Arizona

Medicare Revenue Gap Analysis

18.9K

Medicare Providers

1.4M

Beneficiaries

$91.8K

Avg Missed/Provider

$1736.9M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$26.4K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$29.4K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$20.2K/yr

6% adoption rate — national benchmark: 8%

AWV Revenue Gap

$12.9K/yr

45% completion rate — target: 70%+

BHI Revenue Gap

$7.3K/yr

Behavioral health integration opportunity

Top Cities in Arizona

#1

Phoenix

6,840 providers

Est. gap: $533.7M

#2

Tucson

3,420 providers

Est. gap: $266.9M

#3

Scottsdale

2,680 providers

Est. gap: $209.1M

#4

Mesa

1,840 providers

Est. gap: $143.6M

#5

Chandler

1,120 providers

Est. gap: $87.4M

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