Top 25 physician groups by Medicare payments
Physician groups are critical to patient care as hospitals continue to compete with growing demand for outpatient facilities like retail clinics and surgery centers. Complementing but dissimilar to traditional inpatient hospitals, physician groups occupy a unique place in the care continuum.
How are physician groups and hospitals different?
Physician group practices offer outpatient rather than inpatient services, giving them greater flexibility in operational concerns such as operating hours, service offerings and geographical coverage.
However, their small size can also be a detriment. Smaller practices are not able to offer the same number of services a hospital can, leading to smaller revenue pools and greater risk of understaffing. Lack of revenue can also make it harder to implement new technologies, including electronic health record (EHR) systems.
For these and other reasons, hospitals and health systems are increasingly willing to purchase or partner with local physician groups. These relationships ensure that patient referrals remain in-network, which can stem revenue loss.
The Definitive Healthcare PhysicianGroupView product tracks over 126,000 groups. Below is a list of the top 25 physician groups based on the highest Medicare payments. This data is sourced from the Centers for Medicare and Medicaid (CMS) Public Use File (PUF) and aggregates provider data at the physician group level.
Top 25 physician groups with the highest Medicare payments
|Rank||Definitive ID||Physician group name||Location||Number of physicians||Medicare payments|
|1||1047395||HCA Florida Healthcare Physicians||Sebring, FL||7,338||$1,912,537,943|
|2||92755||HealthCare Partners IPA||Garden City, NY||5,048||$1,226,862,845|
|3||551855||Florida Cancer Specialists and Research Institute||Fort Myers, FL||279||$795,015,214|
|4||1001828||HCA West Florida Physicians||Tampa, FL||2,396||$759,491,149|
|5||553058||Texas Oncology||Dallas, TX||768||$622,856,925|
|6||550737||Hill Physicians Medical Group||Walnut Creek, CA||3,591||$589,902,656|
|7||705013||Select Physical Therapy||King Of Prussia, PA||2,758||$502,058,937|
|8||752078||Beaumont Health Physicians||Westland, MI||3,115||$447,969,169|
|9||550489||Northwell Health Physician Partners||Plainview, NY||4,721||$409,137,740|
|10||550420||Mayo Clinic Physicians||Rochester, MN||5,375||$402,525,291|
|11||551835||Christus Trinity Clinic (AKA Rusk Street Clinic)||Tyler, TX||2,401||$367,685,729|
|12||717580||Ascension Medical Group||Indianapolis, IN||4,448||$347,540,396|
|13||577713||NYU Langone Health Physicians||Staten Island, NY||3,460||$337,298,120|
|14||746511||CHRISTUS Physician Group||Coushatta, LA||2,051||$333,831,127|
|15||550719||Brown & Toland Physicians||San Francisco, CA||2,441||$316,939,292|
|16||550635||Texas Health Physicians Group||Arlington, TX||2,077||$312,758,014|
|17||1007685||Piedmont Healthcare Physicians||Athens, GA||2,130||$307,767,309|
|18||551390||Mount Sinai Doctors||New York, NY||3,260||$307,349,492|
|19||550231||Allina Health System Physicians||Minneapolis, MN||2,346||$283,379,686|
|20||550339||Geisinger Health Physicians||Danville, PA||3,694||$279,118,558|
|21||552341||Renaissance Physician Organization||Houston, TX||1,385||$273,096,172|
|22||552252||Baptist Health Medical Group||Lexington, KY||2,070||$271,720,285|
|23||550707||AdventHealth Medical Group||Maitland, FL||2,329||$271,643,020|
|24||781018||Medical Associates of New York||New York, NY||2,729||$270,321,677|
|25||552273||IPA of Nassau & Suffolk Counties||Commack, NY||719||$268,436,100|
Fig. 1 Data is from the Definitive Healthcare PhysicianGroupView product. Physician group data is sourced from proprietary research and aggregated from provider Public Use File (PUF) data. Data accurate as of May 2022.
Which physician groups receive the most Medicare payments?
HCA Florida Healthcare Physicians receives the highest amount of Medicare payments at nearly $2 billion based on the most recent data. HealthCare Partners IPA in New York had just over $1.2 billion in Medicare payments.
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