FNeeds Improvement

Medicare Revenue Report Card 2026

Pulmonology

10K providers nationally

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I just reviewed the 2026 Medicare Revenue Report Card for Pulmonology. Key findings: - Overall Grade: F - Estimated Missed Revenue: $266.9M - 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 Pulmonology report card:

https://npixray.com/reports/specialties/pulmonology

Provider Count

10K

Avg Medicare Patients

175

Avg Total Payment

$95K

Est. Missed Revenue

$266.9M

across all providers

Peer group: 10,381 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

Care Management Program Adoption

Adoption rates for revenue-generating care management programs among Pulmonology providers compared to national averages.

CCM

Chronic Care Management

0.0%Target: 15%

$62/patient/mo potential revenue

RPM

Remote Patient Monitoring

0.0%Target: 10%

$120/patient/mo potential revenue

BHI

Behavioral Health Integration

0.0%Target: 10%

$50/patient/mo potential revenue

AWV

Annual Wellness Visits

0.0%Target: 70%

$175/visit potential revenue

Pulmonology Trend Signals

Pulmonology Revenue

$95K

-18.0% 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 Pulmonology providers distribute their E&M visits across complexity levels versus the specialty benchmark.

99213

Level 3

0.0%

Benchmark: 22.8%

99214

Level 4

0.0%

Benchmark: 64.6%

99215

Level 5

0.0%

Benchmark: 11.6%

Key Revenue Metrics

$545

Avg Revenue per Patient

175

Avg Medicare Patients

1K

Avg Services per Provider

Scan a Provider in Pulmonology

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 10,381 providers analyzedLast updated: January 2026

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