Vermont Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Vermont has 3K Medicare providers who collectively received $113.3M in Medicare payments, averaging $41K per provider. With below-average per-provider Medicare revenue, Vermont practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 364 providers, followed by Physical Therapist in Private Practice (258) and Physician Assistant (241). Nurse Practitioner providers in Vermont average $16K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Burlington (798 providers), with Rutland and South Burlington 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
3K
in Vermont
Total Medicare Payment
$113.3M
Avg Payment / Provider
$41K
Total Services
2.7M
Vermont Performance Signals
Revenue per Provider
$40,718
-48.9% vs benchmark · national avg $79,744
Provider Market Share
0.2% of US
-88.2% vs benchmark · 2,782 providers
CCM Adoption
0.2%
-98.1% vs benchmark · national 11.3%
RPM Adoption
0.0%
-100.0% vs benchmark · national 6.5%
AWV Completion
8.6%
-50.6% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Vermont Compares
vs Neighboring States
Top Revenue Opportunities in Vermont
Chronic Care Management (99490)
Only 0.2% of providers bill CCM vs 11.3% national average. 307 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.0% vs 6.5% nationally. 180 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 8.6% trails the 17.5% national average. 246 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Vermont
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 364 | $16K |
| Physical Therapist in Private Practice | 258 | $27K |
| Physician Assistant | 241 | $15K |
| Family Practice | 233 | $30K |
| Internal Medicine | 197 | $34K |
| Chiropractic | 109 | $13K |
| Emergency Medicine | 107 | $33K |
| Licensed Clinical Social Worker | 95 | $21K |
| Optometry | 90 | $35K |
| Anesthesiology | 81 | $13K |
| Psychiatry | 72 | $17K |
| Mass Immunizer Roster Biller | 69 | $82K |
| Diagnostic Radiology | 66 | $77K |
| Ambulance Service Provider | 64 | $230K |
| Pathology | 48 | $33K |
| Psychologist, Clinical | 45 | $33K |
| Neurology | 44 | $25K |
| Obstetrics & Gynecology | 44 | $9K |
| Orthopedic Surgery | 43 | $51K |
| General Surgery | 37 | $21K |
Top Cities in Vermont
Burlington
Rutland
South Burlington
Bennington
Berlin
Brattleboro
Williston
Colchester
Saint Albans
St Johnsbury
Middlebury
Morrisville
Montpelier
Essex Junction
Newport
Barre
White River Junction
Milton
Springfield
Stowe
Shelburne
Windsor
Manchester Center
Randolph
Bomoseen
Winooski
Bellows Falls
Fairfax
Vergennes
St Albans
Top 50 Providers in Vermont
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