Washington Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Washington has 26K Medicare providers who collectively received $1524.0M in Medicare payments, averaging $59K per provider. With below-average per-provider Medicare revenue, Washington practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 3,085 providers, followed by Physical Therapist in Private Practice (2,479) and Physician Assistant (2,427). Nurse Practitioner providers in Washington average $23K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Seattle (5,709 providers), with Spokane and Tacoma 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
26K
in Washington
Total Medicare Payment
$1524.0M
Avg Payment / Provider
$59K
Total Services
38.0M
Washington Performance Signals
Revenue per Provider
$58,902
-26.1% vs benchmark · national avg $79,744
Provider Market Share
2.2% of US
+10.1% vs benchmark · 25,873 providers
CCM Adoption
0.5%
-95.2% vs benchmark · national 11.3%
RPM Adoption
0.2%
-97.3% vs benchmark · national 6.5%
AWV Completion
9.3%
-46.8% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Washington Compares
vs Neighboring States
Top Revenue Opportunities in Washington
Chronic Care Management (99490)
Only 0.5% of providers bill CCM vs 11.3% national average. 2,776 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.2% vs 6.5% nationally. 1,628 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.3% trails the 17.5% national average. 2,116 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Washington
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,085 | $23K |
| Physical Therapist in Private Practice | 2,479 | $31K |
| Physician Assistant | 2,427 | $25K |
| Family Practice | 2,306 | $31K |
| Internal Medicine | 1,596 | $53K |
| Chiropractic | 1,086 | $13K |
| Emergency Medicine | 844 | $34K |
| Anesthesiology | 821 | $15K |
| Optometry | 801 | $29K |
| Diagnostic Radiology | 748 | $102K |
| Hospitalist | 529 | $36K |
| Certified Registered Nurse Anesthetist (CRNA) | 529 | $12K |
| Orthopedic Surgery | 471 | $77K |
| Mass Immunizer Roster Biller | 453 | $60K |
| General Surgery | 391 | $21K |
| Neurology | 360 | $48K |
| Ophthalmology | 360 | $464K |
| Gastroenterology | 331 | $55K |
| Psychiatry | 298 | $21K |
| Occupational Therapist in Private Practice | 288 | $19K |
Top Cities in Washington
Seattle
Spokane
Tacoma
Vancouver
Everett
Bellevue
Bellingham
Olympia
Renton
Puyallup
Yakima
Wenatchee
Kirkland
Richland
Spokane Valley
Federal Way
Kennewick
Mount Vernon
Silverdale
Edmonds
Lynnwood
Longview
Issaquah
Bremerton
Walla Walla
Lakewood
Gig Harbor
Auburn
Kent
Port Angeles
Top 50 Providers in Washington
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