Internal Medicine

Revenue benchmarks for Internal Medicine practices. National E&M coding data, care management adoption rates, and revenue gap analysis.

$108K

Avg Missed/Year

162K

US Providers

420

Avg Patients

3.2

Avg Chronic Dx

Specialty Overview

Internal Medicine providers manage the most complex Medicare patients, with the highest average chronic conditions per patient (3.2) among primary care specialties. This complexity creates enormous revenue opportunity — Internal Medicine has the highest per-provider missed revenue of any primary care specialty, primarily from underutilized CCM and RPM programs.

Key Insight: Internal Medicine practices manage the most complex patients and have the largest CCM-eligible pool of any specialty — yet adoption is only 14%. This represents the single largest revenue gap in primary care.

E&M Coding Distribution

National benchmark for Internal Medicine E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.

99213

25%

$92/visit

99214

52%

$130/visit

99215

23%

$176/visit

Revenue Gap Breakdown

#1

E&M Coding Gap

$28.2K/yr

Internal Medicine has the strongest documentation to support higher E&M levels, yet 25% of visits are still coded as 99213. Benchmark: 25% 99213 / 52% 99214 / 23% 99215.

#2

CCM (99490)

$34.6K/yr

With 420 avg Medicare patients and 62% having hypertension, the eligible pool for CCM is enormous. Only 14% adoption nationally.

#3

RPM (99453-99458)

$22.4K/yr

At 7% adoption, RPM is massively underutilized. Internal Medicine patients with diabetes and hypertension are ideal candidates for blood pressure and glucose monitoring.

#4

AWV (G0438/G0439)

$15.8K/yr

AWV completion at 32% is actually lower than Family Medicine. With larger patient panels, the absolute number of missed AWVs is significant.

#5

BHI (99484)

$7.2K/yr

5% BHI adoption despite 20% depression prevalence. The collaborative care model could add substantial revenue.

Care Management Adoption Rates

CCM

14%

Target: 15%

RPM

7%

Target: 10%

BHI

5%

Target: 10%

AWV

32%

Target: 70%

Common Chronic Conditions

Hypertension (62%)Diabetes (38%)Depression (20%)COPD (16%)Heart Failure (15%)

Internal Medicine Provider? See Your Gaps

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