Alabama Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Alabama has 17K Medicare providers who collectively received $1322.4M in Medicare payments, averaging $79K per provider. Alabama providers earn moderate Medicare revenue per provider, with significant opportunity to capture additional revenue through program enrollment and coding optimization.
The most common specialty is Nurse Practitioner with 3,502 providers, followed by Family Practice (1,218) and Internal Medicine (1,195). Nurse Practitioner providers in Alabama average $22K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Birmingham (3,840 providers), with Mobile and Huntsville also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
17K
in Alabama
Total Medicare Payment
$1322.4M
Avg Payment / Provider
$79K
Total Services
47.0M
Alabama Performance Signals
Revenue per Provider
$79,447
-0.4% vs benchmark · national avg $79,744
Provider Market Share
1.4% of US
-29.2% vs benchmark · 16,645 providers
CCM Adoption
2.1%
-81.2% vs benchmark · national 11.3%
RPM Adoption
0.8%
-88.3% vs benchmark · national 6.5%
AWV Completion
9.2%
-47.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Alabama Compares
vs Neighboring States
Top Revenue Opportunities in Alabama
Chronic Care Management (99490)
Only 2.1% of providers bill CCM vs 11.3% national average. 1,523 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.8% vs 6.5% nationally. 950 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.2% trails the 17.5% national average. 1,378 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Alabama
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,502 | $22K |
| Family Practice | 1,218 | $62K |
| Internal Medicine | 1,195 | $78K |
| Physical Therapist in Private Practice | 1,084 | $38K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,006 | $6K |
| Physician Assistant | 659 | $22K |
| Mass Immunizer Roster Biller | 498 | $21K |
| Emergency Medicine | 485 | $41K |
| Optometry | 477 | $25K |
| Chiropractic | 411 | $11K |
| Anesthesiology | 410 | $33K |
| Diagnostic Radiology | 390 | $98K |
| Orthopedic Surgery | 328 | $95K |
| General Surgery | 320 | $36K |
| Obstetrics & Gynecology | 319 | $14K |
| Cardiology | 233 | $213K |
| Psychiatry | 208 | $33K |
| Centralized Flu | 208 | $24K |
| Neurology | 200 | $130K |
| Ophthalmology | 190 | $389K |
Top Cities in Alabama
Birmingham
Mobile
Huntsville
Montgomery
Dothan
Tuscaloosa
Florence
Cullman
Gadsden
Decatur
Madison
Hoover
Anniston
Opelika
Fairhope
Alabaster
Foley
Auburn
Athens
Jasper
Northport
Daphne
Bessemer
Vestavia
Homewood
Enterprise
Guntersville
Sheffield
Prattville
Scottsboro
Top 50 Providers in Alabama
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