OB/GYN
Revenue analysis for OB/GYN practices. Medicare wellness billing, preventive care revenue, and behavioral health integration opportunities.
$62K
Avg Missed/Year
22K
US Providers
280
Avg Patients
2.2
Avg Chronic Dx
Specialty Overview
OB/GYN practices have a smaller Medicare panel (280 avg) but strong AWV and BHI opportunities. Many Medicare-age patients see their OB/GYN as a primary care provider, making them eligible for wellness visits and care management programs that OB/GYN practices often don't bill.
Key Insight: OB/GYN practices that serve as primary Medicare providers are leaving $14K+ in AWV revenue alone — a zero-copay service that patients readily accept when offered.
E&M Coding Distribution
National benchmark for OB/GYN E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.
99213
32%
$92/visit
99214
48%
$130/visit
99215
20%
$176/visit
Revenue Gap Breakdown
E&M Coding Gap
32% 99213 usage. Complex medication management and menopausal care support higher coding levels.
AWV (G0438/G0439)
22% AWV rate. OB/GYNs who serve as primary Medicare providers can and should bill AWVs.
CCM (99490)
6% adoption. Patients with menopause-related conditions plus hypertension or diabetes qualify.
BHI (99484)
24% depression prevalence — the second highest outside psychiatry and neurology. Postmenopausal depression screening is critical.
RPM (99453-99458)
Blood pressure monitoring for perimenopausal patients. 4% adoption.
Care Management Adoption Rates
CCM
6%
Target: 15%
RPM
4%
Target: 10%
BHI
5%
Target: 10%
AWV
22%
Target: 70%
Common Chronic Conditions
Recommended Billing Guides
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