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 CMS901 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).
Medicare fee-for-service covers 43% of Medicare in North Carolina; Medicare Advantage penetration 40% → 57% since 2020.
| # | Physician group | City | St | Specialty | Providers | 99204 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | DUKE HEALTH INTEGRATED PRACTICE INC | DURHAM | NC | PHYSICIAN ASSISTANT | 3051 | 13,807 | 3.6% | (919) 684-8111 |
| 2 | EMERGEORTHO PA | DURHAM | NC | PHYSICIAN ASSISTANT | 725 | 9,891 | 2.6% | (919) 544-7270 |
| 3 | NOVANT HEALTH MEDICAL GROUP, LLC | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 2389 | 9,699 | 2.6% | (704) 384-8200 |
| 4 | CAROLINAS PHYSICIANS NETWORK INC | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 2360 | 8,236 | 2.2% | (704) 667-1000 |
| 5 | CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA | CHARLOTTE | NC | QUALIFIED AUDIOLOGIST | 158 | 6,681 | 1.8% | (704) 295-3414 |
| 6 | WAKE FOREST UNIVERSITY HEALTH SCIENCES | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 2609 | 6,211 | 1.6% | (336) 713-9800 |
| 7 | NORTH CAROLINA MG LLC | RALEIGH | NC | PHYSICIAN ASSISTANT | 674 | 5,693 | 1.5% | (919) 881-0160 |
| 8 | ORTHOCAROLINA | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 304 | 4,898 | 1.3% | (704) 323-2100 |
| 9 | WILMINGTON HEALTH PLLC | WILMINGTON | NC | PHYSICIAN ASSISTANT | 393 | 4,463 | 1.2% | (910) 341-1540 |
| 10 | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL | CHAPEL HILL | NC | NURSE PRACTITIONER | 2120 | 3,918 | 1.0% | (984) 215-5556 |
| 11 | WAKEMED SPECIALISTS GROUP LLC | RALEIGH | NC | PHYSICIAN ASSISTANT | 860 | 3,827 | 1.0% | (919) 350-7270 |
| 12 | CAROLINAEAST PHYSICIANS | NEW BERN | NC | NURSE PRACTITIONER | 203 | 3,418 | 0.9% | (252) 635-6777 |
| 13 | UNC PHYSICIANS NETWORK LLC | CHAPEL HILL | NC | PHYSICIAN ASSISTANT | 985 | 3,398 | 0.9% | (919) 942-5123 |
| 14 | MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC | ASHEVILLE | NC | PHYSICIAN ASSISTANT | 593 | 3,325 | 0.9% | (828) 213-1740 |
| 15 | NOVANT HEALTH MEDICAL GROUP COASTAL REGION LLC | WILMINGTON | NC | PHYSICIAN ASSISTANT | 560 | 3,265 | 0.9% | (910) 662-6000 |
| 16 | VIDANT MEDICAL GROUP LLC | KENANSVILLE | NC | PHYSICIAN ASSISTANT | 956 | 3,047 | 0.8% | (910) 296-0941 |
| 17 | CAROLINA EYE ASSOCIATES INC | SOUTHERN PINES | NC | OPHTHALMOLOGY | 37 | 2,549 | 0.7% | (910) 295-2100 |
| 18 | CHARLOTTE GASTROENTEROLOGY AND HEPATOLOGY PLLC | CHARLOTTE | NC | GASTROENTEROLOGY | 76 | 2,365 | 0.6% | (704) 377-4009 |
| 19 | PIEDMONT HEALTHCARE PA | STATESVILLE | NC | PHYSICIAN ASSISTANT | 226 | 2,197 | 0.6% | (704) 838-8210 |
| 20 | WILMINGTON EYE, P.A. | WILMINGTON | NC | OPHTHALMOLOGY | 29 | 2,017 | 0.5% | (910) 763-3601 |
| 21 | DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC | CLYDE | NC | DIAGNOSTIC RADIOLOGY | 185 | 2,003 | 0.5% | (828) 452-8651 |
| 22 | CAROMONT MEDICAL GROUP INC | GASTONIA | NC | NURSE PRACTITIONER | 425 | 1,927 | 0.5% | (704) 865-3848 |
