIAN ASSISTANT 304 4,898 1.3% (704) 323-2100
9 WILMINGTON HEALTH PLLC WILMINGTONNCPHYSICIAN ASSISTANT 393 4,463 1.2% (910) 341-1540
10 UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL CHAPEL HILLNCNURSE PRACTITIONER 2120 3,918 1.0% (984) 215-5556
11 WAKEMED SPECIALISTS GROUP LLC RALEIGHNCPHYSICIAN ASSISTANT 860 3,827 1.0% (919) 350-7270
12 CAROLINAEAST PHYSICIANS NEW BERNNCNURSE PRACTITIONER 203 3,418 0.9% (252) 635-6777
13 UNC PHYSICIANS NETWORK LLC CHAPEL HILLNCPHYSICIAN ASSISTANT 985 3,398 0.9% (919) 942-5123
14 MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC ASHEVILLENCPHYSICIAN ASSISTANT 593 3,325 0.9% (828) 213-1740
15 NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC WILMINGTONNCPHYSICIAN ASSISTANT 560 3,265 0.9% (910) 662-6000
16 VIDANT MEDICAL GROUP LLC KENANSVILLENCPHYSICIAN ASSISTANT 956 3,047 0.8% (910) 296-0941
17 CAROLINA EYE ASSOCIATES INC SOUTHERN PINESNCOPHTHALMOLOGY 37 2,549 0.7% (910) 295-2100
18 CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC CHARLOTTENCGASTROENTEROLOGY 76 2,365 0.6% (704) 377-4009
19 PIEDMONT HEALTHCARE PA STATESVILLENCPHYSICIAN ASSISTANT 226 2,197 0.6% (704) 838-8210
20 WILMINGTON EYE, P.A. WILMINGTONNCOPHTHALMOLOGY 29 2,017 0.5% (910) 763-3601
21 DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC CLYDENCDIAGNOSTIC RADIOLOGY 185 2,003 0.5% (828) 452-8651
22 CAROMONT MEDICAL GROUP INC GASTONIANCNURSE PRACTITIONER 425 1,927 0.5% (704) 865-3848
23 DUKE UNIVERSITY HEALTH SYSTEM, INC DURHAMNCPHYSICAL THERAPIST IN PRIVATE PRACTICE 1053 1,864 0.5% (919) 684-8111
24 DIGESTIVE HEALTH PARTNERS PA ASHEVILLENCGASTROENTEROLOGY 65 1,844 0.5% (828) 254-0881
25 FLETCHER HOSPITAL INC HENDERSONVILLENCPHYSICIAN ASSISTANT 290 1,725 0.5%
26 THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORONCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 722 1,711 0.5% (336) 832-7000
27 GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A. HICKORYNCOPHTHALMOLOGY 17 1,606 0.4% 82832220506843
28 HORIZON EYE CARE PA CHARLOTTENCOPHTHALMOLOGY 25 1,600 0.4% (704) 365-0555
29 FASTMED PC DURHAMNCPHYSICIAN ASSISTANT 173 1,582 0.4% (919) 313-3900
30 PHYSICIANS EAST PA GREENVILLENCNURSE PRACTITIONER 104 1,537 0.4% (252) 355-4357
31 CAROLINA DIGESTIVE HEALTH ASSOCIATES PA CHARLOTTENCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 49 1,472 0.4% (704) 372-7974
32 TRYON MEDICAL PARTNERS, PLLC CHARLOTTENCINTERNAL MEDICINE 145 1,458 0.4% (704) 495-6334
33 ASHEVILLE EYE ASSOCIATES PLLC ASHEVILLENCOPHTHALMOLOGY 24 1,430 0.4% (828) 258-1586
34 PINEHURST SURGICAL CLINIC PA PINEHURSTNCPHYSICIAN ASSISTANT 91 1,422 0.4% (910) 295-6831
35 HENDERSON COUNTY HOSPITAL CORPORATION HENDERSONVILLENCPHYSICIAN ASSISTANT 230 1,347 0.4% (828) 694-8427
36 CAROLINA OPHTHALMOLOGY PA ASHEVILLENCOPHTHALMOLOGY 10 1,316 0.3% (800) 624-6575
37 COASTAL CAROLINA HEALTH CARE PA NEW BERNNCPHYSICIAN ASSISTANT 122 1,253 0.3% (252) 634-3278
38 DLP FRYE MEDICAL GROUP LLC HICKORYNCPHYSICIAN ASSISTANT 121 1,220 0.3%
39 RETINA ASSOCIATES, PLLC RALEIGHNCOPHTHALMOLOGY 19 1,218 0.3% (919) 782-8038
