Minnesota Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Minnesota has 26K Medicare providers who collectively received $1013.1M in Medicare payments, averaging $39K per provider. With below-average per-provider Medicare revenue, Minnesota practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 3,388 providers, followed by Physician Assistant (2,680) and Family Practice (2,216). Nurse Practitioner providers in Minnesota average $18K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Rochester (4,254 providers), with Minneapolis and Saint Paul 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 Minnesota
Total Medicare Payment
$1013.1M
Avg Payment / Provider
$39K
Total Services
31.4M
Minnesota Performance Signals
Revenue per Provider
$38,938
-51.2% vs benchmark · national avg $79,744
Provider Market Share
2.2% of US
+10.7% vs benchmark · 26,019 providers
CCM Adoption
0.6%
-94.7% vs benchmark · national 11.3%
RPM Adoption
0.1%
-98.6% vs benchmark · national 6.5%
AWV Completion
9.0%
-48.2% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Minnesota Compares
vs Neighboring States
Top Revenue Opportunities in Minnesota
Chronic Care Management (99490)
Only 0.6% of providers bill CCM vs 11.3% national average. 2,775 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.1% vs 6.5% nationally. 1,660 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.0% trails the 17.5% national average. 2,193 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Minnesota
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,388 | $18K |
| Physician Assistant | 2,680 | $15K |
| Family Practice | 2,216 | $27K |
| Internal Medicine | 1,744 | $41K |
| Physical Therapist in Private Practice | 1,461 | $16K |
| Diagnostic Radiology | 1,219 | $83K |
| Chiropractic | 1,089 | $9K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,052 | $5K |
| Emergency Medicine | 922 | $26K |
| Optometry | 695 | $20K |
| Anesthesiology | 600 | $11K |
| Licensed Clinical Social Worker | 464 | $10K |
| Mass Immunizer Roster Biller | 447 | $52K |
| Orthopedic Surgery | 444 | $51K |
| Cardiology | 430 | $50K |
| Psychiatry | 395 | $20K |
| General Surgery | 361 | $16K |
| Neurology | 359 | $51K |
| Psychologist, Clinical | 347 | $17K |
| Pathology | 328 | $41K |
Top Cities in Minnesota
Rochester
Minneapolis
Saint Paul
Duluth
Edina
St Louis Park
Eden Prairie
Mankato
Woodbury
Saint Cloud
Bloomington
Coon Rapids
Burnsville
Plymouth
Maple Grove
Roseville
Robbinsdale
Maplewood
Eagan
Minnetonka
Stillwater
Bemidji
Fridley
Sartell
St Cloud
Alexandria
Willmar
Brainerd
Waconia
Golden Valley
Top 50 Providers in Minnesota
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