New Jersey Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
New Jersey has 37K Medicare providers who collectively received $3851.9M in Medicare payments, averaging $105K per provider. This places New Jersey above the national average in per-provider Medicare revenue, suggesting a competitive healthcare market with strong reimbursement patterns.
The most common specialty is Nurse Practitioner with 4,111 providers, followed by Physical Therapist in Private Practice (3,824) and Internal Medicine (3,471). Nurse Practitioner providers in New Jersey average $41K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Camden (1,232 providers), with Cherry Hill and Hackensack 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
37K
in New Jersey
Total Medicare Payment
$3851.9M
Avg Payment / Provider
$105K
Total Services
117.7M
New Jersey Performance Signals
Revenue per Provider
$105,412
+32.2% vs benchmark · national avg $79,744
Provider Market Share
3.1% of US
+55.5% vs benchmark · 36,541 providers
CCM Adoption
1.3%
-88.2% vs benchmark · national 11.3%
RPM Adoption
0.8%
-87.2% vs benchmark · national 6.5%
AWV Completion
9.3%
-46.7% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How New Jersey Compares
vs Neighboring States
Top Revenue Opportunities in New Jersey
Chronic Care Management (99490)
Only 1.3% of providers bill CCM vs 11.3% national average. 3,631 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.8% vs 6.5% nationally. 2,060 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.3% trails the 17.5% national average. 2,981 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in New Jersey
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 4,111 | $41K |
| Physical Therapist in Private Practice | 3,824 | $62K |
| Internal Medicine | 3,471 | $101K |
| Physician Assistant | 1,970 | $29K |
| Family Practice | 1,697 | $65K |
| Chiropractic | 1,334 | $18K |
| Emergency Medicine | 1,277 | $51K |
| Anesthesiology | 1,109 | $27K |
| Mass Immunizer Roster Biller | 887 | $64K |
| Podiatry | 883 | $101K |
| Cardiology | 881 | $237K |
| Diagnostic Radiology | 842 | $170K |
| Occupational Therapist in Private Practice | 840 | $51K |
| Optometry | 792 | $37K |
| Licensed Clinical Social Worker | 737 | $26K |
| Obstetrics & Gynecology | 709 | $19K |
| Certified Registered Nurse Anesthetist (CRNA) | 696 | $7K |
| Orthopedic Surgery | 627 | $124K |
| Psychiatry | 622 | $40K |
| Gastroenterology | 538 | $93K |
Top Cities in New Jersey
Camden
Cherry Hill
Hackensack
Newark
Morristown
Toms River
New Brunswick
Voorhees
Edison
Jersey City
Englewood
Clifton
Brick
Marlton
Livingston
Freehold
Wayne
East Brunswick
Neptune
Paramus
Princeton
Vineland
Berkeley Heights
Summit
West Orange
Hamilton
Paterson
Teaneck
Somerset
Ridgewood
Top 50 Providers in New Jersey
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