Internal Medicine

Internal Medicine is one of the most active Medicare specialties in the United States, with 89K providers billing Medicare nationally. The average Internal Medicine provider treats 169 Medicare beneficiaries and receives $77K in total annual Medicare payments, yielding $457 per beneficiary on average.

Evaluation and Management coding patterns reveal how Internal Medicine providers characterize visit complexity. The dominant code is 99214 at 62.4% of E&M visits, reflecting moderate-to-high complexity encounters that are typical when managing established patients with multiple chronic conditions. Meanwhile, 99213 accounts for 30.7% and high-complexity 99215 visits represent 6.8% of the mix.

Care management program adoption presents a significant revenue opportunity for Internal Medicine practices. Chronic Care Management (4.5%), Remote Patient Monitoring (2.0%), Behavioral Health Integration (0.1%) remain substantially underutilized relative to the eligible patient population. Annual Wellness Visit adoption sits at just 35.4%, 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.