Endocrinology
Revenue analysis for Endocrinology practices. Diabetes management programs, CGM monitoring revenue, and care management benchmarks.
$136K
Avg Missed/Year
8K
US Providers
440
Avg Patients
3.4
Avg Chronic Dx
Specialty Overview
Endocrinology practices are uniquely positioned for RPM and CCM revenue because diabetes — their primary condition — is ideal for both remote glucose monitoring and chronic care management. With 72% diabetes prevalence and the highest average chronic conditions (3.4) among specialists, virtually every endocrinology patient qualifies for at least one care management program.
Key Insight: Endocrinology has the highest RPM potential of any specialty because CGM data transmits automatically — meeting the 16-day requirement with minimal patient effort. A 200-patient RPM program generates $288K+ annually.
E&M Coding Distribution
National benchmark for Endocrinology E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
22%
$92/visit
99214
52%
$130/visit
99215
26%
$176/visit
Revenue Gap Breakdown
RPM (99453-99458)
Glucose monitoring via CGM is the gold standard for diabetes management and ideal for RPM billing. Only 14% adoption despite 72% of patients having diabetes.
CCM (99490)
20% adoption is the highest of any specialty but still leaves 80% of eligible patients unenrolled. Diabetes plus hypertension qualifies 60%+ of the panel.
E&M Coding Gap
Complex medication management and insulin titration support high-level MDM. Benchmark: 22% 99213 / 52% 99214 / 26% 99215.
AWV (G0438/G0439)
20% AWV rate could be doubled with proactive outreach to diabetic patients.
BHI (99484)
Diabetes distress and depression are highly comorbid. 18% depression prevalence makes BHI a natural fit.
Care Management Adoption Rates
CCM
20%
Target: 15%
RPM
14%
Target: 10%
BHI
5%
Target: 10%
AWV
20%
Target: 70%
Common Chronic Conditions
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