Colorado Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Colorado has 20K Medicare providers who collectively received $1364.1M in Medicare payments, averaging $67K per provider. Colorado 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 2,567 providers, followed by Physician Assistant (2,286) and Physical Therapist in Private Practice (1,866). Nurse Practitioner providers in Colorado average $33K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Aurora (2,594 providers), with Denver and Colorado Springs 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
20K
in Colorado
Total Medicare Payment
$1364.1M
Avg Payment / Provider
$67K
Total Services
37.8M
Colorado Performance Signals
Revenue per Provider
$67,469
-15.4% vs benchmark · national avg $79,744
Provider Market Share
1.7% of US
-14.0% vs benchmark · 20,218 providers
CCM Adoption
1.6%
-86.1% vs benchmark · national 11.3%
RPM Adoption
0.2%
-97.1% vs benchmark · national 6.5%
AWV Completion
9.6%
-45.0% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Colorado Compares
vs Neighboring States
Top Revenue Opportunities in Colorado
Chronic Care Management (99490)
Only 1.6% of providers bill CCM vs 11.3% national average. 1,962 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.2% vs 6.5% nationally. 1,269 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.6% trails the 17.5% national average. 1,588 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Colorado
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 2,567 | $33K |
| Physician Assistant | 2,286 | $24K |
| Physical Therapist in Private Practice | 1,866 | $30K |
| Family Practice | 1,439 | $56K |
| Internal Medicine | 1,055 | $65K |
| Emergency Medicine | 883 | $27K |
| Optometry | 609 | $19K |
| Anesthesiology | 597 | $17K |
| Diagnostic Radiology | 563 | $91K |
| Chiropractic | 503 | $10K |
| Certified Registered Nurse Anesthetist (CRNA) | 414 | $11K |
| Orthopedic Surgery | 407 | $90K |
| Hospitalist | 381 | $33K |
| Mass Immunizer Roster Biller | 370 | $46K |
| General Surgery | 349 | $28K |
| Ophthalmology | 264 | $404K |
| Neurology | 261 | $70K |
| Psychiatry | 243 | $20K |
| Obstetrics & Gynecology | 241 | $9K |
| Dermatology | 238 | $164K |
Top Cities in Colorado
Aurora
Denver
Colorado Springs
Fort Collins
Englewood
Lakewood
Boulder
Pueblo
Grand Junction
Littleton
Greenwood Village
Longmont
Greeley
Loveland
Golden
Parker
Westminster
Lone Tree
Durango
Wheat Ridge
Thornton
Centennial
Highlands Ranch
Montrose
Arvada
Castle Rock
Lafayette
Broomfield
Louisville
Glenwood Springs
Top 50 Providers in Colorado
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