FNeeds Improvement

Medicare Revenue Report Card 2026

Rheumatology

5K providers nationally

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I just reviewed the 2026 Medicare Revenue Report Card for Rheumatology. Key findings: - Overall Grade: F - Estimated Missed Revenue: $526.3M - 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 Rheumatology report card:

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

Provider Count

5K

Avg Medicare Patients

209

Avg Total Payment

$369K

Est. Missed Revenue

$526.3M

across all providers

Peer group: 4,906 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

Care Management Program Adoption

Adoption rates for revenue-generating care management programs among Rheumatology 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

Rheumatology Trend Signals

Rheumatology Revenue

$369K

+217.0% 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 Rheumatology providers distribute their E&M visits across complexity levels versus the specialty benchmark.

99213

Level 3

33.0%

Benchmark: 18.3%

99214

Level 4

34.0%

Benchmark: 72.4%

99215

Level 5

33.0%

Benchmark: 8.2%

Key Revenue Metrics

$2K

Avg Revenue per Patient

209

Avg Medicare Patients

30K

Avg Services per Provider

Top States for Rheumatology

#StateProvidersAvg Payment
1Florida32$3.0M
2California17$3.2M
3Arizona15$3.3M
4Pennsylvania14$2.9M
5Texas13$2.6M
6South Carolina8$2.7M
7Maryland7$3.0M
8Virginia7$3.4M
9North Carolina7$2.7M
10Georgia7$2.6M
11Oklahoma6$4.5M
12New Jersey6$3.4M
13Alabama6$3.0M
14Missouri5$3.3M
15Arkansas5$3.2M

Top Rheumatology Providers

Top 20 Rheumatology providers by Medicare payment volume.

ProviderPatientsMedicare $
Craig CarsonM.D.766$9.7M
Nehal GandhiMD691$8.0M
Joy SchechtmanDO855$7.8M
Elizabeth ClaytonMD751$7.1M
Barry EibschutzM.D.638$6.6M
Aaron BroadwellMD987$6.4M
Shariar Cohen-GadolM.D.1,286$6.2M
Vipul JoshiMD728$5.6M
Nehad SolomanM.D.1,000$5.1M
Michael JosephMD1,046$5.1M
Larry BroadwellMD771$5.0M
Aymen KenawyM.D.1,014$5.0M
Richard HoukM.D.495$4.9M
Rachel ChaseMD341$4.8M
Arash HorizonM.D.549$4.8M
Melvin ChurchillM.D.1,075$4.8M
Vinicius Costa Diniz DominguesM.D.589$4.6M
Marc HirshM.D.1,387$4.6M
David CarletonMD629$4.3M
Richard HaddadMD524$4.3M

Scan a Provider in Rheumatology

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 4,906 providers analyzedLast updated: January 2026

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