New York Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
New York has 80K Medicare providers who collectively received $6348.0M in Medicare payments, averaging $79K per provider. New York 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 8,521 providers, followed by Internal Medicine (7,622) and Physician Assistant (6,977). Nurse Practitioner providers in New York average $26K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in New York (15,763 providers), with Brooklyn and Rochester 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
80K
in New York
Total Medicare Payment
$6348.0M
Avg Payment / Provider
$79K
Total Services
163.3M
New York Performance Signals
Revenue per Provider
$78,872
-1.1% vs benchmark · national avg $79,744
Provider Market Share
6.8% of US
+100.0% vs benchmark · 80,484 providers
CCM Adoption
1.5%
-86.6% vs benchmark · national 11.3%
RPM Adoption
0.5%
-92.0% vs benchmark · national 6.5%
AWV Completion
7.9%
-54.7% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How New York Compares
vs Neighboring States
Top Revenue Opportunities in New York
Chronic Care Management (99490)
Only 1.5% of providers bill CCM vs 11.3% national average. 7,857 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.5% vs 6.5% nationally. 4,787 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 7.9% trails the 17.5% national average. 7,693 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in New York
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 8,521 | $26K |
| Internal Medicine | 7,622 | $81K |
| Physician Assistant | 6,977 | $20K |
| Physical Therapist in Private Practice | 5,981 | $57K |
| Family Practice | 3,525 | $62K |
| Emergency Medicine | 3,480 | $40K |
| Anesthesiology | 2,978 | $25K |
| Diagnostic Radiology | 2,428 | $147K |
| Cardiology | 1,951 | $188K |
| Psychiatry | 1,825 | $39K |
| Mass Immunizer Roster Biller | 1,681 | $68K |
| Podiatry | 1,570 | $100K |
| Hospitalist | 1,508 | $54K |
| Obstetrics & Gynecology | 1,502 | $20K |
| Chiropractic | 1,429 | $14K |
| Ophthalmology | 1,389 | $352K |
| Neurology | 1,358 | $93K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,314 | $7K |
| Gastroenterology | 1,309 | $77K |
| Optometry | 1,308 | $34K |
Top Cities in New York
New York
Brooklyn
Rochester
Bronx
Buffalo
Albany
Syracuse
Staten Island
Flushing
New Hyde Park
Williamsville
Manhasset
Stony Brook
Great Neck
Middletown
Poughkeepsie
White Plains
Mineola
Yonkers
Garden City
Schenectady
Jamaica
Forest Hills
Amherst
Bay Shore
Valhalla
Huntington
East Meadow
Smithtown
East Setauket
Top 50 Providers in New York
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