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 Massachusetts?
Medicare Part B FFS · CY2024 · as published by CMS713 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 Massachusetts in 2024; the top five named groups hold 22% of that volume, and independent (non-hospital-affiliated) groups deliver 1%.
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 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 | 99204 svcs | Share* | Phone |
|---|---|---|---|---|---|---|---|---|
| 1 | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC | BOSTON | MA | PHYSICIAN ASSISTANT | 2942 | 11,068 | 3.8% | (617) 732-5500 |
| 2 | LAHEY CLINIC INC | BURLINGTON | MA | NURSE PRACTITIONER | 1400 | 9,850 | 3.4% | — |
| 3 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC | BOSTON | MA | DIAGNOSTIC RADIOLOGY | 3532 | 7,791 | 2.7% | (617) 724-0287 |
| 4 | UMASS MEMORIAL MEDICAL GROUP INC | WORCESTER | MA | PHYSICIAN ASSISTANT | 2483 | 7,689 | 2.6% | (508) 334-1000 |
| 5 | ATRIUS HEALTH INC | BOSTON | MA | NURSE PRACTITIONER | 1196 | 7,618 | 2.6% | (617) 421-1000 |
| 6 | SOUTHCOAST PHYSICIANS GROUP INC | FALL RIVER | MA | NURSE PRACTITIONER | 868 | 6,298 | 2.2% | (508) 973-5919 |
| 7 | BAYSTATE MEDICAL PRACTICES INC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 1326 | 5,853 | 2.0% | — |
| 8 | CONVENIENTMD - FFS UC LLC | BELLINGHAM | MA | PHYSICIAN ASSISTANT | 399 | 5,609 | 1.9% | (774) 295-4355 |
| 9 | HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC | BOSTON | MA | INTERNAL MEDICINE | 1689 | 5,370 | 1.8% | (781) 983-9088 |
| 10 | MASSACHUSETTS EYE AND EAR ASSOCIATES, INC | BOSTON | MA | OPHTHALMOLOGY | 406 | 4,656 | 1.6% | (617) 523-7900 |
| 11 | MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC | SALEM | MA | NURSE PRACTITIONER | 803 | 3,937 | 1.4% | (978) 741-4133 |
| 12 | RELIANT MEDICAL GROUP INC | WORCESTER | MA | NURSE PRACTITIONER | 634 | 3,412 | 1.2% | (508) 363-5000 |
| 13 | LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC | DARTMOUTH | MA | PHYSICIAN ASSISTANT | 434 | 3,142 | 1.1% | (508) 996-3991 |
| 14 | MEDICAL AFFILIATES OF CAPE COD INC | HYANNIS | MA | NURSE PRACTITIONER | 236 | 2,691 | 0.9% | (508) 771-1800 |
| 15 | GREATER BOSTON UROLOGY LLC | FRAMINGHAM | MA | UROLOGY | 42 | 2,524 | 0.9% | — |
| 16 | NORTHEAST ORTHOPAEDIC ALLIANCE PLLC | CONCORD | MA | PHYSICIAN ASSISTANT | 268 | 2,407 | 0.8% | (603) 883-0091 |
| 17 | OPHTHALMIC CONSULTANTS OF BOSTON INC | BOSTON | MA | OPHTHALMOLOGY | 70 | 2,217 | 0.8% | (617) 367-4800 |
| 18 | BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC. | BURLINGTON | MA | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 257 | 2,158 | 0.7% | (781) 744-8400 |
| 19 | MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC | NEWTON | MA | INTERNAL MEDICINE | 535 | 2,093 | 0.7% | (617) 243-6000 |
| 20 | EMERSON PRACTICE ASSOCIATES, INC | CONCORD | MA | INTERNAL MEDICINE | 250 | 1,774 | 0.6% | (978) 287-3020 |
| 21 | SIGNATURE HEALTHCARE MEDICAL GROUP INC | BROCKTON | MA | PHYSICIAN ASSISTANT | 241 | 1,735 | 0.6% | (508) 941-7000 |
| 22 | HOLYOKE MEDICAL CENTER INC | HOLYOKE | MA | DIAGNOSTIC RADIOLOGY | 201 | 1,727 | 0.6% | (413) 534-2546 |
