Medicare Revenue Report Card 2026
California
93K Medicare providers analyzed
One-Click LinkedIn Post
I just reviewed the 2026 Medicare Revenue Report Card for California. Key findings: - Overall Grade: F - Estimated Missed Revenue: $8.3M - 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 California report card:
https://npixray.com/reports/states/california
Total Providers
93K
in California
Total Medicare Payment
$11525.5M
Avg Payment / Provider
$123K
Est. Missed Revenue
$8.3M
across all providers
Care Management Program Adoption
How California providers compare to the national average in adopting revenue-generating care management programs.
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
California Trend Signals
Revenue per Provider
$123,270
+54.6% vs benchmark · national avg $79,744
Provider Market Share
8.0% of US
+100.0% vs benchmark · 93,498 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How California providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in California
| Specialty | Providers | Avg Payment |
|---|---|---|
| Internal Medicine | 9,189 | $102K |
| Nurse Practitioner | 7,134 | $45K |
| Family Practice | 6,986 | $65K |
| Physical Therapist in Private Practice | 6,585 | $59K |
| Physician Assistant | 5,776 | $38K |
| Emergency Medicine | 4,860 | $42K |
| Anesthesiology | 3,586 | $27K |
| Diagnostic Radiology | 3,206 | $136K |
| Mass Immunizer Roster Biller | 2,501 | $70K |
| Chiropractic | 2,473 | $16K |
| Optometry | 2,228 | $27K |
| Ophthalmology | 1,955 | $396K |
| Psychiatry | 1,902 | $42K |
| Cardiology | 1,814 | $290K |
| Orthopedic Surgery | 1,810 | $115K |
| Hospitalist | 1,653 | $59K |
| General Surgery | 1,555 | $53K |
| Neurology | 1,515 | $102K |
| Psychologist, Clinical | 1,488 | $55K |
| Obstetrics & Gynecology | 1,437 | $22K |
City Report Cards in California
Los Angeles
San Diego
San Francisco
Sacramento
Stanford
Fresno
Orange
San Jose
Bakersfield
Torrance
Oakland
Santa Monica
Long Beach
La Jolla
Palo Alto
Walnut Creek
Newport Beach
Loma Linda
Riverside
Modesto
Top 20 Providers in California
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Guardant Health, Inc. | 20,745 | $174.5M |
| Natera, Inc. | 15,483 | $133.1M |
| Caredx Inc. | 16,556 | $122.5M |
| Cardionet, Llc. | 111,291 | $112.2M |
| Genomic Health, Inc. | 24,312 | $96.8M |
| Irhythm Technologies, Inc. | 239,988 | $94.0M |
| Unilab Corporation | 367,832 | $94.0M |
| Veracyte Labs Sd Corporation | 18,742 | $75.0M |
| Invitae Corporation | 40,559 | $71.4M |
| Laboratory Corporation Of America | 295,106 | $59.8M |
| Unilab Corporation | 245,429 | $47.1M |
| Aaron JengMD, MPH | 187 | $43.2M |
| Ambry Genetics Corporation | 22,503 | $40.8M |
| Biotheranostics, Inc. | 9,039 | $38.4M |
| Veracyte, Inc. | 8,658 | $37.7M |
| Neogenomics Laboratories Inc | 8,822 | $32.6M |
| Richard ParkM.D. | 1,998 | $31.7M |
| Falck Mobile Health Corp | 35,359 | $25.5M |
| Mdinr, Llc | 38,828 | $25.2M |
| Mdxhealth, Inc. | 4,515 | $24.0M |
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