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Medicare Vermont · 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 Vermont?

Medicare Part B FFS · CY2024 · as published by CMS
58
Billing groups
11,054
Named-group FFS services
$3,145,598
Named-group submitted charges
$285
Avg charge / service
$137
Avg allowed / service
56%
Top-5 concentration
4%
Independent share

58 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 Vermont in 2024; the top five named groups hold 56% 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 Vermont market — the table below shows the top 100 groups (free tier).

Payer-mix context

Medicare fee-for-service covers 69% of Medicare in Vermont; Medicare Advantage penetration 14% → 31% 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 UNIVERSITY OF VERMONT MEDICAL CENTER INC BURLINGTONVTPHYSICIAN ASSISTANT 1194 3,293 22.7% (802) 847-0000
2 RUTLAND HOSPITAL, INC. RUTLANDVTNURSE PRACTITIONER 189 905 6.2% (802) 775-7111
3 CLEARCHOICEMD, PLLC LEBANONVTPHYSICIAN ASSISTANT 89 854 5.9% (603) 276-3260
4 OPHTHALMIC CONSULTANTS OF VERMONT PC S BURLINGTONVTOPHTHALMOLOGY 5 585 4.0% (802) 864-2010
5 NORTHWESTERN MEDICAL CENTER INC SAINT ALBANSVTNURSE PRACTITIONER 102 573 3.9%
6 SOUTHWESTERN VERMONT MEDICAL CENTER, INC BENNINGTONVTNURSE PRACTITIONER 178 467 3.2% (802) 440-4077
7 RETINA CENTER OF VERMONT INC SOUTH BURLINGTONVTOPHTHALMOLOGY 3 379 2.6% (802) 864-3937
8 CENTRAL VERMONT MEDICAL CENTER INC BERLINVTNURSE PRACTITIONER 243 322 2.2% (802) 225-1266
9 SHIPPEE FAMILY EYE CARE PC SAINT JOHNSBURYVTOPTOMETRY 10 294 2.0% (802) 223-7723
10 BRATTLEBORO MEMORIAL HOSPITAL BRATTLEBOROVTINTERNAL MEDICINE 73 270 1.9% (802) 257-8382
11 GUTHRIE MEDICAL GROUP PC SAYREVTPHYSICIAN ASSISTANT 804 204 1.4% (570) 888-5858
12 SHASTA ORTHOPEDICS AND SPORTS MEDICINE A MEDICAL CORPORATION REDDINGVTPODIATRY 37 199 1.4% (530) 246-2467
13 EVERGREEN FAMILY HEALTH PARTNERS ESSEX JUNCTIONVTFAMILY PRACTICE 21 197 1.4% (802) 872-7100
14 GREEN MOUNTAIN DERMATOLOGY PLLC COLCHESTERVTDERMATOLOGY 15 195 1.3% (802) 864-0192
15 TACONIC ORTHOPAEDICS PC MANCHESTER CENTERVTNURSE PRACTITIONER 3 160 1.1% (802) 251-6294
16 COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION INC RUTLANDVTNURSE PRACTITIONER 100 157 1.1% (802) 773-3386
17 NORTH COUNTRY HOSPITAL AND HEALTH CENTER INC NEWPORTVTPHYSICIAN ASSISTANT 47 132 0.9%
18 VELOCITY URGENT CARE LLC WILLIAMSBURGVTPHYSICIAN ASSISTANT 81 112 0.8% (757) 984-6140
19 MULTICARE HEALTH SYSTEM GIG HARBORVTNURSE PRACTITIONER 2289 107 0.7%
20 CENTRAL VERMONT EYE CARE, P.C. RUTLANDVTOPTOMETRY 3 105 0.7% (802) 775-0038
21 COPLEY HOSPITAL INC MORRISVILLEVTPHYSICIAN ASSISTANT 55 104 0.7%
22 TIMBER LANE ALLERGY AND ASTHMA ASSOCIATES, PC S BURLINGTONVTALLERGY/IMMUNOLOGY 3 102 0.7% (802) 864-0294
23 FRANCIS L PINARD OD PC NEWPORTVTOPTOMETRY 4 97 0.7% (802) 334-2772
24 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGHVTDIAGNOSTIC RADIOLOGY 345 95 0.7% (518) 561-2000
25 BON SECOURS MEDICAL GROUP RICHMOND SPECIALTY CARE LLC RICHMONDVTNURSE PRACTITIONER 352 77 0.5% (804) 764-6000
26 BAYSTATE MEDICAL PRACTICES INC SPRINGFIELDVTPHYSICIAN ASSISTANT 1326 72 0.5%