| 23 | DUKE UNIVERSITY HEALTH SYSTEM, INC | DURHAM | NC | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 1053 | 1,864 | 0.5% | (919) 684-8111 |
| 24 | DIGESTIVE HEALTH PARTNERS PA | ASHEVILLE | NC | GASTROENTEROLOGY | 65 | 1,844 | 0.5% | (828) 254-0881 |
| 25 | FLETCHER HOSPITAL INC | HENDERSONVILLE | NC | PHYSICIAN ASSISTANT | 290 | 1,725 | 0.5% | — |
| 26 | THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION | GREENSBORO | NC | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 722 | 1,711 | 0.5% | (336) 832-7000 |
| 27 | GRAYSTONE OPHTHALMOLOGY ASSOCIATES, P.A. | HICKORY | NC | OPHTHALMOLOGY | 17 | 1,606 | 0.4% | 82832220506843 |
| 28 | HORIZON EYE CARE PA | CHARLOTTE | NC | OPHTHALMOLOGY | 25 | 1,600 | 0.4% | (704) 365-0555 |
| 29 | FASTMED PC | DURHAM | NC | PHYSICIAN ASSISTANT | 173 | 1,582 | 0.4% | (919) 313-3900 |
| 30 | PHYSICIANS EAST PA | GREENVILLE | NC | NURSE PRACTITIONER | 104 | 1,537 | 0.4% | (252) 355-4357 |
| 31 | CAROLINA DIGESTIVE HEALTH ASSOCIATES PA | CHARLOTTE | NC | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 49 | 1,472 | 0.4% | (704) 372-7974 |
| 32 | TRYON MEDICAL PARTNERS, PLLC | CHARLOTTE | NC | INTERNAL MEDICINE | 145 | 1,458 | 0.4% | (704) 495-6334 |
| 33 | ASHEVILLE EYE ASSOCIATES PLLC | ASHEVILLE | NC | OPHTHALMOLOGY | 24 | 1,430 | 0.4% | (828) 258-1586 |
| 34 | PINEHURST SURGICAL CLINIC PA | PINEHURST | NC | PHYSICIAN ASSISTANT | 91 | 1,422 | 0.4% | (910) 295-6831 |
| 35 | HENDERSON COUNTY HOSPITAL CORPORATION | HENDERSONVILLE | NC | PHYSICIAN ASSISTANT | 230 | 1,347 | 0.4% | (828) 694-8427 |
| 36 | CAROLINA OPHTHALMOLOGY PA | ASHEVILLE | NC | OPHTHALMOLOGY | 10 | 1,316 | 0.3% | (800) 624-6575 |
| 37 | COASTAL CAROLINA HEALTH CARE PA | NEW BERN | NC | PHYSICIAN ASSISTANT | 122 | 1,253 | 0.3% | (252) 634-3278 |
| 38 | DLP FRYE MEDICAL GROUP LLC | HICKORY | NC | PHYSICIAN ASSISTANT | 121 | 1,220 | 0.3% | — |
| 39 | RETINA ASSOCIATES, PLLC | RALEIGH | NC | OPHTHALMOLOGY | 19 | 1,218 | 0.3% | (919) 782-8038 |
| 40 | ALLERGY PARTNERS PLLC | ASHEVILLE | NC | ALLERGY/IMMUNOLOGY | 143 | 1,207 | 0.3% | (828) 253-3382 |
| 41 | CAPE FEAR RETINAL ASSOCIATES PC | WILMINGTON | NC | OPHTHALMOLOGY | 5 | 1,190 | 0.3% | (910) 332-3560 |
| 42 | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC LLC | KENSINGTON | NC | PODIATRY | 157 | 1,170 | 0.3% | (301) 949-2000 |
| 43 | PINEHURST MEDICAL CLINIC INC | PINEHURST | NC | PHYSICIAN ASSISTANT | 156 | 1,137 | 0.3% | (910) 295-5511 |
| 44 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY | CONCORD | NC | PHYSICIAN ASSISTANT | 600 | 1,099 | 0.3% | (704) 403-3000 |
| 45 | RALEIGH OPHTHALMOLOGY PC | RALEIGH | NC | OPHTHALMOLOGY | 12 | 1,088 | 0.3% | (919) 782-5400 |
| 46 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC | MORGANTON | NC | NURSE PRACTITIONER | 221 | 1,032 | 0.3% | (828) 580-3278 |
| 47 | WAKE FOREST HEALTH NETWORK LLC | HIGH POINT | NC | PHYSICIAN ASSISTANT | 277 | 981 | 0.3% | (336) 802-2040 |
| 48 | SURGICAL EYE CARE PA | WILMINGTON | NC | OPHTHALMOLOGY | 3 | 944 | 0.2% | (910) 796-8600 |
