General Practice
Revenue analysis for General Practice providers. Benchmark data, coding optimization, and care management revenue opportunities.
$82K
Avg Missed/Year
43K
US Providers
350
Avg Patients
2.6
Avg Chronic Dx
Specialty Overview
General Practice providers serve a broad Medicare population with slightly lower complexity than Internal Medicine but similar care management opportunities. Many General Practice providers transitioned from older practice models and may not have adopted newer billing codes like CCM, RPM, and BHI.
Key Insight: General Practice has the highest undercoding rate of any primary care specialty — optimizing E&M coding alone can recover $22,000+ per year before any new programs are implemented.
E&M Coding Distribution
National benchmark for General Practice E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
35%
$92/visit
99214
48%
$130/visit
99215
17%
$176/visit
Revenue Gap Breakdown
E&M Coding Gap
General Practice has the highest 99213 usage (35%) of any primary care specialty, suggesting significant undercoding. Benchmark shifts could recover $22K+ annually.
CCM (99490)
10% adoption rate — the lowest among primary care. Smaller average patient panels (350) mean focused enrollment is even more critical.
RPM (99453-99458)
Only 5% RPM adoption. Starting with hypertension monitoring is the fastest path to revenue.
AWV (G0438/G0439)
30% AWV completion rate means 245 patients per year are missing their wellness visit. That's $29K in unrealized AWV revenue alone.
BHI (99484)
3% adoption with 20% depression prevalence. PHQ-9 screening at every visit is the gateway to BHI revenue.
Care Management Adoption Rates
CCM
10%
Target: 15%
RPM
5%
Target: 10%
BHI
3%
Target: 10%
AWV
30%
Target: 70%
Common Chronic Conditions
Recommended Billing Guides
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