Medicare provider payments and utilization data for Massachusetts (MA)
Massachusetts received $21.8B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Internal Medicine, accounting for $232.1M in payments across 3.9K providers.
In 2023, 35.6K providers were actively billing Medicare in Massachusetts.
Annual Medicare spending grew 27% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $1.9B | 46.6M | 30.2K | — |
| 2015 | $2.0B | 48.8M | 30.8K | +4.7% |
| 2016 | $2.1B | 52.2M | 31.8K | +4.0% |
| 2017 | $2.1B | 52.2M | 32.7K | +1.7% |
| 2018 | $2.2B | 53.0M | 33.2K | +5.6% |
| 2019 | $2.3B | 55.3M | 34.1K | +4.7% |
| 2020 | $2.0B | 47.2M | 33.4K | -13.9% |
| 2021 | $2.4B | 54.4M | 34.3K | +19.9% |
| 2022 | $2.3B | 53.2M | 34.9K | -2.5% |
| 2023 | $2.4B | 56.7M | 35.6K | +2.9% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $240.9M | 2.8M | 15.4K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $120.6M | 2.0M | 13.7K |
| J0178 | Injection, aflibercept, 1 mg | $70.3M | 101.8K | 85 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $56.7M | 466.7K | 6.4K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $55.6M | 130.0K | 258 |
| 0037U | Dna gene analysis of 324 genes in solid organ tumor tissue | $53.2M | 15.6K | 1 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $52.7M | 550.5K | 4.2K |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $50.0M | 793.9K | 5.4K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $49.1M | 134.8K | 271 |
| 66984 | Removal of cataract with insertion of prosthetic lens | $46.5M | 235.0K | 325 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $39.9M | 327.1K | 3.3K |
| 99285 | Emergency department visit with high level of medical decision making | $38.1M | 267.8K | 1.6K |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $33.6M | 243.8K | 4.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | $33.2M | 151.3K | 43 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $33.0M | 283.9K | 5.9K |
| 92014 | Established patient complete exam of visual system | $32.3M | 366.6K | 1.1K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $31.7M | 417.0K | 837 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $27.8M | 1.5M | 2.1K |
| 99291 | Critical care, first 30-74 minutes | $27.6M | 159.0K | 2.1K |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | $27.6M | 674.2K | 516 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Internal Medicine | $232.1M | 3.9K | $59.8K |
| Ophthalmology | $199.7M | 553 | $361.1K |
| Clinical Laboratory | $182.2M | 46 | $4.0M |
| Ambulance Service Provider | $171.7M | 279 | $615.5K |
| Nurse Practitioner | $138.2M | 5.1K | $27.0K |
| Diagnostic Radiology | $106.7M | 1.1K | $98.4K |
| Physical Therapist in Private Practice | $81.5M | 2.0K | $41.2K |
| Dermatology | $81.1M | 473 | $171.4K |
| Cardiology | $79.8M | 693 | $115.2K |
| Mass Immunizer Roster Biller | $69.7M | 616 | $113.1K |
| Physician Assistant | $68.7M | 2.7K | $25.1K |
| Ambulatory Surgical Center | $65.8M | 55 | $1.2M |
| Emergency Medicine | $62.3M | 1.3K | $48.7K |
| Family Practice | $61.5M | 1.2K | $49.6K |
| Orthopedic Surgery | $52.3M | 504 | $103.8K |
| Urology | $36.4M | 233 | $156.3K |
| Pathology | $36.0M | 532 | $67.7K |
| Neurology | $35.3M | 627 | $56.3K |
| Podiatry | $34.3M | 330 | $103.9K |
| Independent Diagnostic Testing Facility (IDTF) | $33.2M | 74 | $448.9K |
| Anesthesiology | $31.6M | 1.2K | $25.5K |
| Hospitalist | $31.1M | 591 | $52.6K |
| Gastroenterology | $29.7M | 462 | $64.3K |
| Opioid Treatment Program | $28.3M | 13 | $2.2M |
| Psychiatry | $28.0M | 953 | $29.4K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.