Georgia Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Georgia has 33K Medicare providers who collectively received $2309.2M in Medicare payments, averaging $70K per provider. Georgia 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 5,473 providers, followed by Physician Assistant (2,725) and Internal Medicine (2,505). Nurse Practitioner providers in Georgia average $26K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Atlanta (6,036 providers), with Augusta and Marietta 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
33K
in Georgia
Total Medicare Payment
$2309.2M
Avg Payment / Provider
$70K
Total Services
69.4M
Georgia Performance Signals
Revenue per Provider
$69,649
-12.7% vs benchmark · national avg $79,744
Provider Market Share
2.8% of US
+41.0% vs benchmark · 33,154 providers
CCM Adoption
2.0%
-81.9% vs benchmark · national 11.3%
RPM Adoption
0.8%
-87.5% vs benchmark · national 6.5%
AWV Completion
8.8%
-49.5% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Georgia Compares
vs Neighboring States
Top Revenue Opportunities in Georgia
Chronic Care Management (99490)
Only 2.0% of providers bill CCM vs 11.3% national average. 3,060 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.8% vs 6.5% nationally. 1,876 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 8.8% trails the 17.5% national average. 2,865 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Georgia
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 5,473 | $26K |
| Physician Assistant | 2,725 | $25K |
| Internal Medicine | 2,505 | $78K |
| Family Practice | 2,124 | $66K |
| Physical Therapist in Private Practice | 1,938 | $41K |
| Emergency Medicine | 1,139 | $41K |
| Mass Immunizer Roster Biller | 1,014 | $30K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,007 | $11K |
| Anesthesiology | 840 | $24K |
| Chiropractic | 765 | $12K |
| Diagnostic Radiology | 762 | $84K |
| Anesthesiology Assistant | 695 | $4K |
| Optometry | 691 | $26K |
| Hospitalist | 630 | $49K |
| Orthopedic Surgery | 614 | $94K |
| General Surgery | 589 | $33K |
| Cardiology | 554 | $162K |
| Obstetrics & Gynecology | 535 | $16K |
| Ophthalmology | 418 | $358K |
| Centralized Flu | 404 | $36K |
Top Cities in Georgia
Atlanta
Augusta
Marietta
Savannah
Gainesville
Macon
Lawrenceville
Columbus
Athens
Decatur
Rome
Cumming
Alpharetta
Newnan
Roswell
Valdosta
Stockbridge
Austell
Albany
Fayetteville
Dalton
Canton
Warner Robins
Brunswick
Snellville
Carrollton
Conyers
Cartersville
Duluth
Thomasville
Top 50 Providers in Georgia
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