Medicare Revenue Report Card 2026
Gastroenterology
14K providers nationally
One-Click LinkedIn Post
I just reviewed the 2026 Medicare Revenue Report Card for Gastroenterology. Key findings: - Overall Grade: F - Estimated Missed Revenue: $313.5M - 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 Gastroenterology report card:
https://npixray.com/reports/specialties/gastroenterology
Provider Count
14K
Avg Medicare Patients
133
Avg Total Payment
$76K
Est. Missed Revenue
$313.5M
across all providers
Care Management Program Adoption
Adoption rates for revenue-generating care management programs among Gastroenterology providers compared to national averages.
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
Gastroenterology Trend Signals
Gastroenterology Revenue
$76K
-34.4% vs benchmark · national avg $116K
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
E&M Coding Distribution
How Gastroenterology providers distribute their E&M visits across complexity levels versus the specialty benchmark.
99213
Level 3
33.0%
Benchmark: 37.4%
99214
Level 4
34.0%
Benchmark: 54.6%
99215
Level 5
33.0%
Benchmark: 5.3%
Key Revenue Metrics
$575
Avg Revenue per Patient
133
Avg Medicare Patients
1K
Avg Services per Provider
Top States for Gastroenterology
| # | State | Providers | Avg Payment |
|---|---|---|---|
| 1 | Florida | 49 | $489K |
| 2 | California | 27 | $596K |
| 3 | New York | 25 | $521K |
| 4 | Tennessee | 10 | $644K |
| 5 | Nebraska | 10 | $445K |
| 6 | Texas | 9 | $523K |
| 7 | Illinois | 8 | $659K |
| 8 | Mississippi | 8 | $396K |
| 9 | New Jersey | 7 | $401K |
| 10 | Missouri | 6 | $606K |
| 11 | Georgia | 4 | $623K |
| 12 | Arkansas | 4 | $440K |
| 13 | Maryland | 4 | $462K |
| 14 | Alabama | 4 | $425K |
| 15 | North Carolina | 2 | $608K |
Top Gastroenterology Providers
Top 20 Gastroenterology providers by Medicare payment volume.
| Provider | Patients | Medicare $ |
|---|---|---|
| Jeffrey WeberM.D. | 1,171 | $20.8M |
| Dale ProkupekMD | 215 | $1.9M |
| Richard BoneM.D. | 17,171 | $1.8M |
| Ronald MichaelM.D. | 14,776 | $1.5M |
| Scott LampertM.D. | 696 | $1.3M |
| Moshe HirthM.D. | 529 | $1.3M |
| Terrence JacksonM.D. | 288 | $1.2M |
| Arthur OstrovM.D. | 61 | $1.1M |
| Bincy AbrahamMD | 95 | $988K |
| Hillary BownikM.D | 135 | $960K |
| Aaron WeissMD | 135 | $948K |
| Pedram EnayatiM.D. | 799 | $934K |
| Morris NausM.D. | 376 | $866K |
| Steven KleinM.D. | 239 | $865K |
| Mark AllenM.D. | 163 | $853K |
| Zahoor MakhdoomMD | 802 | $851K |
| Benjamin BasseriM.D. | 607 | $841K |
| Keivan GolchiniMD | 396 | $819K |
| Elliot EllisM.D. | 577 | $812K |
| Jacque NoelMD | 371 | $805K |
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