Nebraska Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Nebraska has 8K Medicare providers who collectively received $587.4M in Medicare payments, averaging $71K per provider. Nebraska 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 1,266 providers, followed by Physician Assistant (903) and Physical Therapist in Private Practice (640). Nurse Practitioner providers in Nebraska average $20K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Omaha (3,660 providers), with Lincoln and Kearney 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
8K
in Nebraska
Total Medicare Payment
$587.4M
Avg Payment / Provider
$71K
Total Services
19.5M
Nebraska Performance Signals
Revenue per Provider
$70,839
-11.2% vs benchmark · national avg $79,744
Provider Market Share
0.7% of US
-64.7% vs benchmark · 8,292 providers
CCM Adoption
2.2%
-80.3% vs benchmark · national 11.3%
RPM Adoption
0.3%
-95.3% vs benchmark · national 6.5%
AWV Completion
10.3%
-41.0% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Nebraska Compares
vs Neighboring States
Top Revenue Opportunities in Nebraska
Chronic Care Management (99490)
Only 2.2% of providers bill CCM vs 11.3% national average. 750 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.3% vs 6.5% nationally. 511 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.3% trails the 17.5% national average. 593 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Nebraska
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 1,266 | $20K |
| Physician Assistant | 903 | $25K |
| Physical Therapist in Private Practice | 640 | $44K |
| Family Practice | 637 | $58K |
| Chiropractic | 463 | $17K |
| Certified Registered Nurse Anesthetist (CRNA) | 379 | $13K |
| Internal Medicine | 312 | $89K |
| Optometry | 294 | $34K |
| Anesthesiology | 205 | $19K |
| Emergency Medicine | 198 | $34K |
| Mass Immunizer Roster Biller | 196 | $70K |
| Ambulance Service Provider | 184 | $215K |
| Hospitalist | 174 | $65K |
| Diagnostic Radiology | 174 | $127K |
| Orthopedic Surgery | 137 | $103K |
| Obstetrics & Gynecology | 115 | $14K |
| General Surgery | 114 | $28K |
| Occupational Therapist in Private Practice | 101 | $31K |
| Licensed Clinical Social Worker | 97 | $15K |
| Ophthalmology | 82 | $742K |
Top Cities in Nebraska
Omaha
Lincoln
Kearney
Grand Island
Norfolk
North Platte
Hastings
Scottsbluff
Fremont
Columbus
Bellevue
Papillion
Elkhorn
South Sioux City
York
Gretna
La Vista
Broken Bow
Lexington
Holdrege
Beatrice
Sidney
Blair
Oneill
Ord
Offutt Afb
Alliance
Mc Cook
Nebraska City
Seward
Top 50 Providers in Nebraska
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