Medicare Revenue Report Card 2026
Massachusetts
36K Medicare providers analyzed
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I just reviewed the 2026 Medicare Revenue Report Card for Massachusetts. Key findings: - Overall Grade: F - Estimated Missed Revenue: $491K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Massachusetts report card:
https://npixray.com/reports/states/massachusetts
Total Providers
36K
in Massachusetts
Total Medicare Payment
$2411.9M
Avg Payment / Provider
$68K
Est. Missed Revenue
$491K
across all providers
Care Management Program Adoption
How Massachusetts providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Massachusetts Trend Signals
Revenue per Provider
$67,800
-15.0% vs benchmark · national avg $79,744
Provider Market Share
3.0% of US
+51.3% vs benchmark · 35,573 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Massachusetts providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in Massachusetts
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 5,123 | $27K |
| Internal Medicine | 3,882 | $60K |
| Physician Assistant | 2,736 | $25K |
| Physical Therapist in Private Practice | 1,979 | $41K |
| Emergency Medicine | 1,280 | $49K |
| Anesthesiology | 1,241 | $26K |
| Family Practice | 1,239 | $50K |
| Diagnostic Radiology | 1,084 | $98K |
| Psychiatry | 953 | $29K |
| Licensed Clinical Social Worker | 925 | $19K |
| Certified Registered Nurse Anesthetist (CRNA) | 837 | $9K |
| Optometry | 792 | $25K |
| Cardiology | 693 | $115K |
| Chiropractic | 678 | $18K |
| Neurology | 627 | $56K |
| Mass Immunizer Roster Biller | 616 | $113K |
| Hospitalist | 591 | $53K |
| Ophthalmology | 553 | $361K |
| Obstetrics & Gynecology | 537 | $16K |
| Pathology | 532 | $68K |
City Report Cards in Massachusetts
Boston
Worcester
Springfield
Burlington
Cambridge
Fall River
Brockton
Newton
Hyannis
Pittsfield
Framingham
Plymouth
Beverly
Weymouth
Quincy
Salem
Lawrence
Brighton
Peabody
Lowell
Top 20 Providers in Massachusetts
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Foundation Medicine, Inc. | 15,460 | $79.7M |
| Quest Diagnostics Massachusetts Llc | 130,874 | $27.8M |
| Quest Diagnostics Llc | 134,797 | $27.2M |
| Brewster Ambulance Service Inc. | 36,311 | $25.4M |
| Cataldo Ambulance Service Inc | 15,216 | $11.6M |
| Habit Opco, Llc | 1,200 | $11.0M |
| Boston Heart Diagnostics Corporation | 15,502 | $9.1M |
| Exosome Diagnostics, Inc. | 11,914 | $8.9M |
| American Medical Response Of Massachusetts Inc | 12,606 | $8.7M |
| David ReedM.D. | 2,760 | $7.7M |
| Torsten WiegandMD | 2,928 | $7.6M |
| Cohen Dermatopathology, P.C. | 43,811 | $7.5M |
| Spectrum Health Systems, Inc | 703 | $6.0M |
| Boston Public Health Commission | 8,202 | $5.9M |
| Coastal Medical Transportation Services Llc | 6,179 | $5.2M |
| Coastal Ambulance Llc | 8,049 | $5.1M |
| Community Health Care, Inc. | 594 | $5.1M |
| Chirag ShahMD | 2,444 | $5.0M |
| New England Life Flight, Inc. | 775 | $5.0M |
| West Suburban Eye Surgery Center Llc | 2,211 | $4.9M |
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