Connecticut Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Connecticut has 17K Medicare providers who collectively received $915.8M in Medicare payments, averaging $55K per provider. With below-average per-provider Medicare revenue, Connecticut practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 2,289 providers, followed by Physician Assistant (1,814) and Internal Medicine (1,569). Nurse Practitioner providers in Connecticut average $27K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in New Haven (2,361 providers), with Hartford and Farmington 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 Connecticut
Total Medicare Payment
$915.8M
Avg Payment / Provider
$55K
Total Services
20.1M
Connecticut Performance Signals
Revenue per Provider
$54,960
-31.1% vs benchmark · national avg $79,744
Provider Market Share
1.4% of US
-29.1% vs benchmark · 16,663 providers
CCM Adoption
1.0%
-90.9% vs benchmark · national 11.3%
RPM Adoption
0.2%
-96.8% vs benchmark · national 6.5%
AWV Completion
9.0%
-48.2% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Connecticut Compares
vs Neighboring States
Top Revenue Opportunities in Connecticut
Chronic Care Management (99490)
Only 1.0% of providers bill CCM vs 11.3% national average. 1,706 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.2% vs 6.5% nationally. 1,043 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.0% trails the 17.5% national average. 1,403 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Connecticut
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 2,289 | $27K |
| Physician Assistant | 1,814 | $18K |
| Internal Medicine | 1,569 | $52K |
| Physical Therapist in Private Practice | 930 | $36K |
| Emergency Medicine | 613 | $38K |
| Anesthesiology | 501 | $15K |
| Family Practice | 496 | $42K |
| Certified Registered Nurse Anesthetist (CRNA) | 472 | $6K |
| Diagnostic Radiology | 465 | $90K |
| Licensed Clinical Social Worker | 412 | $15K |
| Optometry | 394 | $20K |
| Cardiology | 361 | $107K |
| Obstetrics & Gynecology | 352 | $12K |
| Mass Immunizer Roster Biller | 333 | $61K |
| Psychiatry | 331 | $25K |
| Orthopedic Surgery | 313 | $81K |
| Hospitalist | 310 | $38K |
| Chiropractic | 282 | $9K |
| Ophthalmology | 269 | $315K |
| Neurology | 255 | $40K |
Top Cities in Connecticut
New Haven
Hartford
Farmington
Danbury
Bridgeport
Stamford
Waterbury
Norwalk
New Britain
Middletown
Norwich
Hamden
Manchester
New London
Greenwich
Fairfield
Trumbull
West Hartford
Torrington
Milford
Bristol
Shelton
Glastonbury
Avon
Meriden
Wallingford
Enfield
West Haven
Bloomfield
East Hartford
Top 50 Providers in Connecticut
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