| 49 | APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC | BOONE | NC | DIAGNOSTIC RADIOLOGY | 154 | 933 | 0.2% | (828) 262-4100 |
| 50 | CAROLINA QUICKCARE FAMILY PRACTICE, PLLC | BISCOE | NC | PHYSICIAN ASSISTANT | 106 | 913 | 0.2% | (919) 828-1131 |
| 51 | CAROLINA MEDICORP ENTERPRISES LLC | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 190 | 910 | 0.2% | (980) 301-8711 |
| 52 | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. | WINSTON SALEM | NC | OTOLARYNGOLOGY | 28 | 907 | 0.2% | (336) 768-3361 |
| 53 | CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC | FAYETTEVILLE | NC | PHYSICIAN ASSISTANT | 280 | 896 | 0.2% | (910) 829-6588 |
| 54 | EASTERN NEPHROLOGY ASSOCIATES PLLC | GREENVILLE | NC | NEPHROLOGY | 77 | 880 | 0.2% | (252) 752-8880 |
| 55 | WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA | WILMINGTON | NC | PHYSICIAN ASSISTANT | 21 | 878 | 0.2% | (910) 362-1011 |
| 56 | RALEIGH EYE CENTER, P.A. | RALEIGH | NC | OPHTHALMOLOGY | 14 | 867 | 0.2% | (919) 876-2427 |
| 57 | CAPE FEAR CATARACT AND CORNEA, P.A. | WILMINGTON | NC | OPHTHALMOLOGY | 2 | 862 | 0.2% | (910) 769-4590 |
| 58 | ALBEMARLE PHYSICIAN SERVICES - SENTARA INC | ELIZABETH CITY | NC | NURSE PRACTITIONER | 77 | 861 | 0.2% | (252) 384-2600 |
| 59 | MOSES CONE PHYSICIAN SERVICES, INC | GREENSBORO | NC | INTERNAL MEDICINE | 385 | 834 | 0.2% | (336) 832-7000 |
| 60 | CATAWBA VALLEY MEDICAL GROUP INC | HICKORY | NC | PHYSICIAN ASSISTANT | 134 | 796 | 0.2% | (828) 328-3300 |
| 61 | RALEIGH NEUROLOGY ASSOCIATES, P. A. | RALEIGH | NC | PHYSICIAN ASSISTANT | 50 | 790 | 0.2% | (919) 782-3456 |
| 62 | CAROLINA ASTHMA AND ALLERGY CENTER PA | CHARLOTTE | NC | ALLERGY/IMMUNOLOGY | 33 | 776 | 0.2% | (704) 372-7900 |
| 63 | MOSES CONE MEDICAL SERVICES INC | GREENSBORO | NC | NURSE PRACTITIONER | 224 | 775 | 0.2% | (336) 522-8999 |
| 64 | RALEIGH MEDICAL GROUP PA | RALEIGH | NC | PHYSICIAN ASSISTANT | 103 | 773 | 0.2% | (919) 782-1806 |
| 65 | ADVENTHEALTH MEDICAL GROUP CANCER AND SPECIALTY CARE LLC | ASHEVILLE | NC | PHYSICIAN ASSISTANT | 17 | 739 | 0.2% | (828) 253-5314 |
| 66 | METROLINA EYE ASSOCIATES PLLC | INDIAN LAND | NC | OPHTHALMOLOGY | 14 | 736 | 0.2% | (803) 547-3937 |
| 67 | RALEIGH NEUROSURGICAL CLINIC INC | RALEIGH | NC | PHYSICIAN ASSISTANT | 52 | 728 | 0.2% | (919) 785-3400 |
| 68 | WILMINGTON SURGICAL ASSOCIATES PA | WILMINGTON | NC | GENERAL SURGERY | 9 | 725 | 0.2% | (910) 763-7363 |
| 69 | METROLINA NEPHROLOGY ASSOCIATES PA | CHARLOTTE | NC | NEPHROLOGY | 87 | 722 | 0.2% | (704) 731-6451 |
| 70 | WHITE EYE ASSOCIATES PA | GREENVILLE | NC | OPHTHALMOLOGY | 7 | 714 | 0.2% | 25275858003021 |
| 71 | RALEIGH ORTHOPAEDIC CLINIC PA | RALEIGH | NC | PHYSICIAN ASSISTANT | 127 | 692 | 0.2% | (919) 781-5600 |
| 72 | INSTRIDE FOOT AND ANKLE SPECIALISTS, PLLC | CONCORD | NC | PODIATRY | 46 | 690 | 0.2% | (704) 786-4482 |
| 73 | CAROLINA EAR NOSE AND THROAT-SINUS AND ALLERGY CENTER PA | HICKORY | NC | OTOLARYNGOLOGY | 19 | 687 | 0.2% | 8283222183266 |
| 74 | ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA | ASHEVILLE | NC | OTOLARYNGOLOGY | 17 | 675 | 0.2% | (828) 254-3517 |
