Colorado

Medicare Revenue Gap Analysis

16.8K

Medicare Providers

860.0K

Beneficiaries

$78.4K

Avg Missed/Provider

$1320.3M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$22.4K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$25.1K/yr

10% adoption rate — national benchmark: 15%

RPM Revenue Gap

$17.2K/yr

6% adoption rate — national benchmark: 8%

AWV Revenue Gap

$11.0K/yr

52% completion rate — target: 70%+

BHI Revenue Gap

$6.3K/yr

Behavioral health integration opportunity

Top Cities in Colorado

#1

Denver

5,680 providers

Est. gap: $378.5M

#2

Colorado Springs

2,480 providers

Est. gap: $165.3M

#3

Aurora

1,640 providers

Est. gap: $109.3M

#4

Boulder

1,280 providers

Est. gap: $85.3M

#5

Fort Collins

1,120 providers

Est. gap: $74.6M

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