Montana Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Montana has 5K Medicare providers who collectively received $250.7M in Medicare payments, averaging $54K per provider. With below-average per-provider Medicare revenue, Montana practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 600 providers, followed by Physician Assistant (584) and Physical Therapist in Private Practice (544). Nurse Practitioner providers in Montana average $21K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Billings (936 providers), with Missoula and Bozeman 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
5K
in Montana
Total Medicare Payment
$250.7M
Avg Payment / Provider
$54K
Total Services
5.8M
Montana Performance Signals
Revenue per Provider
$54,309
-31.9% vs benchmark · national avg $79,744
Provider Market Share
0.4% of US
-80.4% vs benchmark · 4,617 providers
CCM Adoption
0.7%
-93.8% vs benchmark · national 11.3%
RPM Adoption
0.0%
-99.7% vs benchmark · national 6.5%
AWV Completion
8.1%
-53.6% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Montana Compares
vs Neighboring States
Top Revenue Opportunities in Montana
Chronic Care Management (99490)
Only 0.7% of providers bill CCM vs 11.3% national average. 488 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.0% vs 6.5% nationally. 298 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 8.1% trails the 17.5% national average. 432 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Montana
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 600 | $21K |
| Physician Assistant | 584 | $24K |
| Physical Therapist in Private Practice | 544 | $31K |
| Family Practice | 365 | $36K |
| Chiropractic | 255 | $14K |
| Internal Medicine | 212 | $51K |
| Anesthesiology | 158 | $16K |
| Optometry | 156 | $40K |
| Emergency Medicine | 130 | $59K |
| Licensed Clinical Social Worker | 111 | $16K |
| Mass Immunizer Roster Biller | 100 | $49K |
| Orthopedic Surgery | 88 | $108K |
| Ambulance Service Provider | 83 | $187K |
| Diagnostic Radiology | 81 | $99K |
| Hospitalist | 76 | $46K |
| General Surgery | 73 | $36K |
| Podiatry | 48 | $65K |
| Obstetrics & Gynecology | 48 | $11K |
| Psychiatry | 46 | $22K |
| Cardiology | 46 | $113K |
Top Cities in Montana
Billings
Missoula
Bozeman
Kalispell
Great Falls
Helena
Butte
Whitefish
Hamilton
Havre
Belgrade
Polson
Livingston
Miles City
Sidney
Libby
Dillon
Lewistown
Columbia Falls
Anaconda
Ronan
Stevensville
Bigfork
Glendive
Glasgow
Shelby
Big Sky
Hardin
Eureka
Florence
Top 50 Providers in Montana
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