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Medicare Massachusetts · 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 Massachusetts?

Medicare Part B FFS · CY2024 · as published by CMS
713
Billing groups
198,268
Named-group FFS services
$101,954,437
Named-group submitted charges
$514
Avg charge / service
$160
Avg allowed / service
22%
Top-5 concentration
1%
Independent share

713 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).

Payer-mix context

Medicare fee-for-service covers 64% of Medicare in Massachusetts; Medicare Advantage penetration 27% → 36% 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 BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC BOSTONMAPHYSICIAN ASSISTANT 2942 11,068 3.8% (617) 732-5500
2 LAHEY CLINIC INC BURLINGTONMANURSE PRACTITIONER 1400 9,850 3.4%
3 MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC BOSTONMADIAGNOSTIC RADIOLOGY 3532 7,791 2.7% (617) 724-0287
4 UMASS MEMORIAL MEDICAL GROUP INC WORCESTERMAPHYSICIAN ASSISTANT 2483 7,689 2.6% (508) 334-1000
5 ATRIUS HEALTH INC BOSTONMANURSE PRACTITIONER 1196 7,618 2.6% (617) 421-1000
6 SOUTHCOAST PHYSICIANS GROUP INC FALL RIVERMANURSE PRACTITIONER 868 6,298 2.2% (508) 973-5919
7 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELDMAPHYSICIAN ASSISTANT 1326 5,853 2.0%
8 CONVENIENTMD - FFS UC LLC BELLINGHAMMAPHYSICIAN ASSISTANT 399 5,609 1.9% (774) 295-4355
9 HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC BOSTONMAINTERNAL MEDICINE 1689 5,370 1.8% (781) 983-9088
10 MASSACHUSETTS EYE AND EAR ASSOCIATES, INC BOSTONMAOPHTHALMOLOGY 406 4,656 1.6% (617) 523-7900
11 MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC SALEMMANURSE PRACTITIONER 803 3,937 1.4% (978) 741-4133
12 RELIANT MEDICAL GROUP INC WORCESTERMANURSE PRACTITIONER 634 3,412 1.2% (508) 363-5000
13 LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC DARTMOUTHMAPHYSICIAN ASSISTANT 434 3,142 1.1% (508) 996-3991
14 MEDICAL AFFILIATES OF CAPE COD INC HYANNISMANURSE PRACTITIONER 236 2,691 0.9% (508) 771-1800
15 GREATER BOSTON UROLOGY LLC FRAMINGHAMMAUROLOGY 42 2,524 0.9%
16 NORTHEAST ORTHOPAEDIC ALLIANCE PLLC CONCORDMAPHYSICIAN ASSISTANT 268 2,407 0.8% (603) 883-0091
17 OPHTHALMIC CONSULTANTS OF BOSTON INC BOSTONMAOPHTHALMOLOGY 70 2,217 0.8% (617) 367-4800
18 BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC. BURLINGTONMACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 257 2,158 0.7% (781) 744-8400
19 MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC NEWTONMAINTERNAL MEDICINE 535 2,093 0.7% (617) 243-6000
20 EMERSON PRACTICE ASSOCIATES, INC CONCORDMAINTERNAL MEDICINE 250 1,774 0.6% (978) 287-3020
