Utah Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Utah has 9K Medicare providers who collectively received $572.2M in Medicare payments, averaging $61K per provider. Utah 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 1,388 providers, followed by Physician Assistant (1,160) and Family Practice (799). Nurse Practitioner providers in Utah average $25K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Salt Lake City (2,418 providers), with Murray and Provo 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
9K
in Utah
Total Medicare Payment
$572.2M
Avg Payment / Provider
$61K
Total Services
13.3M
Utah Performance Signals
Revenue per Provider
$60,907
-23.6% vs benchmark · national avg $79,744
Provider Market Share
0.8% of US
-60.0% vs benchmark · 9,395 providers
CCM Adoption
0.8%
-92.7% vs benchmark · national 11.3%
RPM Adoption
0.4%
-93.7% vs benchmark · national 6.5%
AWV Completion
10.6%
-39.5% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Utah Compares
vs Neighboring States
Top Revenue Opportunities in Utah
Chronic Care Management (99490)
Only 0.8% of providers bill CCM vs 11.3% national average. 982 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.4% vs 6.5% nationally. 570 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.6% trails the 17.5% national average. 649 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Utah
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 1,388 | $25K |
| Physician Assistant | 1,160 | $19K |
| Family Practice | 799 | $40K |
| Physical Therapist in Private Practice | 642 | $35K |
| Internal Medicine | 392 | $78K |
| Emergency Medicine | 376 | $26K |
| Anesthesiology | 334 | $15K |
| Mass Immunizer Roster Biller | 266 | $29K |
| Chiropractic | 237 | $10K |
| Optometry | 230 | $20K |
| Diagnostic Radiology | 221 | $67K |
| Orthopedic Surgery | 204 | $72K |
| Certified Registered Nurse Anesthetist (CRNA) | 180 | $10K |
| Hospitalist | 168 | $26K |
| Ophthalmology | 164 | $441K |
| Podiatry | 149 | $77K |
| Dermatology | 141 | $148K |
| General Surgery | 131 | $28K |
| Licensed Clinical Social Worker | 116 | $10K |
| Psychiatry | 114 | $15K |
Top Cities in Utah
Salt Lake City
Murray
Provo
Ogden
St George
Layton
Logan
Sandy
Bountiful
West Jordan
American Fork
Orem
Draper
Lehi
Park City
West Valley City
South Jordan
Cedar City
Riverton
Saint George
Tooele
Spanish Fork
Brigham City
Slc
Farmington
Price
South Ogden
Roy
Midvale
Payson
Top 50 Providers in Utah
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