| 23 | URGI CENTER MEDICAL GROUP | SANDWICH | MA | EMERGENCY MEDICINE | 83 | 1,698 | 0.6% | (508) 833-2639 |
| 24 | MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC | NORTHAMPTON | MA | PHYSICIAN ASSISTANT | 280 | 1,645 | 0.6% | (413) 582-2441 |
| 25 | SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. | PEABODY | MA | PHYSICIAN ASSISTANT | 87 | 1,527 | 0.5% | (978) 818-6350 |
| 26 | PRIMA CARE, PC | FALL RIVER | MA | NURSE PRACTITIONER | 220 | 1,415 | 0.5% | — |
| 27 | MASSTEX IMAGING, LLC | DANVERS | MA | INTERNAL MEDICINE | 11 | 1,349 | 0.5% | (978) 750-0300 |
| 28 | MOUNT AUBURN PROFESSIONAL SERVICES INC | CAMBRIDGE | MA | INTERNAL MEDICINE | 223 | 1,327 | 0.5% | (617) 499-5112 |
| 29 | LGH MEDICAL GROUP, INC. | LOWELL | MA | NURSE PRACTITIONER | 163 | 1,293 | 0.4% | (978) 788-7344 |
| 30 | BMC AFFILIATED PHYSICIANS, INC. | BROCKTON | MA | PHYSICIAN ASSISTANT | 525 | 1,277 | 0.4% | (508) 427-3000 |
| 31 | ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS | NEW BEDFORD | MA | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) | 564 | 1,261 | 0.4% | (781) 983-9088 |
| 32 | NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC. | BOSTON | MA | PHYSICIAN ASSISTANT | 81 | 1,217 | 0.4% | (617) 754-5800 |
| 33 | JORDAN PHYSICIAN ASSOCIATES INC | PLYMOUTH | MA | NURSE PRACTITIONER | 166 | 1,180 | 0.4% | (508) 210-5920 |
| 34 | BERKSHIRE FACULTY SERVICES INC | PITTSFIELD | MA | PHYSICIAN ASSISTANT | 276 | 1,174 | 0.4% | (413) 447-2695 |
| 35 | PIONEER SPINE AND SPORTS PHYSICIANS PC | WEST SPRINGFIELD | MA | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 29 | 1,102 | 0.4% | (413) 785-1153 |
| 36 | STURDY HEALTH INC | ATTLEBORO | MA | NURSE PRACTITIONER | 196 | 963 | 0.3% | (508) 222-3200 |
| 37 | VASCULAR CARE GROUP LLC | HYANNIS | MA | VASCULAR SURGERY | 27 | 961 | 0.3% | (508) 775-1984 |
| 38 | BERNARD J DURANTE MD PC | PLYMOUTH | MA | PHYSICIAN ASSISTANT | 16 | 940 | 0.3% | (508) 746-8977 |
| 39 | LONGWOOD EYE LLC | WEST SPRINGFIELD | MA | OPHTHALMOLOGY | 16 | 926 | 0.3% | (413) 452-4111 |
| 40 | PATRIOT URGENT CARE PROFESSIONALS PC | BEDFORD | MA | PHYSICIAN ASSISTANT | 42 | 864 | 0.3% | (781) 430-8161 |
| 41 | HALLMARK HEALTH MEDICAL ASSOCIATES INC | MELROSE | MA | NURSE PRACTITIONER | 150 | 852 | 0.3% | (781) 979-3070 |
| 42 | DANA-FARBER CANCER INSTITUTE, INC. | BOSTON | MA | MEDICAL ONCOLOGY | 667 | 839 | 0.3% | (617) 632-3000 |
| 43 | BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC | SOUTH HAMILTON | MA | NURSE PRACTITIONER | 350 | 821 | 0.3% | (978) 468-7381 |
| 44 | AFC PHYSICIANS OF MASSACHUSETTS, PC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 59 | 791 | 0.3% | (413) 782-4878 |
| 45 | RIVERBEND MEDICAL GROUP INC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 225 | 783 | 0.3% | (413) 733-4101 |
| 46 | CAMBRIDGE PUBLIC HEALTH COMMISSION | CAMBRIDGE | MA | PHYSICIAN ASSISTANT | 656 | 761 | 0.3% | (617) 665-3000 |
| 47 | MASSACHUSETTS ENT ASSOCIATES INC | CHELMSFORD | MA | OTOLARYNGOLOGY | 19 | 761 | 0.3% | (978) 256-5557 |
| 48 | URGENT CARE OPERATIONS PC | BEVERLY | MA | PHYSICIAN ASSISTANT | 39 | 758 | 0.3% | (978) 922-2171 |
