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
E&M Coding Gap
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.
CCM (99490)
With 420 avg Medicare patients and 62% having hypertension, the eligible pool for CCM is enormous. Only 14% adoption nationally.
RPM (99453-99458)
At 7% adoption, RPM is massively underutilized. Internal Medicine patients with diabetes and hypertension are ideal candidates for blood pressure and glucose monitoring.
AWV (G0438/G0439)
AWV completion at 32% is actually lower than Family Medicine. With larger patient panels, the absolute number of missed AWVs is significant.
BHI (99484)
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
Internal Medicine Provider? See Your Gaps
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