New Mexico Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
New Mexico has 6K Medicare providers who collectively received $366.5M in Medicare payments, averaging $58K per provider. With below-average per-provider Medicare revenue, New Mexico practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 1,242 providers, followed by Family Practice (557) and Physician Assistant (534). Nurse Practitioner providers in New Mexico average $22K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Albuquerque (3,088 providers), with Las Cruces and Santa Fe 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 New Mexico
Total Medicare Payment
$366.5M
Avg Payment / Provider
$58K
Total Services
10.2M
New Mexico Performance Signals
Revenue per Provider
$58,071
-27.2% vs benchmark · national avg $79,744
Provider Market Share
0.5% of US
-73.1% vs benchmark · 6,312 providers
CCM Adoption
2.2%
-80.0% vs benchmark · national 11.3%
RPM Adoption
0.5%
-92.7% vs benchmark · national 6.5%
AWV Completion
7.9%
-54.8% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How New Mexico Compares
vs Neighboring States
Top Revenue Opportunities in New Mexico
Chronic Care Management (99490)
Only 2.2% of providers bill CCM vs 11.3% national average. 569 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.5% vs 6.5% nationally. 378 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 7.9% trails the 17.5% national average. 604 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in New Mexico
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 1,242 | $22K |
| Family Practice | 557 | $36K |
| Physician Assistant | 534 | $22K |
| Internal Medicine | 413 | $61K |
| Physical Therapist in Private Practice | 347 | $46K |
| Emergency Medicine | 327 | $27K |
| Certified Registered Nurse Anesthetist (CRNA) | 179 | $13K |
| Diagnostic Radiology | 165 | $114K |
| Optometry | 156 | $31K |
| Anesthesiology | 128 | $21K |
| Chiropractic | 128 | $17K |
| Mass Immunizer Roster Biller | 126 | $58K |
| General Surgery | 122 | $20K |
| Orthopedic Surgery | 110 | $73K |
| Podiatry | 98 | $72K |
| Psychiatry | 86 | $15K |
| Psychologist, Clinical | 85 | $21K |
| Obstetrics & Gynecology | 83 | $8K |
| Cardiology | 79 | $110K |
| Licensed Clinical Social Worker | 75 | $16K |
Top Cities in New Mexico
Albuquerque
Las Cruces
Santa Fe
Farmington
Rio Rancho
Roswell
Alamogordo
Gallup
Carlsbad
Clovis
Shiprock
Taos
Los Alamos
Silver City
Espanola
Hobbs
Las Vegas
Los Lunas
Artesia
Ruidoso
Deming
Lovington
Edgewood
Socorro
Portales
Zuni
Raton
Santa Teresa
Belen
Acoma
Top 50 Providers in New Mexico
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