Ohio Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Ohio has 48K Medicare providers who collectively received $2459.6M in Medicare payments, averaging $51K per provider. With below-average per-provider Medicare revenue, Ohio practices may have substantial untapped potential in care management programs and E&M coding optimization.
The most common specialty is Nurse Practitioner with 9,691 providers, followed by Internal Medicine (3,419) and Physician Assistant (3,310). Nurse Practitioner providers in Ohio average $19K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Cleveland (6,033 providers), with Columbus and Cincinnati 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
48K
in Ohio
Total Medicare Payment
$2459.6M
Avg Payment / Provider
$51K
Total Services
68.5M
Ohio Performance Signals
Revenue per Provider
$51,408
-35.5% vs benchmark · national avg $79,744
Provider Market Share
4.1% of US
+100.0% vs benchmark · 47,844 providers
CCM Adoption
0.9%
-92.2% vs benchmark · national 11.3%
RPM Adoption
0.1%
-97.7% vs benchmark · national 6.5%
AWV Completion
9.9%
-43.1% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Ohio Compares
vs Neighboring States
Top Revenue Opportunities in Ohio
Chronic Care Management (99490)
Only 0.9% of providers bill CCM vs 11.3% national average. 4,969 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.1% vs 6.5% nationally. 3,023 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 9.9% trails the 17.5% national average. 3,604 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Ohio
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 9,691 | $19K |
| Internal Medicine | 3,419 | $53K |
| Physician Assistant | 3,310 | $18K |
| Family Practice | 3,206 | $38K |
| Emergency Medicine | 2,104 | $37K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,802 | $8K |
| Physical Therapist in Private Practice | 1,510 | $37K |
| Mass Immunizer Roster Biller | 1,424 | $45K |
| Optometry | 1,294 | $21K |
| Anesthesiology | 1,224 | $16K |
| Chiropractic | 1,153 | $13K |
| Diagnostic Radiology | 1,118 | $74K |
| Ambulance Service Provider | 833 | $178K |
| Orthopedic Surgery | 822 | $81K |
| General Surgery | 774 | $27K |
| Obstetrics & Gynecology | 754 | $10K |
| Cardiology | 715 | $94K |
| Podiatry | 705 | $60K |
| Hospitalist | 704 | $41K |
| Neurology | 631 | $49K |
Top Cities in Ohio
Cleveland
Columbus
Cincinnati
Toledo
Dayton
Akron
Canton
Youngstown
Lima
Kettering
Westerville
Beachwood
Dublin
Westlake
Chillicothe
Warren
Mansfield
Zanesville
Marietta
Springfield
Findlay
Beavercreek
West Chester
Lancaster
Gahanna
Portsmouth
Newark
Parma
Lorain
Centerville
Top 50 Providers in Ohio
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