21 SIGNATURE HEALTHCARE MEDICAL GROUP INC BROCKTONMAPHYSICIAN ASSISTANT 241 1,735 0.6% (508) 941-7000
22 HOLYOKE MEDICAL CENTER INC HOLYOKEMADIAGNOSTIC RADIOLOGY 201 1,727 0.6% (413) 534-2546
23 URGI CENTER MEDICAL GROUP SANDWICHMAEMERGENCY MEDICINE 83 1,698 0.6% (508) 833-2639
24 MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC NORTHAMPTONMAPHYSICIAN ASSISTANT 280 1,645 0.6% (413) 582-2441
25 SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. PEABODYMAPHYSICIAN ASSISTANT 87 1,527 0.5% (978) 818-6350
26 PRIMA CARE, PC FALL RIVERMANURSE PRACTITIONER 220 1,415 0.5%
27 MASSTEX IMAGING, LLC DANVERSMAINTERNAL MEDICINE 11 1,349 0.5% (978) 750-0300
28 MOUNT AUBURN PROFESSIONAL SERVICES INC CAMBRIDGEMAINTERNAL MEDICINE 223 1,327 0.5% (617) 499-5112
29 LGH MEDICAL GROUP, INC. LOWELLMANURSE PRACTITIONER 163 1,293 0.4% (978) 788-7344
30 BMC AFFILIATED PHYSICIANS, INC. BROCKTONMAPHYSICIAN ASSISTANT 525 1,277 0.4% (508) 427-3000
31 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH IS NEW BEDFORDMACERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 564 1,261 0.4% (781) 983-9088
32 NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC. BOSTONMAPHYSICIAN ASSISTANT 81 1,217 0.4% (617) 754-5800
33 JORDAN PHYSICIAN ASSOCIATES INC PLYMOUTHMANURSE PRACTITIONER 166 1,180 0.4% (508) 210-5920
34 BERKSHIRE FACULTY SERVICES INC PITTSFIELDMAPHYSICIAN ASSISTANT 276 1,174 0.4% (413) 447-2695
35 PIONEER SPINE AND SPORTS PHYSICIANS PC WEST SPRINGFIELDMAPHYSICAL THERAPIST IN PRIVATE PRACTICE 29 1,102 0.4% (413) 785-1153
36 STURDY HEALTH INC ATTLEBOROMANURSE PRACTITIONER 196 963 0.3% (508) 222-3200
37 VASCULAR CARE GROUP LLC HYANNISMAVASCULAR SURGERY 27 961 0.3% (508) 775-1984
38 BERNARD J DURANTE MD PC PLYMOUTHMAPHYSICIAN ASSISTANT 16 940 0.3% (508) 746-8977
39 LONGWOOD EYE LLC WEST SPRINGFIELDMAOPHTHALMOLOGY 16 926 0.3% (413) 452-4111
40 PATRIOT URGENT CARE PROFESSIONALS PC BEDFORDMAPHYSICIAN ASSISTANT 42 864 0.3% (781) 430-8161
41 HALLMARK HEALTH MEDICAL ASSOCIATES INC MELROSEMANURSE PRACTITIONER 150 852 0.3% (781) 979-3070
42 DANA-FARBER CANCER INSTITUTE, INC. BOSTONMAMEDICAL ONCOLOGY 667 839 0.3% (617) 632-3000
43 BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC SOUTH HAMILTONMANURSE PRACTITIONER 350 821 0.3% (978) 468-7381
44 AFC PHYSICIANS OF MASSACHUSETTS, PC SPRINGFIELDMAPHYSICIAN ASSISTANT 59 791 0.3% (413) 782-4878
45 RIVERBEND MEDICAL GROUP INC SPRINGFIELDMAPHYSICIAN ASSISTANT 225 783 0.3% (413) 733-4101
46 CAMBRIDGE PUBLIC HEALTH COMMISSION CAMBRIDGEMAPHYSICIAN ASSISTANT 656 761 0.3% (617) 665-3000
