Indiana Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Indiana has 25K Medicare providers who collectively received $1548.2M in Medicare payments, averaging $63K per provider. Indiana 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 5,279 providers, followed by Family Practice (1,974) and Physician Assistant (1,560). Nurse Practitioner providers in Indiana average $27K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Indianapolis (5,421 providers), with Fort Wayne and Evansville 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
25K
in Indiana
Total Medicare Payment
$1548.2M
Avg Payment / Provider
$63K
Total Services
40.3M
Indiana Performance Signals
Revenue per Provider
$62,771
-21.3% vs benchmark · national avg $79,744
Provider Market Share
2.1% of US
+4.9% vs benchmark · 24,665 providers
CCM Adoption
2.0%
-81.8% vs benchmark · national 11.3%
RPM Adoption
0.2%
-96.2% vs benchmark · national 6.5%
AWV Completion
9.9%
-43.0% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Indiana Compares
vs Neighboring States
Top Revenue Opportunities in Indiana
Chronic Care Management (99490)
Only 2.0% of providers bill CCM vs 11.3% national average. 2,274 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.2% vs 6.5% nationally. 1,535 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.9% trails the 17.5% national average. 1,854 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Indiana
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 5,279 | $27K |
| Family Practice | 1,974 | $51K |
| Physician Assistant | 1,560 | $20K |
| Internal Medicine | 1,419 | $69K |
| Physical Therapist in Private Practice | 1,264 | $37K |
| Emergency Medicine | 955 | $39K |
| Anesthesiology | 932 | $17K |
| Optometry | 862 | $28K |
| Chiropractic | 608 | $13K |
| Mass Immunizer Roster Biller | 582 | $47K |
| Diagnostic Radiology | 547 | $99K |
| Orthopedic Surgery | 455 | $91K |
| Certified Registered Nurse Anesthetist (CRNA) | 427 | $12K |
| Hospitalist | 414 | $54K |
| General Surgery | 407 | $27K |
| Obstetrics & Gynecology | 378 | $10K |
| Licensed Clinical Social Worker | 376 | $15K |
| Cardiology | 373 | $120K |
| Podiatry | 289 | $78K |
| Neurology | 275 | $78K |
Top Cities in Indiana
Indianapolis
Fort Wayne
Evansville
Lafayette
Carmel
South Bend
Bloomington
Munster
Muncie
Terre Haute
Greenwood
New Albany
Elkhart
Crown Point
Richmond
Fishers
Anderson
Columbus
Kokomo
Valparaiso
Mishawaka
Merrillville
Avon
Newburgh
Jeffersonville
Noblesville
Michigan City
Goshen
Jasper
Seymour
Top 50 Providers in Indiana
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