District of Columbia Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
District of Columbia has 4K Medicare providers who collectively received $226.3M in Medicare payments, averaging $61K per provider. District of Columbia 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 Internal Medicine with 486 providers, followed by Nurse Practitioner (374) and Physician Assistant (225). Internal Medicine providers in District of Columbia average $57K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Washington (3,681 providers), with Washington Dc and 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
4K
in District of Columbia
Total Medicare Payment
$226.3M
Avg Payment / Provider
$61K
Total Services
4.4M
District of Columbia Performance Signals
Revenue per Provider
$61,107
-23.4% vs benchmark · national avg $79,744
Provider Market Share
0.3% of US
-84.2% vs benchmark · 3,704 providers
CCM Adoption
0.6%
-95.0% vs benchmark · national 11.3%
RPM Adoption
0.5%
-92.1% vs benchmark · national 6.5%
AWV Completion
6.7%
-61.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How District of Columbia Compares
vs Neighboring States
Top Revenue Opportunities in District of Columbia
Chronic Care Management (99490)
Only 0.6% of providers bill CCM vs 11.3% national average. 396 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.5% vs 6.5% nationally. 221 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 6.7% trails the 17.5% national average. 397 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in District of Columbia
| Specialty | Providers | Avg Payment |
|---|---|---|
| Internal Medicine | 486 | $57K |
| Nurse Practitioner | 374 | $20K |
| Physician Assistant | 225 | $12K |
| Emergency Medicine | 219 | $32K |
| Anesthesiology | 186 | $17K |
| Physical Therapist in Private Practice | 162 | $35K |
| Diagnostic Radiology | 144 | $119K |
| Family Practice | 118 | $31K |
| Psychiatry | 92 | $24K |
| General Surgery | 90 | $55K |
| Neurology | 85 | $79K |
| Cardiology | 79 | $135K |
| Obstetrics & Gynecology | 72 | $14K |
| Hospitalist | 70 | $56K |
| Anesthesiology Assistant | 70 | $5K |
| Ophthalmology | 62 | $201K |
| Certified Registered Nurse Anesthetist (CRNA) | 62 | $10K |
| Mass Immunizer Roster Biller | 56 | $45K |
| Pathology | 56 | $68K |
| Orthopedic Surgery | 54 | $120K |
Top Cities in District of Columbia
Top 50 Providers in District of Columbia
Scan a Provider in District of Columbia
Explore More
Scan a Provider in District of Columbia
Enter an NPI number for any Medicare provider in District of Columbia to instantly see missed revenue opportunities.
Run Free Scan