Gastroenterology
Revenue benchmarks for Gastroenterology practices. E&M coding optimization, care management opportunities, and procedure-adjacent billing.
$86K
Avg Missed/Year
17K
US Providers
460
Avg Patients
2.8
Avg Chronic Dx
Specialty Overview
Gastroenterology practices generate significant procedure revenue but often overlook E&M coding optimization for office visits. With moderate chronic disease prevalence, GI practices have a meaningful but often ignored care management opportunity, particularly for patients with IBD, liver disease, and comorbid conditions.
Key Insight: GI practices focused on procedures often neglect E&M optimization for office visits — where $28K+ in annual coding gap exists before any new programs are added.
E&M Coding Distribution
National benchmark for Gastroenterology E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
28%
$92/visit
99214
50%
$130/visit
99215
22%
$176/visit
Revenue Gap Breakdown
E&M Coding Gap
Office visits for complex GI conditions support moderate-to-high MDM. Benchmark: 28% 99213 / 50% 99214 / 22% 99215.
CCM (99490)
8% adoption. IBD patients with comorbid conditions are strong CCM candidates.
RPM (99453-99458)
Weight monitoring for liver disease and nutrition tracking are emerging RPM use cases. 4% adoption.
AWV (G0438/G0439)
12% AWV rate. Proactive screening identification during colonoscopy follow-ups can increase AWV referrals.
BHI (99484)
IBS, IBD, and chronic GI conditions are strongly associated with anxiety and depression. 16% prevalence.
Care Management Adoption Rates
CCM
8%
Target: 15%
RPM
4%
Target: 10%
BHI
3%
Target: 10%
AWV
12%
Target: 70%
Common Chronic Conditions
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