Tile Health Analysis Reveals CCM Billing Could Generate Over $1 Million Annually for Mid-Size Primary Care Practices

AI voice agents automate patient enrollment, monthly check-ins, and billing for CCM and APCM — helping practices capture Medicare revenue without adding staff.

Published on Mar. 9, 2026

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A new financial analysis published by Tile Health reveals the significant revenue potential of Medicare's Chronic Care Management (CCM) program for primary care practices. The analysis provides projections on the annual revenue practices of different sizes could generate from CCM billing, with the potential to exceed $1 million for mid-size practices with 750 enrolled patients. The key factors impacting revenue include the enrollment rate of eligible patients and the staffing model used to manage the CCM program, with AI-automated platforms enabling smaller practices to run CCM programs profitably.

Why it matters

The CCM program provides a recurring monthly revenue stream for practices with large Medicare populations, which can become a significant and predictable income source. However, industry data suggests that many eligible practices have yet to enroll a single patient, missing out on this potential revenue. This analysis highlights the financial opportunity for practices to capture this Medicare reimbursement, especially as they navigate the challenges of the evolving healthcare landscape.

The details

The analysis is based on the national average 2025 reimbursement rates for CPT 99490 ($60.49) and the first add-on code CPT 99439 ($45.93). A patient generating 40 minutes of monthly contact produces approximately $106 in combined CCM revenue. Practices with 100, 250, 500, or 750 enrolled patients could generate annual CCM revenue of $127,200, $318,000, $636,000, or $954,000, respectively. Adding remote patient monitoring (RPM) could increase these figures to $195,000, $487,500, $975,000, or $1.46 million. The key variable is the enrollment rate, with well-run programs achieving 30-50% enrollment of eligible patients within the first year. The analysis also examines different staffing models and their impact on net revenue, with AI-automated platforms enabling smaller practices to run CCM programs profitably.

  • The analysis is based on 2025 national average reimbursement rates.

The players

Tile Health

A company that provides AI-powered platforms to help primary care practices automate patient enrollment, monthly check-ins, and billing for CCM and APCM programs.

Ali Elmarsafawy

The CEO of Tile Health.

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What they’re saying

“Our platform removes every operational barrier between a practice and that revenue; the AI handles the calls, documentation, and reports. Everything else runs automatically.”

— Ali Elmarsafawy, CEO, Tile Health

The takeaway

This analysis highlights the significant revenue potential of the Medicare Chronic Care Management (CCM) program for primary care practices, especially those with large Medicare patient populations. By leveraging AI-powered platforms to automate the operational aspects of CCM, smaller practices can now capture this recurring revenue stream without the need for additional staffing, making it a viable opportunity to explore in the evolving healthcare landscape.