47 MASSACHUSETTS ENT ASSOCIATES INC CHELMSFORDMAOTOLARYNGOLOGY 19 761 0.3% (978) 256-5557
48 URGENT CARE OPERATIONS PC BEVERLYMAPHYSICIAN ASSISTANT 39 758 0.3% (978) 922-2171
49 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION SHARONMAINTERNAL MEDICINE 294 738 0.3% (781) 784-9212
50 SOUTH SHORE MEDICAL CENTER, INC. NORWELLMANURSE PRACTITIONER 176 718 0.2% (781) 878-5200
51 UROLOGY ASSOCIATES OF CAPE COD, P.C. YARMOUTH PORTMAUROLOGY 8 718 0.2% (508) 771-9550
52 WOONSOCKET URGENT CARE PC EAST WALPOLEMAPHYSICIAN ASSISTANT 24 711 0.2% (781) 255-0500
53 COASTAL ORTHOPEDIC ASSOCIATES INC BEVERLYMAORTHOPEDIC SURGERY 18 668 0.2% (978) 927-3040
54 SAINT VINCENT PHYSICIAN SERVICES INC WORCESTERMANURSE PRACTITIONER 72 643 0.2% (508) 753-7259
55 BOSTON HAND TO SHOULDER PC NEWTONMAPHYSICIAN ASSISTANT 11 636 0.2% (617) 965-4263
56 EAR NOSE AND THROAT SURGEONS OF WESTERN NEW ENGLAND LLC SPRINGFIELDMAOTOLARYNGOLOGY 17 625 0.2% (413) 233-2052
57 SOUTH SHORE HEALTH EXPRESS INC WEYMOUTHMAPHYSICIAN ASSISTANT 33 615 0.2% (781) 626-5160
58 COASTAL MEDICAL ASSOCIATES WEYMOUTHMAPHYSICIAN ASSISTANT 458 612 0.2% (781) 792-4136
59 NEWTON WELLESLEY NEUROLOGY ASSOCIATES, P.C. NEWTONMANEUROLOGY 9 575 0.2% (617) 243-6000
60 PHYSIOTHERAPY ASSOCIATES INC SOUTH DENNISMAORTHOPEDIC SURGERY 1373 568 0.2% (508) 385-4212
61 GASTROENTEROLOGY HEALTHCARE ASSOCIATES PC NEWTONMAGASTROENTEROLOGY 10 523 0.2% (617) 969-1227
62 PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC PLYMOUTHMAORTHOPEDIC SURGERY 32 508 0.2% 78193424001204
63 NORTH SHORE EAR, NOSE AND THROAT ASSOCIATES, PC DANVERSMAOTOLARYNGOLOGY 18 507 0.2% (978) 745-6601
64 ENT SPECIALISTS, INC BROCKTONMAOTOLARYNGOLOGY 19 507 0.2% (508) 588-8034
65 HEYWOOD MEDICAL GROUP INC. GARDNERMANURSE PRACTITIONER 103 500 0.2% (978) 630-6460
66 OPTUM MEDICAL CARE PC MOUNT KISCOMAINTERNAL MEDICINE 1040 493 0.2% (914) 241-1050
67 ANGELS NEUROLOGICAL CENTERS PC ABINGTONMANURSE PRACTITIONER 8 491 0.2% (781) 870-3773
68 CHARLES RIVER MEDICAL ASSOCIATES, PC FRAMINGHAMMAINTERNAL MEDICINE 117 473 0.2%
69 ORTHOPEDIC AFFILIATES INC CONCORDMAPHYSICIAN ASSISTANT 19 457 0.2% (978) 369-5391
70 SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC SPRINGFIELDMANURSE PRACTITIONER 6 455 0.2% (413) 253-2767
71 NORTHEAST DERMATOLOGY ASSOCIATES PC NORTH ANDOVERMAPHYSICIAN ASSISTANT 82 454 0.2% (978) 691-5690
72 INTEGRATED GASTROENTEROLOGY CONSULTANTS, P.C. ANDOVERMAGASTROENTEROLOGY 28 450 0.2% (978) 459-6737
73 NORTH SHORE NEUROLOGY AND EMG LLC BEVERLYMANEUROLOGY 7 443 0.2% (978) 922-2226
74 MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC MEDFORDMADIAGNOSTIC RADIOLOGY 424 438 0.2% (781) 395-4909
