Ranked listRefreshed monthly

The 10 largest medical groups in North Carolina by Medicare Part B payments

Legacy Healthcare Services has the most Medicare Part B payments of any medical group in North Carolina, $344.2 million, followed by Atrium Health Cleveland Imaging in Shelby ($129.6M) and Duke Health Integrated Practice in Durham ($120.7M). Together the 10 leaders account for $1.07 billion in Medicare Part B payments in eight cities.

Updated Medicare Part B payments to each group from CMS claims dataHow we ranked

  1. Legacy Healthcare ServicesRaleigh · Multi-specialty$344.2M1,727physicians
  2. Atrium Health Cleveland ImagingShelby · Multi-specialty$129.6M2,343physicians
  3. Duke Health Integrated PracticeDurham · Multi-specialty$120.7M2,341physicians
  4. ECU HealthGreenville · Multi-specialty$92.5M1,246physicians
  5. Atrium Health Wake Forest BaptistWinston Salem · Multi-specialty$89.3M1,950physicians
  6. Atrium Health Levine Children's GastroenterologyCharlotte · Multi-specialty$67.2M1,596physicians
  7. North Carolina Retina AssociatesRaleigh · Eye Care$59.3M21physicians
  8. EmergeOrthoDurham · Multi-specialty$58.9M246physicians
  9. Cape Fear Valley Interventional RadiologyFayetteville · Multi-specialty$55.6M692physicians
  10. UNC Faculty PhysiciansChapel Hill · Multi-specialty$55.5M1,931physicians

The 10 highest of 2,614 North Carolina medical groups that report Medicare Part B payments. Ranks compare size, not quality of care.

Every medical group in North Carolina

The 10 top North Carolina medical groups hold 22% of all Medicare Part B payments

2,614 North Carolina medical groups report Medicare Part B payments, $4.78 billion in all. The 10 on this list hold $1.07 billion of it. The median medical group has $148,442 in Medicare Part B payments, so Legacy Healthcare Services is about 2,319 times that size.

of all Medicare Part B payments at North Carolina medical groups that report them
22%
the size of the median North Carolina medical group, which has $148,442 in Medicare Part B payments
2,319×
of the 2,614 North Carolina medical groups that report Medicare Part B payments
0.4%

How we ranked the top North Carolina medical groups

Measure
Medicare Part B payments to each group from CMS claims data.
What counts as a group
One Medicare PAC ID. A group that bills under several names counts once.
Field
2,614 North Carolina medical groups in the Dmand AI database report Medicare Part B payments.
Ties
Medical groups with the same number share a rank.
What a rank means
Size only. A rank compares Medicare Part B payments; it says nothing about quality of care.
Refresh
Monthly. Updated Oct 28, 2026.

FAQ

Questions about the top North Carolina medical groups

Answers from the same data, updated monthly.

Which North Carolina medical group has the most Medicare Part B payments?

Legacy Healthcare Services in Raleigh, with $344.2 million in Medicare Part B payments. Atrium Health Cleveland Imaging is second with $129.6M.

What are the top 10 North Carolina medical groups by Medicare Part B payments?

Legacy Healthcare Services ($344.2M), Atrium Health Cleveland Imaging ($129.6M), Duke Health Integrated Practice ($120.7M), ECU Health ($92.5M), Atrium Health Wake Forest Baptist ($89.3M), Atrium Health Levine Children's Gastroenterology ($67.2M), North Carolina Retina Associates ($59.3M), EmergeOrtho ($58.9M), Cape Fear Valley Interventional Radiology ($55.6M), UNC Faculty Physicians ($55.5M).

How many Medicare Part B payments does a typical North Carolina medical group have?

The median North Carolina medical group that reports Medicare Part B payments has $148,442 in Medicare Part B payments, out of 2,614 that report them.

How often is this list updated?

Every month, when the Dmand AI database refreshes. This version is from Oct 28, 2026.

More ranked lists

Every ranked list
  • Ranked list

    The 10 largest medical groups in Georgia by Medicare Part B payments

    The same ranking for Georgia medical groups.

  • Ranked list

    The 10 largest medical groups in the US by Medicare Part B payments

    The national ranking by Medicare Part B payments.

  • Ranked list

    The 10 largest hospitals in North Carolina

    Hospitals in North Carolina ranked by staffed beds.

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