General Practice

General Practice is one of the most active Medicare specialties in the United States, represented by 3K providers across the country. The average General Practice provider treats 134 Medicare beneficiaries and receives $87K in total annual Medicare payments, translating to $650 per patient — a figure that signals high-acuity care and complex case management.

Evaluation and Management coding patterns reveal how General Practice providers characterize visit complexity. The E&M mix shows 48.3% of visits coded as 99214, 47.2% as 99213, and 4.6% as 99215. This distribution is worth reviewing against actual patient complexity to ensure documentation supports appropriate reimbursement levels.

Care management program adoption presents a significant revenue opportunity for General Practice practices. Chronic Care Management (4.4%), Remote Patient Monitoring (1.8%), Behavioral Health Integration (0.2%) remain substantially underutilized relative to the eligible patient population. Annual Wellness Visit adoption sits at just 26.7%, well below the 70% target — meaning a majority of eligible Medicare beneficiaries are not receiving this preventive service, and practices are missing a straightforward billing opportunity. Providers who implement these programs can unlock substantial per-patient monthly revenue while improving chronic disease outcomes — NPIxray can help identify exactly which patients qualify.