Hawaii Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Hawaii has 4K Medicare providers who collectively received $222.4M in Medicare payments, averaging $56K per provider. With below-average per-provider Medicare revenue, Hawaii practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Physical Therapist in Private Practice with 452 providers, followed by Internal Medicine (426) and Nurse Practitioner (381). Physical Therapist in Private Practice providers in Hawaii average $28K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Honolulu (1,996 providers), with Wailuku and Aiea 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
4K
in Hawaii
Total Medicare Payment
$222.4M
Avg Payment / Provider
$56K
Total Services
5.9M
Hawaii Performance Signals
Revenue per Provider
$55,744
-30.1% vs benchmark · national avg $79,744
Provider Market Share
0.3% of US
-83.0% vs benchmark · 3,989 providers
CCM Adoption
0.4%
-96.4% vs benchmark · national 11.3%
RPM Adoption
0.4%
-94.2% vs benchmark · national 6.5%
AWV Completion
6.6%
-62.1% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Hawaii Compares
Top Revenue Opportunities in Hawaii
Chronic Care Management (99490)
Only 0.4% of providers bill CCM vs 11.3% national average. 433 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.4% vs 6.5% nationally. 243 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 6.6% trails the 17.5% national average. 433 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Hawaii
| Specialty | Providers | Avg Payment |
|---|---|---|
| Physical Therapist in Private Practice | 452 | $28K |
| Internal Medicine | 426 | $44K |
| Nurse Practitioner | 381 | $17K |
| Family Practice | 291 | $28K |
| Emergency Medicine | 214 | $26K |
| Physician Assistant | 174 | $16K |
| Optometry | 168 | $29K |
| Diagnostic Radiology | 111 | $71K |
| Hospitalist | 109 | $29K |
| Ophthalmology | 109 | $209K |
| Anesthesiology | 109 | $12K |
| Mass Immunizer Roster Biller | 93 | $127K |
| Obstetrics & Gynecology | 91 | $16K |
| Psychiatry | 64 | $22K |
| Orthopedic Surgery | 64 | $65K |
| Chiropractic | 62 | $9K |
| Cardiology | 61 | $118K |
| Dermatology | 58 | $132K |
| General Surgery | 56 | $22K |
| Neurology | 45 | $62K |
Top Cities in Hawaii
Honolulu
Wailuku
Aiea
Kailua
Hilo
Waipahu
Lihue
Kailua Kona
Ewa Beach
Kapolei
Kaneohe
Tripler Army Medical Center
Kihei
Kahului
Mililani
Kamuela
Pearl City
Waianae
Kealakekua
Wahiawa
Tripler Amc
Makawao
Kapaa
Lahaina
Tamc
Haleiwa
Kalaheo
Kailua-Kona
Waimea
Kilauea
Top 50 Providers in Hawaii
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