Arizona Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Arizona has 24K Medicare providers who collectively received $3106.1M in Medicare payments, averaging $129K per provider. This places Arizona above the national average in per-provider Medicare revenue, suggesting a competitive healthcare market with strong reimbursement patterns.
The most common specialty is Nurse Practitioner with 4,119 providers, followed by Physician Assistant (2,278) and Physical Therapist in Private Practice (1,886). Nurse Practitioner providers in Arizona average $149K in annual Medicare payments — a high-revenue specialty that often benefits from E&M coding optimization and care management program enrollment.
The largest Medicare provider concentration is in Phoenix (5,618 providers), with Tucson and Scottsdale 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
24K
in Arizona
Total Medicare Payment
$3106.1M
Avg Payment / Provider
$129K
Total Services
73.6M
Arizona Performance Signals
Revenue per Provider
$129,323
+62.2% vs benchmark · national avg $79,744
Provider Market Share
2.0% of US
+2.2% vs benchmark · 24,018 providers
CCM Adoption
1.9%
-82.9% vs benchmark · national 11.3%
RPM Adoption
0.9%
-86.6% vs benchmark · national 6.5%
AWV Completion
9.9%
-43.5% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Arizona Compares
vs Neighboring States
Top Revenue Opportunities in Arizona
Chronic Care Management (99490)
Only 1.9% of providers bill CCM vs 11.3% national average. 2,243 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.9% vs 6.5% nationally. 1,345 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.9% trails the 17.5% national average. 1,823 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Arizona
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,119 | $149K |
| Physician Assistant | 2,278 | $35K |
| Physical Therapist in Private Practice | 1,886 | $52K |
| Internal Medicine | 1,782 | $85K |
| Family Practice | 1,527 | $62K |
| Emergency Medicine | 859 | $36K |
| Anesthesiology | 841 | $27K |
| Chiropractic | 670 | $20K |
| Optometry | 616 | $42K |
| Diagnostic Radiology | 577 | $183K |
| Certified Registered Nurse Anesthetist (CRNA) | 504 | $15K |
| Mass Immunizer Roster Biller | 474 | $53K |
| Orthopedic Surgery | 420 | $112K |
| General Surgery | 393 | $65K |
| Podiatry | 365 | $336K |
| Cardiology | 342 | $274K |
| Neurology | 327 | $117K |
| Hospitalist | 299 | $55K |
| Psychiatry | 291 | $28K |
| Obstetrics & Gynecology | 283 | $22K |
Top Cities in Arizona
Phoenix
Tucson
Scottsdale
Mesa
Chandler
Gilbert
Glendale
Peoria
Tempe
Flagstaff
Prescott
Yuma
Goodyear
Surprise
Sun City
Sun City West
Kingman
Sierra Vista
Casa Grande
Avondale
Lake Havasu City
Cottonwood
Oro Valley
Bullhead City
Show Low
Queen Creek
San Tan Valley
Prescott Valley
Fort Defiance
Litchfield Park
Top 50 Providers in Arizona
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