Tennessee Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Tennessee has 27K Medicare providers who collectively received $2021.2M in Medicare payments, averaging $74K per provider. Tennessee 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 6,661 providers, followed by Physician Assistant (1,881) and Internal Medicine (1,853). Nurse Practitioner providers in Tennessee average $30K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Nashville (5,557 providers), with Knoxville and Memphis 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
27K
in Tennessee
Total Medicare Payment
$2021.2M
Avg Payment / Provider
$74K
Total Services
64.4M
Tennessee Performance Signals
Revenue per Provider
$73,510
-7.8% vs benchmark · national avg $79,744
Provider Market Share
2.3% of US
+17.0% vs benchmark · 27,495 providers
CCM Adoption
1.5%
-87.1% vs benchmark · national 11.3%
RPM Adoption
0.5%
-92.0% vs benchmark · national 6.5%
AWV Completion
9.7%
-44.4% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Tennessee Compares
vs Neighboring States
Top Revenue Opportunities in Tennessee
Chronic Care Management (99490)
Only 1.5% of providers bill CCM vs 11.3% national average. 2,699 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.5% vs 6.5% nationally. 1,635 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.7% trails the 17.5% national average. 2,130 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Tennessee
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 6,661 | $30K |
| Physician Assistant | 1,881 | $26K |
| Internal Medicine | 1,853 | $76K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,666 | $10K |
| Physical Therapist in Private Practice | 1,570 | $39K |
| Family Practice | 1,527 | $64K |
| Emergency Medicine | 815 | $39K |
| Optometry | 744 | $29K |
| Mass Immunizer Roster Biller | 684 | $35K |
| Diagnostic Radiology | 672 | $110K |
| Anesthesiology | 606 | $21K |
| Chiropractic | 562 | $15K |
| Orthopedic Surgery | 476 | $107K |
| General Surgery | 466 | $33K |
| Obstetrics & Gynecology | 399 | $14K |
| Cardiology | 374 | $145K |
| Ophthalmology | 319 | $567K |
| Neurology | 319 | $76K |
| Pathology | 318 | $143K |
| Centralized Flu | 303 | $53K |
Top Cities in Tennessee
Nashville
Knoxville
Memphis
Chattanooga
Johnson City
Murfreesboro
Jackson
Germantown
Kingsport
Franklin
Clarksville
Cookeville
Bristol
Maryville
Cleveland
Brentwood
Columbia
Morristown
Hendersonville
Oak Ridge
Hermitage
Bartlett
Greeneville
Gallatin
Lebanon
Powell
Sevierville
Hixson
Cordova
Smyrna
Top 50 Providers in Tennessee
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