Medicare Revenue Report Card 2026
Virginia
30K Medicare providers analyzed
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I just reviewed the 2026 Medicare Revenue Report Card for Virginia. Key findings: - Overall Grade: F - Estimated Missed Revenue: $174K - 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 Virginia report card:
https://npixray.com/reports/states/virginia
Total Providers
30K
in Virginia
Total Medicare Payment
$2523.7M
Avg Payment / Provider
$84K
Est. Missed Revenue
$174K
across all providers
Care Management Program Adoption
How Virginia 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
Virginia Trend Signals
Revenue per Provider
$84,278
+5.7% vs benchmark · national avg $79,744
Provider Market Share
2.5% of US
+27.4% vs benchmark · 29,945 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 Virginia 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 Virginia
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,635 | $29K |
| Physician Assistant | 2,672 | $28K |
| Family Practice | 2,103 | $73K |
| Physical Therapist in Private Practice | 2,055 | $48K |
| Internal Medicine | 1,949 | $89K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,201 | $10K |
| Emergency Medicine | 1,083 | $45K |
| Anesthesiology | 807 | $26K |
| Mass Immunizer Roster Biller | 801 | $61K |
| Diagnostic Radiology | 797 | $131K |
| Optometry | 735 | $35K |
| Chiropractic | 647 | $18K |
| Hospitalist | 610 | $63K |
| Orthopedic Surgery | 529 | $132K |
| Obstetrics & Gynecology | 527 | $24K |
| General Surgery | 498 | $35K |
| Psychiatry | 453 | $26K |
| Cardiology | 432 | $199K |
| Ophthalmology | 425 | $551K |
| Licensed Clinical Social Worker | 393 | $17K |
City Report Cards in Virginia
Richmond
Charlottesville
Virginia Beach
Roanoke
Norfolk
Fairfax
Falls Church
Newport News
Alexandria
Winchester
Fredericksburg
Lynchburg
Chesapeake
Arlington
Leesburg
Midlothian
Manassas
Hampton
Reston
Williamsburg
Top 20 Providers in Virginia
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Robert BrennanMD | 1,356 | $15.9M |
| Sentara Reference Lab Solutions, Llc | 78,934 | $12.9M |
| Roanoke Valley Center For Sight Llc | 3,108 | $8.4M |
| Director Of Finance-County Of Fairfax Va | 10,927 | $7.9M |
| Berger And Burrow Enterprises Inc. | 21,877 | $6.6M |
| Inova Health Care Services | 35,736 | $5.4M |
| Rca Laboratory Services, Llc | 5,633 | $5.3M |
| American Medical Response Mid-Atlantic, Inc. | 9,589 | $4.9M |
| Gordon ByrnesM.D. | 1,452 | $4.9M |
| Med Atlantic Inc | 790 | $4.9M |
| Stony Point Surgery Center, L.L.C | 2,118 | $4.9M |
| Virginia Surgery Center, Llc | 2,390 | $4.8M |
| John O'keefeM.D. | 1,273 | $4.8M |
| Virginia Eye Institute Inc | 2,120 | $4.8M |
| Timothy ByrnesMD | 1,132 | $4.7M |
| Juan AstrucM.D. | 1,018 | $4.7M |
| Matthew ReedMD | 1,124 | $4.6M |
| Mohit NandaMD | 1,227 | $4.6M |
| David CarletonMD | 629 | $4.3M |
| Microgen Health, Inc | 2,956 | $4.3M |
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