Idaho Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Idaho has 6K Medicare providers who collectively received $482.9M in Medicare payments, averaging $76K per provider. Idaho 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 994 providers, followed by Physician Assistant (944) and Family Practice (585). Nurse Practitioner providers in Idaho average $20K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Boise (1,695 providers), with Meridian and Coeur D Alene 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
6K
in Idaho
Total Medicare Payment
$482.9M
Avg Payment / Provider
$76K
Total Services
12.2M
Idaho Performance Signals
Revenue per Provider
$76,276
-4.3% vs benchmark · national avg $79,744
Provider Market Share
0.5% of US
-73.1% vs benchmark · 6,331 providers
CCM Adoption
1.4%
-87.5% vs benchmark · national 11.3%
RPM Adoption
0.4%
-94.1% vs benchmark · national 6.5%
AWV Completion
8.4%
-51.9% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Idaho Compares
vs Neighboring States
Top Revenue Opportunities in Idaho
Chronic Care Management (99490)
Only 1.4% of providers bill CCM vs 11.3% national average. 624 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.4% vs 6.5% nationally. 385 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 8.4% trails the 17.5% national average. 574 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Idaho
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 994 | $20K |
| Physician Assistant | 944 | $20K |
| Family Practice | 585 | $31K |
| Physical Therapist in Private Practice | 578 | $37K |
| Chiropractic | 276 | $11K |
| Optometry | 234 | $24K |
| Internal Medicine | 228 | $46K |
| Certified Registered Nurse Anesthetist (CRNA) | 210 | $11K |
| Emergency Medicine | 194 | $29K |
| Orthopedic Surgery | 149 | $58K |
| Diagnostic Radiology | 145 | $96K |
| Mass Immunizer Roster Biller | 130 | $34K |
| General Surgery | 97 | $23K |
| Hospitalist | 82 | $51K |
| Licensed Clinical Social Worker | 79 | $13K |
| Ambulance Service Provider | 64 | $209K |
| Ophthalmology | 62 | $591K |
| Podiatry | 61 | $79K |
| Audiologist | 60 | $4K |
| Psychiatry | 59 | $14K |
Top Cities in Idaho
Boise
Meridian
Coeur D Alene
Idaho Falls
Twin Falls
Pocatello
Nampa
Lewiston
Post Falls
Caldwell
Rexburg
Eagle
Sandpoint
Moscow
Blackfoot
Burley
Hayden
Fruitland
Chubbuck
Ammon
Ketchum
Mccall
Mountain Home
Hailey
Rigby
Orofino
Emmett
Rupert
Bonners Ferry
Kuna
Top 50 Providers in Idaho
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