Michigan Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Michigan has 40K Medicare providers who collectively received $2012.8M in Medicare payments, averaging $51K per provider. With below-average per-provider Medicare revenue, Michigan practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 4,645 providers, followed by Physician Assistant (3,773) and Internal Medicine (3,353). Nurse Practitioner providers in Michigan average $18K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Ann Arbor (3,119 providers), with Grand Rapids and Detroit 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
40K
in Michigan
Total Medicare Payment
$2012.8M
Avg Payment / Provider
$51K
Total Services
51.6M
Michigan Performance Signals
Revenue per Provider
$50,759
-36.3% vs benchmark · national avg $79,744
Provider Market Share
3.4% of US
+68.7% vs benchmark · 39,654 providers
CCM Adoption
1.1%
-89.9% vs benchmark · national 11.3%
RPM Adoption
0.3%
-95.5% vs benchmark · national 6.5%
AWV Completion
10.4%
-40.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Michigan Compares
vs Neighboring States
Top Revenue Opportunities in Michigan
Chronic Care Management (99490)
Only 1.1% of providers bill CCM vs 11.3% national average. 4,018 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.3% vs 6.5% nationally. 2,449 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.4% trails the 17.5% national average. 2,801 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Michigan
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,645 | $18K |
| Physician Assistant | 3,773 | $15K |
| Internal Medicine | 3,353 | $58K |
| Family Practice | 2,953 | $34K |
| Physical Therapist in Private Practice | 2,406 | $33K |
| Emergency Medicine | 2,254 | $36K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,618 | $6K |
| Chiropractic | 1,505 | $12K |
| Mass Immunizer Roster Biller | 1,084 | $40K |
| Diagnostic Radiology | 1,045 | $72K |
| Anesthesiology | 989 | $19K |
| Optometry | 893 | $17K |
| General Surgery | 669 | $26K |
| Psychiatry | 659 | $29K |
| Orthopedic Surgery | 649 | $72K |
| Cardiology | 636 | $115K |
| Licensed Clinical Social Worker | 629 | $15K |
| Podiatry | 604 | $64K |
| Ophthalmology | 603 | $312K |
| Obstetrics & Gynecology | 573 | $8K |
Top Cities in Michigan
Ann Arbor
Grand Rapids
Detroit
Royal Oak
Kalamazoo
Saginaw
Southfield
Ypsilanti
Lansing
Traverse City
Flint
Troy
Dearborn
Livonia
Farmington Hills
Jackson
Warren
Muskegon
Rochester Hills
Novi
East Lansing
Midland
Sterling Heights
Grand Blanc
West Bloomfield
Clinton Township
Pontiac
Wyoming
Holland
Saint Joseph
Top 50 Providers in Michigan
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