40 ALLERGY PARTNERS PLLC ASHEVILLENCALLERGY/IMMUNOLOGY 143 1,207 0.3% (828) 253-3382
41 CAPE FEAR RETINAL ASSOCIATES PC WILMINGTONNCOPHTHALMOLOGY 5 1,190 0.3% (910) 332-3560
42 FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC KENSINGTONNCPODIATRY 157 1,170 0.3% (301) 949-2000
43 PINEHURST MEDICAL CLINIC INC PINEHURSTNCPHYSICIAN ASSISTANT 156 1,137 0.3% (910) 295-5511
44 THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORDNCPHYSICIAN ASSISTANT 600 1,099 0.3% (704) 403-3000
45 RALEIGH OPHTHALMOLOGY PC RALEIGHNCOPHTHALMOLOGY 12 1,088 0.3% (919) 782-5400
46 BLUE RIDGE HEALTHCARE MEDICAL GROUP INC MORGANTONNCNURSE PRACTITIONER 221 1,032 0.3% (828) 580-3278
47 WAKE FOREST HEALTH NETWORK LLC HIGH POINTNCPHYSICIAN ASSISTANT 277 981 0.3% (336) 802-2040
48 SURGICAL EYE CARE PA WILMINGTONNCOPHTHALMOLOGY 3 944 0.2% (910) 796-8600
49 APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC BOONENCDIAGNOSTIC RADIOLOGY 154 933 0.2% (828) 262-4100
50 CAROLINA QUICKCARE FAMILY PRACTICE, PLLC BISCOENCPHYSICIAN ASSISTANT 106 913 0.2% (919) 828-1131
51 CAROLINA MEDICORP ENTERPRISES LLC CHARLOTTENCPHYSICIAN ASSISTANT 190 910 0.2% (980) 301-8711
52 PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. WINSTON SALEMNCOTOLARYNGOLOGY 28 907 0.2% (336) 768-3361
53 CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC FAYETTEVILLENCPHYSICIAN ASSISTANT 280 896 0.2% (910) 829-6588
54 EASTERN NEPHROLOGY ASSOCIATES PLLC GREENVILLENCNEPHROLOGY 77 880 0.2% (252) 752-8880
55 WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA WILMINGTONNCPHYSICIAN ASSISTANT 21 878 0.2% (910) 362-1011
56 RALEIGH EYE CENTER, P.A. RALEIGHNCOPHTHALMOLOGY 14 867 0.2% (919) 876-2427
57 CAPE FEAR CATARACT AND CORNEA, P.A. WILMINGTONNCOPHTHALMOLOGY 2 862 0.2% (910) 769-4590
58 ALBEMARLE PHYSICIAN SERVICES - SENTARA INC ELIZABETH CITYNCNURSE PRACTITIONER 77 861 0.2% (252) 384-2600
59 MOSES CONE PHYSICIAN SERVICES, INC GREENSBORONCINTERNAL MEDICINE 385 834 0.2% (336) 832-7000
60 CATAWBA VALLEY MEDICAL GROUP INC HICKORYNCPHYSICIAN ASSISTANT 134 796 0.2% (828) 328-3300
61 RALEIGH NEUROLOGY ASSOCIATES, P. A. RALEIGHNCPHYSICIAN ASSISTANT 50 790 0.2% (919) 782-3456
62 CAROLINA ASTHMA AND ALLERGY CENTER PA CHARLOTTENCALLERGY/IMMUNOLOGY 33 776 0.2% (704) 372-7900
63 MOSES CONE MEDICAL SERVICES INC GREENSBORONCNURSE PRACTITIONER 224 775 0.2% (336) 522-8999
64 RALEIGH MEDICAL GROUP PA RALEIGHNCPHYSICIAN ASSISTANT 103 773 0.2% (919) 782-1806
65 ADVENTHEALTH MEDICAL GROUP CANCER AND SPECIALTY CARE LLC ASHEVILLENCPHYSICIAN ASSISTANT 17 739 0.2% (828) 253-5314
66 METROLINA EYE ASSOCIATES PLLC INDIAN LANDNCOPHTHALMOLOGY 14 736 0.2% (803) 547-3937
67 RALEIGH NEUROSURGICAL CLINIC INC RALEIGHNCPHYSICIAN ASSISTANT 52 728 0.2% (919) 785-3400
68 WILMINGTON SURGICAL ASSOCIATES PA WILMINGTONNCGENERAL SURGERY 9 725 0.2% (910) 763-7363
69 METROLINA NEPHROLOGY ASSOCIATES PA CHARLOTTENCNEPHROLOGY 87 722 0.2% (704) 731-6451
70 WHITE EYE ASSOCIATES PA GREENVILLENCOPHTHALMOLOGY 7 714 0.2% 25275858003021
71 RALEIGH ORTHOPAEDIC CLINIC PA RALEIGHNCPHYSICIAN ASSISTANT 127 692 0.2% (919) 781-5600
