Preferred Provider Organization

Managed Care Organizations › Preferred Provider Organization

Taxonomy 305R00000X Non-Individual 3,091 providers

About this specialty

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

By state 53 states & territories

StateProviders
CA510View →
TX279View →
FL263View →
NY166View →
IL114View →
LA112View →
GA110View →
OH103View →
NC92View →
WA88View →
VA84View →
MI79View →
NJ75View →
AZ63View →
CO58View →

Highest Medicare-paid providers

ProviderLocationMedicare paid
PET IMAGING OF SAN JOSE, LLCSAN JOSE, CA$465,121
JOSH BARNES, NP-CMADISON, AL$16,934

Ranked by total Medicare payments — a measure of billing volume, not care quality.

Taxonomy definitions from the NUCC Health Care Provider Taxonomy (public domain). Provider counts derived from NPPES; payment figures from CMS Medicare data. Not affiliated with CMS, NPPES, NUCC, or any government agency.