Maine Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Maine has 6K Medicare providers who collectively received $227.6M in Medicare payments, averaging $35K per provider. With below-average per-provider Medicare revenue, Maine practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 1,043 providers, followed by Physician Assistant (708) and Family Practice (517). Nurse Practitioner providers in Maine average $12K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Portland (1,244 providers), with Bangor and Lewiston 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 Maine
Total Medicare Payment
$227.6M
Avg Payment / Provider
$35K
Total Services
6.1M
Maine Performance Signals
Revenue per Provider
$35,425
-55.6% vs benchmark · national avg $79,744
Provider Market Share
0.5% of US
-72.7% vs benchmark · 6,424 providers
CCM Adoption
0.1%
-98.8% vs benchmark · national 11.3%
RPM Adoption
0.0%
-100.0% vs benchmark · national 6.5%
AWV Completion
10.1%
-42.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Maine Compares
vs Neighboring States
Top Revenue Opportunities in Maine
Chronic Care Management (99490)
Only 0.1% of providers bill CCM vs 11.3% national average. 715 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.0% vs 6.5% nationally. 415 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.1% trails the 17.5% national average. 476 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Maine
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 1,043 | $12K |
| Physician Assistant | 708 | $11K |
| Family Practice | 517 | $18K |
| Physical Therapist in Private Practice | 423 | $24K |
| Internal Medicine | 408 | $33K |
| Emergency Medicine | 283 | $27K |
| Certified Registered Nurse Anesthetist (CRNA) | 229 | $6K |
| Optometry | 194 | $27K |
| Anesthesiology | 160 | $12K |
| Chiropractic | 154 | $9K |
| Hospitalist | 149 | $32K |
| Mass Immunizer Roster Biller | 143 | $41K |
| Ambulance Service Provider | 142 | $155K |
| Licensed Clinical Social Worker | 133 | $13K |
| Diagnostic Radiology | 114 | $72K |
| Psychiatry | 111 | $16K |
| General Surgery | 104 | $15K |
| Orthopedic Surgery | 98 | $44K |
| Cardiology | 96 | $47K |
| Obstetrics & Gynecology | 72 | $5K |
Top Cities in Maine
Portland
Bangor
Lewiston
Scarborough
Augusta
South Portland
Biddeford
Brunswick
Waterville
Rockport
Presque Isle
Auburn
Falmouth
Brewer
Sanford
Saco
York
Ellsworth
Westbrook
Belfast
Damariscotta
Kennebunk
Farmington
Caribou
Skowhegan
Gorham
Yarmouth
Topsham
Windham
Norway
Top 50 Providers in Maine
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