Virginia Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Virginia has 30K Medicare providers who collectively received $2523.7M in Medicare payments, averaging $84K per provider. Virginia 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 4,635 providers, followed by Physician Assistant (2,672) and Family Practice (2,103). Nurse Practitioner providers in Virginia average $29K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Richmond (2,990 providers), with Charlottesville and Virginia Beach 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
30K
in Virginia
Total Medicare Payment
$2523.7M
Avg Payment / Provider
$84K
Total Services
73.7M
Virginia Performance Signals
Revenue per Provider
$84,278
+5.7% vs benchmark · national avg $79,744
Provider Market Share
2.5% of US
+27.4% vs benchmark · 29,945 providers
CCM Adoption
1.7%
-84.8% vs benchmark · national 11.3%
RPM Adoption
0.7%
-89.3% vs benchmark · national 6.5%
AWV Completion
9.9%
-43.1% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Virginia Compares
vs Neighboring States
Top Revenue Opportunities in Virginia
Chronic Care Management (99490)
Only 1.7% of providers bill CCM vs 11.3% national average. 2,861 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.7% vs 6.5% nationally. 1,729 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.9% trails the 17.5% national average. 2,256 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Virginia
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,635 | $29K |
| Physician Assistant | 2,672 | $28K |
| Family Practice | 2,103 | $73K |
| Physical Therapist in Private Practice | 2,055 | $48K |
| Internal Medicine | 1,949 | $89K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,201 | $10K |
| Emergency Medicine | 1,083 | $45K |
| Anesthesiology | 807 | $26K |
| Mass Immunizer Roster Biller | 801 | $61K |
| Diagnostic Radiology | 797 | $131K |
| Optometry | 735 | $35K |
| Chiropractic | 647 | $18K |
| Hospitalist | 610 | $63K |
| Orthopedic Surgery | 529 | $132K |
| Obstetrics & Gynecology | 527 | $24K |
| General Surgery | 498 | $35K |
| Psychiatry | 453 | $26K |
| Cardiology | 432 | $199K |
| Ophthalmology | 425 | $551K |
| Licensed Clinical Social Worker | 393 | $17K |
Top Cities in Virginia
Richmond
Charlottesville
Virginia Beach
Roanoke
Norfolk
Fairfax
Falls Church
Newport News
Alexandria
Winchester
Fredericksburg
Lynchburg
Chesapeake
Arlington
Leesburg
Midlothian
Manassas
Hampton
Reston
Williamsburg
Mechanicsville
North Chesterfield
Woodbridge
Portsmouth
Suffolk
Salem
Fishersville
Harrisonburg
Danville
Christiansburg
Top 50 Providers in Virginia
Scan a Provider in Virginia
Explore More
Scan a Provider in Virginia
Enter an NPI number for any Medicare provider in Virginia to instantly see missed revenue opportunities.
Run Free Scan