Maryland Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Maryland has 24K Medicare providers who collectively received $2706.3M in Medicare payments, averaging $111K per provider. This places Maryland above the national average in per-provider Medicare revenue, suggesting a competitive healthcare market with strong reimbursement patterns.
The most common specialty is Nurse Practitioner with 3,674 providers, followed by Internal Medicine (2,195) and Physician Assistant (2,000). Nurse Practitioner providers in Maryland average $43K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Baltimore (7,193 providers), with Rockville and Annapolis 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
24K
in Maryland
Total Medicare Payment
$2706.3M
Avg Payment / Provider
$111K
Total Services
72.9M
Maryland Performance Signals
Revenue per Provider
$110,886
+39.1% vs benchmark · national avg $79,744
Provider Market Share
2.1% of US
+3.8% vs benchmark · 24,406 providers
CCM Adoption
0.9%
-91.9% vs benchmark · national 11.3%
RPM Adoption
0.9%
-85.4% vs benchmark · national 6.5%
AWV Completion
9.6%
-45.2% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Maryland Compares
vs Neighboring States
Top Revenue Opportunities in Maryland
Chronic Care Management (99490)
Only 0.9% of providers bill CCM vs 11.3% national average. 2,526 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.9% vs 6.5% nationally. 1,348 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.6% trails the 17.5% national average. 1,929 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Maryland
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,674 | $43K |
| Internal Medicine | 2,195 | $100K |
| Physician Assistant | 2,000 | $35K |
| Physical Therapist in Private Practice | 1,981 | $57K |
| Family Practice | 936 | $75K |
| Emergency Medicine | 800 | $58K |
| Anesthesiology | 735 | $28K |
| Diagnostic Radiology | 611 | $245K |
| Certified Registered Nurse Anesthetist (CRNA) | 601 | $16K |
| Licensed Clinical Social Worker | 542 | $21K |
| Psychiatry | 479 | $37K |
| Mass Immunizer Roster Biller | 478 | $71K |
| Ophthalmology | 438 | $615K |
| Cardiology | 433 | $255K |
| Orthopedic Surgery | 422 | $146K |
| Obstetrics & Gynecology | 412 | $22K |
| Optometry | 406 | $41K |
| Hospitalist | 398 | $63K |
| Neurology | 367 | $110K |
| General Surgery | 365 | $55K |
Top Cities in Maryland
Baltimore
Rockville
Annapolis
Frederick
Silver Spring
Bethesda
Columbia
Salisbury
Towson
Hagerstown
Glen Burnie
Bel Air
Chevy Chase
Cumberland
Westminster
Easton
Catonsville
Waldorf
Lutherville
Laurel
Owings Mills
Gaithersburg
Germantown
Bowie
Clinton
Greenbelt
Prince Frederick
Lanham
Ellicott City
Olney
Top 50 Providers in Maryland
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