Illinois Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Illinois has 47K Medicare providers who collectively received $4262.6M in Medicare payments, averaging $90K per provider. Illinois 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 6,796 providers, followed by Internal Medicine (3,673) and Physical Therapist in Private Practice (3,506). Nurse Practitioner providers in Illinois average $30K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Chicago (10,906 providers), with Springfield and Peoria 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
47K
in Illinois
Total Medicare Payment
$4262.6M
Avg Payment / Provider
$90K
Total Services
145.6M
Illinois Performance Signals
Revenue per Provider
$90,162
+13.1% vs benchmark · national avg $79,744
Provider Market Share
4.0% of US
+100.0% vs benchmark · 47,277 providers
CCM Adoption
1.4%
-87.6% vs benchmark · national 11.3%
RPM Adoption
0.3%
-95.1% vs benchmark · national 6.5%
AWV Completion
8.6%
-50.8% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Illinois Compares
vs Neighboring States
Top Revenue Opportunities in Illinois
Chronic Care Management (99490)
Only 1.4% of providers bill CCM vs 11.3% national average. 4,669 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.3% vs 6.5% nationally. 2,908 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 8.6% trails the 17.5% national average. 4,197 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Illinois
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 6,796 | $30K |
| Internal Medicine | 3,673 | $83K |
| Physical Therapist in Private Practice | 3,506 | $42K |
| Family Practice | 3,041 | $61K |
| Physician Assistant | 2,755 | $25K |
| Emergency Medicine | 2,133 | $44K |
| Chiropractic | 1,598 | $14K |
| Anesthesiology | 1,433 | $22K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,337 | $8K |
| Diagnostic Radiology | 1,290 | $104K |
| Optometry | 1,208 | $27K |
| Hospitalist | 1,077 | $56K |
| Mass Immunizer Roster Biller | 848 | $57K |
| Podiatry | 829 | $87K |
| Obstetrics & Gynecology | 780 | $14K |
| Orthopedic Surgery | 741 | $123K |
| Licensed Clinical Social Worker | 708 | $21K |
| General Surgery | 700 | $42K |
| Psychiatry | 692 | $39K |
| Cardiology | 671 | $172K |
Top Cities in Illinois
Chicago
Springfield
Peoria
Rockford
Naperville
Maywood
Evanston
Oak Lawn
Park Ridge
Aurora
Arlington Heights
Urbana
Elgin
Joliet
Skokie
Glenview
Elmhurst
Orland Park
Downers Grove
Hinsdale
Winfield
Quincy
Decatur
Champaign
Bloomington
Belleville
Libertyville
Schaumburg
Oak Park
Lake Forest
Top 50 Providers in Illinois
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