27 REGIONAL CANCER CARE ASSOCIATES LLC HACKENSACKVTHEMATOLOGY/ONCOLOGY 153 71 0.5% (201) 996-2210
28 NORTH MISSISSIPPI MEDICAL CENTER, INC. TUPELOVTCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) 361 62 0.4% (662) 377-3258
29 MANCHESTER MEDICAL CENTER PLLC MANCHESTER CENTERVTEMERGENCY MEDICINE 2 58 0.4% (802) 768-1718
30 INTEGRATED DERMATOLOGY OF SOUTH BURLINGTON PLLC SOUTH BURLINGTONVTDERMATOLOGY 4 57 0.4% (802) 660-8808
31 ADVANCED FOOT AND ANKLE CENTER LLC RUTLANDVTPODIATRY 2 53 0.4% (802) 773-8199
32 VERMONT GYNECOLOGY PC SOUTH BURLINGTONVTOBSTETRICS/GYNECOLOGY 8 53 0.4% (802) 735-1252
33 NUVANCE HEALTH MEDICAL PRACTICE PC POUGHKEEPSIEVTPHYSICIAN ASSISTANT 578 44 0.3%
34 NORTHEASTERN VERMONT REGIONAL HOSPITAL INC ST JOHNSBURYVTNURSE PRACTITIONER 109 43 0.3% (802) 748-8141
35 HEYWOOD MEDICAL GROUP INC. GARDNERVTNURSE PRACTITIONER 103 42 0.3% (978) 630-6460
36 MIDDLEBURY FAMILY HEALTH MIDDLEBURYVTFAMILY PRACTICE 9 42 0.3% (802) 388-1500
37 ST PETERS HOSPITAL OF THE CITY OF ALBANY ALBANYVTPHYSICIAN ASSISTANT 265 38 0.3%
38 DR. SHELLIE BURDICK LLC NORTH BENNINGTONVTFAMILY PRACTICE 2 35 0.2% (802) 732-3010
39 HILLEMANN AND KIRWAN MDS PC SOUTH BURLINGTONVTCARDIOVASCULAR DISEASE (CARDIOLOGY) 2 32 0.2% (802) 862-6312
40 WELLNOW URGENT CARE, P.C. LIVERPOOLVTPHYSICIAN ASSISTANT 421 32 0.2% (315) 291-0064
41 COMMUNITY HEALTH CENTERS OF BURLINGTON INC BURLINGTONVTNURSE PRACTITIONER 89 32 0.2% (802) 864-6309
42 HOSKINSON HEALTH AND WELLNESS CLINIC LLC GILLETTEVTINTERNAL MEDICINE 57 31 0.2% (307) 387-9850
43 MARY HITCHCOCK MEMORIAL HOSPITAL LEBANONVTNURSE PRACTITIONER 1270 30 0.2% (603) 650-5000
44 COMMUNITY HEALTH PARTNERS FRESNOVTINTERNAL MEDICINE 509 25 0.2% (559) 459-6000
45 BERKSHIRE FACULTY SERVICES INC PITTSFIELDVTPHYSICIAN ASSISTANT 276 24 0.2% (413) 447-2695
46 CENTRAL MAINE MEDICAL CENTER LEWISTONVTNURSE PRACTITIONER 358 21 0.1% (207) 753-3900
47 LITTLE RIVERS HEALTH CARE, INC. BRADFORDVTNURSE PRACTITIONER 28 19 0.1% (802) 222-9317
48 ASSOCIATES IN GASTROENTEROLOGY, PLLC COLCHESTERVTGASTROENTEROLOGY 6 18 0.1% (802) 864-7483
49 PARTNERS IN INTEGRATIVE HEALING PLLC MONTPELIERVTCERTIFIED CLINICAL NURSE SPECIALIST (CNS) 4 18 0.1% (802) 321-3692
50 CHARLESTON AREA MEDICAL CENTER INC CHARLESTONVTNURSE PRACTITIONER 970 16 0.1% (304) 388-5432
51 THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC NEENAHVTNURSE PRACTITIONER 59 15 0.1% (920) 725-9373
52 BRADFORD PSYCHIATRIC ASSOCIATES LLC RUTLANDVTADDICTION MEDICINE 3 14 0.1% (802) 775-7798
53 SAGE MENTAL HEALTH PLC ST JOHNSBURYVTNURSE PRACTITIONER 2 13 0.1% (802) 255-8788
54 MARY A. STANLEY, MD PC SOUTH BURLINGTONVTGENERAL SURGERY 2 13 0.1% (802) 497-3370
55 LACONIA EYE ASSOCIATES, P.A. GILFORDVTOPTOMETRY 5 12 0.1% (603) 524-2020
56 GREEN MOUNTAIN INTERNAL MEDICINE PLC SOUTH BURLINGTONVTINTERNAL MEDICINE 2 12 0.1% (802) 864-7080
57 RIVERS EDGE INTEGRATIVE MEDICINE PLLC WARRENVTEMERGENCY MEDICINE 2 11 0.1% (802) 744-7284
58 NORTH COUNTRY BEHAVIORAL MEDICINE PLLC PLATTSBURGHVTMENTAL HEALTH COUNSELOR 21 11 0.1% (518) 825-1555

*Share of Vermont'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 Vermont — 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 →