75 ADULT AND PEDIATRIC DERMATOLOGY PC CONCORDMADERMATOLOGY 39 434 0.1% (978) 371-7010
76 PRATT MEDICAL GROUP INC BOSTONMAINTERNAL MEDICINE 277 433 0.1% (617) 636-5000
77 BOSTON ORTHOPAEDIC AND SPINE LLC BRIGHTONMAPHYSICIAN ASSISTANT 19 432 0.1% (617) 738-8642
78 EXCEL ORTHOPEDIC SPECIALISTS INC WOBURNMAPHYSICAL THERAPIST IN PRIVATE PRACTICE 48 422 0.1% (781) 782-1300
79 BERKSHIRE ORTHOPAEDIC ASSOCIATES INC PITTSFIELDMAPHYSICIAN ASSISTANT 28 421 0.1% (413) 499-6600
80 UROLOGY GROUP OF WESTERN NEW ENGLAND, P.C. SPRINGFIELDMAUROLOGY 11 389 0.1% (413) 785-5321
81 CARECENTRAL URGENT CARE MEDICAL GROUP PC STOUGHTONMANURSE PRACTITIONER 20 389 0.1% (781) 742-4491
82 MIDDLETON FAMILY MEDICINE URGENT CARE LLC MIDDLETONMANURSE PRACTITIONER 69 386 0.1% (978) 774-2555
83 CARDIOVASCULAR CONSULTANTS OF CAPE COD LLC HYANNISMACARDIOVASCULAR DISEASE (CARDIOLOGY) 4 379 0.1% (508) 778-8818
84 CIRCLE HEALTH URGENT CARE LLC WESTFORDMAPHYSICIAN ASSISTANT 39 379 0.1% (978) 323-0302
85 NEW ENGLAND DERMATOLOGY PC SPRINGFIELDMAPHYSICIAN ASSISTANT 24 378 0.1% (413) 733-9600
86 EVANS MEDICAL FOUNDATION INC BOSTONMAINTERNAL MEDICINE 530 375 0.1% (617) 414-5405
87 BOCACARE INC BOCA RATONMAPHYSICIAN ASSISTANT 199 375 0.1% (561) 955-7100
88 VALLEY PODIATRY ASSOCIATES PC SOUTH HADLEYMAPODIATRY 5 372 0.1% (413) 536-0912
89 NEWTON WELLESLEY ORTHOPEDIC ASSOCIATES INC NEWTONMAORTHOPEDIC SURGERY 27 372 0.1% (617) 964-0024
90 ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C. NORTH CHELMSFORDMAORTHOPEDIC SURGERY 43 362 0.1% (978) 454-0706
91 LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC NORTH CHELMSFORDMACARDIOVASCULAR DISEASE (CARDIOLOGY) 22 350 0.1% (978) 256-6607
92 BERKSHIRE EYE CENTER PC PITTSFIELDMAOPHTHALMOLOGY 9 348 0.1% (413) 445-4564
93 ORTHOPEDIC SURGERY, INC STONEHAMMAPHYSICAL THERAPIST IN PRIVATE PRACTICE 25 346 0.1% (781) 279-7040
94 SOUTHEAST REHABILITATION ASSOCIATES, PC FALL RIVERMAPHYSICAL MEDICINE AND REHABILITATION 3 334 0.1% (508) 679-1400
95 RHEUMATOLOGY ASSOCIATES PC SPRINGFIELDMARHEUMATOLOGY 4 328 0.1%
96 MILFORD GASTROENTEROLOGY ASSOCIATES INC MILFORDMAGASTROENTEROLOGY 6 317 0.1% (508) 478-6363
97 KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND PC WEST SPRINGFIELDMANEPHROLOGY 13 300 0.1% (413) 733-0010
98 PRATT MED/SURG DERMATOLOGY ASSOCIATES INC BOSTONMADERMATOLOGY 20 299 0.1% (617) 636-5000
99 NEW ENGLAND EAR NOSE AND THROAT/FACIAL PLASTIC SURGERY PC NORTH ANDOVERMAOTOLARYNGOLOGY 17 297 0.1% (978) 685-7550
100 SOUTH SHORE ORTHOPEDICS LLC HINGHAMMAPHYSICIAN 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 →