72 INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC CONCORDNCPODIATRY 46 690 0.2% (704) 786-4482
73 CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA HICKORYNCOTOLARYNGOLOGY 19 687 0.2% 8283222183266
74 ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA ASHEVILLENCOTOLARYNGOLOGY 17 675 0.2% (828) 254-3517
75 DIGESTIVE HEALTH SPECIALISTS PA WINSTON SALEMNCGASTROENTEROLOGY 28 668 0.2% (336) 768-6211
76 EAST CAROLINA UNIVERSITY GREENVILLENCNURSE PRACTITIONER 491 667 0.2% (252) 744-1406
77 SINGLETON VISION CENTER NEW BERNNCOPHTHALMOLOGY 2 666 0.2% (252) 514-2155
78 FORSYTH MEMORIAL HOSPITAL INC WINSTON SALEMNCPHYSICIAN ASSISTANT 620 655 0.2% (336) 277-2620
79 MEDAC HEALTH SERVICES PA WILMINGTONNCPHYSICIAN ASSISTANT 24 651 0.2% (910) 338-2735
80 GASTON EYE ASSOCIATES GASTONIANCOPHTHALMOLOGY 10 649 0.2% (704) 853-3937
81 ATRIUM HEALTH SPECIALTY NETWORK INC CHARLOTTENCPHYSICAL THERAPIST IN PRIVATE PRACTICE 228 649 0.2% (704) 468-8874
82 EAST CAROLINA ANESTHESIA ASSOCIATES PLLC GREENVILLENCCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 673 646 0.2% (252) 847-4100
83 EYECARECENTER OD PA WINSTON SALEMNCOPTOMETRY 70 616 0.2% (336) 331-0231
84 OUTER BANKS PROFESSIONAL SERVICES, LLC NAGS HEADNCPHYSICIAN ASSISTANT 155 601 0.2%
85 RALEIGH CAPITOL EAR NOSE AND THROAT RALEIGHNCOTOLARYNGOLOGY 29 598 0.2% (919) 787-7171
86 HUGH CHATHAM MEMORIAL HOSPITAL INC ELKINNCNURSE PRACTITIONER 76 597 0.2% (336) 366-1072
87 MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC LOCUSTNCNURSE PRACTITIONER 75 590 0.2% (704) 296-4508
88 WILMINGTON EAR NOSE AND THROAT ASSOC PA WILMINGTONNCOTOLARYNGOLOGY 10 589 0.2% 9107628754124
89 POLLEY CLINIC OF DERMATOLOGY AND DERMATOLOGIC SURGERY FAYETTEVILLENCPHYSICIAN ASSISTANT 9 569 0.2% (252) 243-0566
90 CAROLINAS MEDICAL CENTER CHARLOTTENCPHYSICIAN ASSISTANT 1034 561 0.1% (704) 355-2000
91 FOREST DERMATOLOGY PA ASHEVILLENCDERMATOLOGY 8 560 0.1% 8282746003313
92 CARY SKIN CENTER PA CARYNCPHYSICIAN ASSISTANT 10 558 0.1% (919) 363-7546
93 COASTAL VASCULAR INSTITUTE, PA WILMINGTONNCPHYSICIAN ASSISTANT 4 543 0.1% (910) 343-0811
94 DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. DURHAMNCPHYSICIAN ASSISTANT 445 533 0.1% (919) 572-1868
95 SISTERS OF MERCY URGENT CARE INC ASHEVILLENCPHYSICIAN ASSISTANT 45 532 0.1% (828) 210-8325
96 UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA PA WILMINGTONNCUROLOGY 9 527 0.1% (910) 763-6251
97 AFC URGENT CARE AND FAMILY CARE OF WNC PLLC CHARLOTTENCPHYSICIAN ASSISTANT 73 522 0.1% (704) 247-6578
98 PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA GASTONIANCDERMATOLOGY 56 507 0.1% (704) 866-0106
99 ROCKY MOUNT EYE PA ROCKY MOUNTNCOPTOMETRY 3 505 0.1% (252) 443-1006
100 NORTH CAROLINA NEPHROLOGY PA RALEIGHNCNEPHROLOGY 58 502 0.1% (919) 231-3966

*Share of North Carolina's disclosed Medicare-FFS services for 99204, counted once per clinician. Volume is placed in the state it was billed from, so this page ranks the groups actually billing 99204 in North Carolina — 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 →