Neurology
Revenue analysis for Neurology practices. Complex patient management, care coordination billing, and behavioral health integration.
$103K
Avg Missed/Year
18K
US Providers
400
Avg Patients
3.0
Avg Chronic Dx
Specialty Overview
Neurology practices manage highly complex patients with conditions that require extensive care coordination — Alzheimer's, Parkinson's, MS, and epilepsy all involve multi-specialist management. This complexity supports high-level E&M coding and creates strong CCM eligibility, yet many neurology practices underutilize both.
Key Insight: Neurology has the highest BHI opportunity outside of psychiatry — 28% depression prevalence means nearly 1 in 3 patients could generate BHI revenue on top of existing visit revenue.
E&M Coding Distribution
National benchmark for Neurology E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
24%
$92/visit
99214
50%
$130/visit
99215
26%
$176/visit
Revenue Gap Breakdown
E&M Coding Gap
Neurological conditions involve complex MDM. Benchmark: 24% 99213 / 50% 99214 / 26% 99215.
CCM (99490)
10% adoption. Neurodegenerative disease patients almost universally qualify for CCM.
BHI (99484)
28% depression prevalence — the highest outside psychiatry. Neurology patients are ideal BHI candidates.
RPM (99453-99458)
Seizure monitoring and medication adherence tracking are emerging RPM applications. 5% adoption.
AWV (G0438/G0439)
14% AWV rate. Cognitive screening during AWV is particularly valuable for neurology patients.
Care Management Adoption Rates
CCM
10%
Target: 15%
RPM
5%
Target: 10%
BHI
6%
Target: 10%
AWV
14%
Target: 70%
Common Chronic Conditions
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