Iowa Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Iowa has 12K Medicare providers who collectively received $764.8M in Medicare payments, averaging $64K per provider. Iowa 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 1,992 providers, followed by Family Practice (1,067) and Chiropractic (1,031). Nurse Practitioner providers in Iowa average $25K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Iowa City (1,659 providers), with Des Moines and Cedar Rapids 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
12K
in Iowa
Total Medicare Payment
$764.8M
Avg Payment / Provider
$64K
Total Services
22.4M
Iowa Performance Signals
Revenue per Provider
$63,929
-19.8% vs benchmark · national avg $79,744
Provider Market Share
1.0% of US
-49.1% vs benchmark · 11,963 providers
CCM Adoption
2.7%
-75.9% vs benchmark · national 11.3%
RPM Adoption
1.2%
-81.0% vs benchmark · national 6.5%
AWV Completion
9.6%
-44.9% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Iowa Compares
vs Neighboring States
Top Revenue Opportunities in Iowa
Chronic Care Management (99490)
Only 2.7% of providers bill CCM vs 11.3% national average. 1,023 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 1.2% vs 6.5% nationally. 627 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.6% trails the 17.5% national average. 939 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Iowa
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 1,992 | $25K |
| Family Practice | 1,067 | $58K |
| Chiropractic | 1,031 | $16K |
| Physician Assistant | 926 | $25K |
| Physical Therapist in Private Practice | 909 | $33K |
| Optometry | 451 | $40K |
| Mass Immunizer Roster Biller | 406 | $83K |
| Internal Medicine | 371 | $75K |
| Certified Registered Nurse Anesthetist (CRNA) | 315 | $11K |
| Emergency Medicine | 314 | $35K |
| Anesthesiology | 310 | $15K |
| Diagnostic Radiology | 246 | $117K |
| Ambulance Service Provider | 232 | $130K |
| Licensed Clinical Social Worker | 213 | $12K |
| Hospitalist | 193 | $53K |
| General Surgery | 190 | $28K |
| Orthopedic Surgery | 190 | $100K |
| Podiatry | 168 | $91K |
| Psychiatry | 151 | $21K |
| Ophthalmology | 144 | $740K |
Top Cities in Iowa
Iowa City
Des Moines
Cedar Rapids
West Des Moines
Davenport
Waterloo
Dubuque
Sioux City
Ames
Mason City
Council Bluffs
Bettendorf
Ankeny
Clive
West Burlington
Cedar Falls
Coralville
Urbandale
Fort Dodge
Clinton
Marshalltown
Hiawatha
Ottumwa
Spencer
Pella
Muscatine
Carroll
Waukee
Johnston
Newton
Top 50 Providers in Iowa
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