| 75 | DIGESTIVE HEALTH SPECIALISTS PA | WINSTON SALEM | NC | GASTROENTEROLOGY | 28 | 668 | 0.2% | (336) 768-6211 |
| 76 | EAST CAROLINA UNIVERSITY | GREENVILLE | NC | NURSE PRACTITIONER | 491 | 667 | 0.2% | (252) 744-1406 |
| 77 | SINGLETON VISION CENTER | NEW BERN | NC | OPHTHALMOLOGY | 2 | 666 | 0.2% | (252) 514-2155 |
| 78 | FORSYTH MEMORIAL HOSPITAL INC | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 620 | 655 | 0.2% | (336) 277-2620 |
| 79 | MEDAC HEALTH SERVICES PA | WILMINGTON | NC | PHYSICIAN ASSISTANT | 24 | 651 | 0.2% | (910) 338-2735 |
| 80 | GASTON EYE ASSOCIATES | GASTONIA | NC | OPHTHALMOLOGY | 10 | 649 | 0.2% | (704) 853-3937 |
| 81 | ATRIUM HEALTH SPECIALTY NETWORK INC | CHARLOTTE | NC | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 228 | 649 | 0.2% | (704) 468-8874 |
| 82 | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC | GREENVILLE | NC | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 673 | 646 | 0.2% | (252) 847-4100 |
| 83 | EYECARECENTER OD PA | WINSTON SALEM | NC | OPTOMETRY | 70 | 616 | 0.2% | (336) 331-0231 |
| 84 | OUTER BANKS PROFESSIONAL SERVICES, LLC | NAGS HEAD | NC | PHYSICIAN ASSISTANT | 155 | 601 | 0.2% | — |
| 85 | RALEIGH CAPITOL EAR NOSE AND THROAT | RALEIGH | NC | OTOLARYNGOLOGY | 29 | 598 | 0.2% | (919) 787-7171 |
| 86 | HUGH CHATHAM MEMORIAL HOSPITAL INC | ELKIN | NC | NURSE PRACTITIONER | 76 | 597 | 0.2% | (336) 366-1072 |
| 87 | MAINSTREET AND KIDSSTREET OF NORTH CAROLINA PLLC | LOCUST | NC | NURSE PRACTITIONER | 75 | 590 | 0.2% | (704) 296-4508 |
| 88 | WILMINGTON EAR NOSE AND THROAT ASSOC PA | WILMINGTON | NC | OTOLARYNGOLOGY | 10 | 589 | 0.2% | 9107628754124 |
| 89 | POLLEY CLINIC OF DERMATOLOGY AND DERMATOLOGIC SURGERY | FAYETTEVILLE | NC | PHYSICIAN ASSISTANT | 9 | 569 | 0.2% | (252) 243-0566 |
| 90 | CAROLINAS MEDICAL CENTER | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 1034 | 561 | 0.1% | (704) 355-2000 |
| 91 | FOREST DERMATOLOGY PA | ASHEVILLE | NC | DERMATOLOGY | 8 | 560 | 0.1% | 8282746003313 |
| 92 | CARY SKIN CENTER PA | CARY | NC | PHYSICIAN ASSISTANT | 10 | 558 | 0.1% | (919) 363-7546 |
| 93 | COASTAL VASCULAR INSTITUTE, PA | WILMINGTON | NC | PHYSICIAN ASSISTANT | 4 | 543 | 0.1% | (910) 343-0811 |
| 94 | DUKE UNIVERSITY AFFILIATED PHYSICIANS, INC. | DURHAM | NC | PHYSICIAN ASSISTANT | 445 | 533 | 0.1% | (919) 572-1868 |
| 95 | SISTERS OF MERCY URGENT CARE INC | ASHEVILLE | NC | PHYSICIAN ASSISTANT | 45 | 532 | 0.1% | (828) 210-8325 |
| 96 | UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA PA | WILMINGTON | NC | UROLOGY | 9 | 527 | 0.1% | (910) 763-6251 |
| 97 | AFC URGENT CARE AND FAMILY CARE OF WNC PLLC | CHARLOTTE | NC | PHYSICIAN ASSISTANT | 73 | 522 | 0.1% | (704) 247-6578 |
| 98 | PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA | GASTONIA | NC | DERMATOLOGY | 56 | 507 | 0.1% | (704) 866-0106 |
| 99 | ROCKY MOUNT EYE PA | ROCKY MOUNT | NC | OPTOMETRY | 3 | 505 | 0.1% | (252) 443-1006 |
| 100 | NORTH CAROLINA NEPHROLOGY PA | RALEIGH | NC | NEPHROLOGY | 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 →