| 49 | MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION | SHARON | MA | INTERNAL MEDICINE | 294 | 738 | 0.3% | (781) 784-9212 |
| 50 | SOUTH SHORE MEDICAL CENTER, INC. | NORWELL | MA | NURSE PRACTITIONER | 176 | 718 | 0.2% | (781) 878-5200 |
| 51 | UROLOGY ASSOCIATES OF CAPE COD, P.C. | YARMOUTH PORT | MA | UROLOGY | 8 | 718 | 0.2% | (508) 771-9550 |
| 52 | WOONSOCKET URGENT CARE PC | EAST WALPOLE | MA | PHYSICIAN ASSISTANT | 24 | 711 | 0.2% | (781) 255-0500 |
| 53 | COASTAL ORTHOPEDIC ASSOCIATES INC | BEVERLY | MA | ORTHOPEDIC SURGERY | 18 | 668 | 0.2% | (978) 927-3040 |
| 54 | SAINT VINCENT PHYSICIAN SERVICES INC | WORCESTER | MA | NURSE PRACTITIONER | 72 | 643 | 0.2% | (508) 753-7259 |
| 55 | BOSTON HAND TO SHOULDER PC | NEWTON | MA | PHYSICIAN ASSISTANT | 11 | 636 | 0.2% | (617) 965-4263 |
| 56 | EAR NOSE AND THROAT SURGEONS OF WESTERN NEW ENGLAND LLC | SPRINGFIELD | MA | OTOLARYNGOLOGY | 17 | 625 | 0.2% | (413) 233-2052 |
| 57 | SOUTH SHORE HEALTH EXPRESS INC | WEYMOUTH | MA | PHYSICIAN ASSISTANT | 33 | 615 | 0.2% | (781) 626-5160 |
| 58 | COASTAL MEDICAL ASSOCIATES | WEYMOUTH | MA | PHYSICIAN ASSISTANT | 458 | 612 | 0.2% | (781) 792-4136 |
| 59 | NEWTON WELLESLEY NEUROLOGY ASSOCIATES, P.C. | NEWTON | MA | NEUROLOGY | 9 | 575 | 0.2% | (617) 243-6000 |
| 60 | PHYSIOTHERAPY ASSOCIATES INC | SOUTH DENNIS | MA | ORTHOPEDIC SURGERY | 1373 | 568 | 0.2% | (508) 385-4212 |
| 61 | GASTROENTEROLOGY HEALTHCARE ASSOCIATES PC | NEWTON | MA | GASTROENTEROLOGY | 10 | 523 | 0.2% | (617) 969-1227 |
| 62 | PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC | PLYMOUTH | MA | ORTHOPEDIC SURGERY | 32 | 508 | 0.2% | 78193424001204 |
| 63 | NORTH SHORE EAR, NOSE AND THROAT ASSOCIATES, PC | DANVERS | MA | OTOLARYNGOLOGY | 18 | 507 | 0.2% | (978) 745-6601 |
| 64 | ENT SPECIALISTS, INC | BROCKTON | MA | OTOLARYNGOLOGY | 19 | 507 | 0.2% | (508) 588-8034 |
| 65 | HEYWOOD MEDICAL GROUP INC. | GARDNER | MA | NURSE PRACTITIONER | 103 | 500 | 0.2% | (978) 630-6460 |
| 66 | OPTUM MEDICAL CARE PC | MOUNT KISCO | MA | INTERNAL MEDICINE | 1040 | 493 | 0.2% | (914) 241-1050 |
| 67 | ANGELS NEUROLOGICAL CENTERS PC | ABINGTON | MA | NURSE PRACTITIONER | 8 | 491 | 0.2% | (781) 870-3773 |
| 68 | CHARLES RIVER MEDICAL ASSOCIATES, PC | FRAMINGHAM | MA | INTERNAL MEDICINE | 117 | 473 | 0.2% | — |
| 69 | ORTHOPEDIC AFFILIATES INC | CONCORD | MA | PHYSICIAN ASSISTANT | 19 | 457 | 0.2% | (978) 369-5391 |
| 70 | SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC | SPRINGFIELD | MA | NURSE PRACTITIONER | 6 | 455 | 0.2% | (413) 253-2767 |
| 71 | NORTHEAST DERMATOLOGY ASSOCIATES PC | NORTH ANDOVER | MA | PHYSICIAN ASSISTANT | 82 | 454 | 0.2% | (978) 691-5690 |
| 72 | INTEGRATED GASTROENTEROLOGY CONSULTANTS, P.C. | ANDOVER | MA | GASTROENTEROLOGY | 28 | 450 | 0.2% | (978) 459-6737 |
| 73 | NORTH SHORE NEUROLOGY AND EMG LLC | BEVERLY | MA | NEUROLOGY | 7 | 443 | 0.2% | (978) 922-2226 |
| 74 | MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC | MEDFORD | MA | DIAGNOSTIC RADIOLOGY | 424 | 438 | 0.2% | (781) 395-4909 |
| 75 | ADULT AND PEDIATRIC DERMATOLOGY PC | CONCORD | MA | DERMATOLOGY | 39 | 434 | 0.1% | (978) 371-7010 |
