Missouri Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Missouri has 23K Medicare providers who collectively received $1393.4M in Medicare payments, averaging $60K per provider. Missouri 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 4,201 providers, followed by Internal Medicine (1,527) and Family Practice (1,419). Nurse Practitioner providers in Missouri average $25K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Saint Louis (6,122 providers), with Kansas City and Springfield 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
23K
in Missouri
Total Medicare Payment
$1393.4M
Avg Payment / Provider
$60K
Total Services
39.8M
Missouri Performance Signals
Revenue per Provider
$60,275
-24.4% vs benchmark · national avg $79,744
Provider Market Share
2.0% of US
-1.7% vs benchmark · 23,117 providers
CCM Adoption
0.8%
-92.7% vs benchmark · national 11.3%
RPM Adoption
0.2%
-96.5% vs benchmark · national 6.5%
AWV Completion
7.7%
-55.7% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Missouri Compares
vs Neighboring States
Top Revenue Opportunities in Missouri
Chronic Care Management (99490)
Only 0.8% of providers bill CCM vs 11.3% national average. 2,414 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.2% vs 6.5% nationally. 1,442 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 7.7% trails the 17.5% national average. 2,250 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Missouri
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,201 | $25K |
| Internal Medicine | 1,527 | $67K |
| Family Practice | 1,419 | $43K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,100 | $9K |
| Physician Assistant | 1,052 | $20K |
| Physical Therapist in Private Practice | 1,016 | $41K |
| Emergency Medicine | 900 | $36K |
| Chiropractic | 794 | $13K |
| Diagnostic Radiology | 689 | $95K |
| Optometry | 687 | $27K |
| Mass Immunizer Roster Biller | 674 | $41K |
| Anesthesiology | 640 | $14K |
| Hospitalist | 523 | $46K |
| Orthopedic Surgery | 433 | $82K |
| General Surgery | 393 | $41K |
| Psychiatry | 376 | $24K |
| Obstetrics & Gynecology | 350 | $9K |
| Cardiology | 341 | $116K |
| Gastroenterology | 290 | $72K |
| Neurology | 287 | $54K |
Top Cities in Missouri
Saint Louis
Kansas City
Springfield
Columbia
Joplin
Cape Girardeau
Chesterfield
Lees Summit
Saint Joseph
Independence
Jefferson City
North Kansas City
Saint Peters
Saint Charles
O Fallon
Bridgeton
Liberty
Washington
Poplar Bluff
Florissant
Festus
Blue Springs
Hannibal
Rolla
Branson
Farmington
Fenton
St. Louis
Creve Coeur
St Louis
Top 50 Providers in Missouri
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