| 76 | PRATT MEDICAL GROUP INC | BOSTON | MA | INTERNAL MEDICINE | 277 | 433 | 0.1% | (617) 636-5000 |
| 77 | BOSTON ORTHOPAEDIC AND SPINE LLC | BRIGHTON | MA | PHYSICIAN ASSISTANT | 19 | 432 | 0.1% | (617) 738-8642 |
| 78 | EXCEL ORTHOPEDIC SPECIALISTS INC | WOBURN | MA | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 48 | 422 | 0.1% | (781) 782-1300 |
| 79 | BERKSHIRE ORTHOPAEDIC ASSOCIATES INC | PITTSFIELD | MA | PHYSICIAN ASSISTANT | 28 | 421 | 0.1% | (413) 499-6600 |
| 80 | UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. | SPRINGFIELD | MA | UROLOGY | 11 | 389 | 0.1% | (413) 785-5321 |
| 81 | CARECENTRAL URGENT CARE MEDICAL GROUP PC | STOUGHTON | MA | NURSE PRACTITIONER | 20 | 389 | 0.1% | (781) 742-4491 |
| 82 | MIDDLETON FAMILY MEDICINE URGENT CARE LLC | MIDDLETON | MA | NURSE PRACTITIONER | 69 | 386 | 0.1% | (978) 774-2555 |
| 83 | CARDIOVASCULAR CONSULTANTS OF CAPE COD LLC | HYANNIS | MA | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 4 | 379 | 0.1% | (508) 778-8818 |
| 84 | CIRCLE HEALTH URGENT CARE LLC | WESTFORD | MA | PHYSICIAN ASSISTANT | 39 | 379 | 0.1% | (978) 323-0302 |
| 85 | NEW ENGLAND DERMATOLOGY PC | SPRINGFIELD | MA | PHYSICIAN ASSISTANT | 24 | 378 | 0.1% | (413) 733-9600 |
| 86 | EVANS MEDICAL FOUNDATION INC | BOSTON | MA | INTERNAL MEDICINE | 530 | 375 | 0.1% | (617) 414-5405 |
| 87 | BOCACARE INC | BOCA RATON | MA | PHYSICIAN ASSISTANT | 199 | 375 | 0.1% | (561) 955-7100 |
| 88 | VALLEY PODIATRY ASSOCIATES PC | SOUTH HADLEY | MA | PODIATRY | 5 | 372 | 0.1% | (413) 536-0912 |
| 89 | NEWTON WELLESLEY ORTHOPEDIC ASSOCIATES INC | NEWTON | MA | ORTHOPEDIC SURGERY | 27 | 372 | 0.1% | (617) 964-0024 |
| 90 | ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. | NORTH CHELMSFORD | MA | ORTHOPEDIC SURGERY | 43 | 362 | 0.1% | (978) 454-0706 |
| 91 | LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC | NORTH CHELMSFORD | MA | CARDIOVASCULAR DISEASE (CARDIOLOGY) | 22 | 350 | 0.1% | (978) 256-6607 |
| 92 | BERKSHIRE EYE CENTER PC | PITTSFIELD | MA | OPHTHALMOLOGY | 9 | 348 | 0.1% | (413) 445-4564 |
| 93 | ORTHOPEDIC SURGERY, INC | STONEHAM | MA | PHYSICAL THERAPIST IN PRIVATE PRACTICE | 25 | 346 | 0.1% | (781) 279-7040 |
| 94 | SOUTHEAST REHABILITATION ASSOCIATES, PC | FALL RIVER | MA | PHYSICAL MEDICINE AND REHABILITATION | 3 | 334 | 0.1% | (508) 679-1400 |
| 95 | RHEUMATOLOGY ASSOCIATES PC | SPRINGFIELD | MA | RHEUMATOLOGY | 4 | 328 | 0.1% | — |
| 96 | MILFORD GASTROENTEROLOGY ASSOCIATES INC | MILFORD | MA | GASTROENTEROLOGY | 6 | 317 | 0.1% | (508) 478-6363 |
| 97 | KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC | WEST SPRINGFIELD | MA | NEPHROLOGY | 13 | 300 | 0.1% | (413) 733-0010 |
| 98 | PRATT MED/SURG DERMATOLOGY ASSOCIATES INC | BOSTON | MA | DERMATOLOGY | 20 | 299 | 0.1% | (617) 636-5000 |
| 99 | NEW ENGLAND EAR NOSE AND THROAT/FACIAL PLASTIC SURGERY PC | NORTH ANDOVER | MA | OTOLARYNGOLOGY | 17 | 297 | 0.1% | (978) 685-7550 |
| 100 | SOUTH SHORE ORTHOPEDICS LLC | HINGHAM | MA | PHYSICIAN ASSISTANT | 40 | 286 | 0.1% | (781) 337-5555 |
*Share of Massachusetts'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 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 →