Connecticut

Medicare Revenue Gap Analysis

14.2K

Medicare Providers

680.0K

Beneficiaries

$82.6K

Avg Missed/Provider

$1172.9M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$23.2K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$26.4K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$18.2K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$11.6K/yr

46% completion rate — target: 70%+

BHI Revenue Gap

$6.6K/yr

Behavioral health integration opportunity

Top Cities in Connecticut

#1

Hartford

3,240 providers

Est. gap: $227.5M

#2

New Haven

2,860 providers

Est. gap: $200.8M

#3

Stamford

1,820 providers

Est. gap: $127.8M

#4

Bridgeport

1,480 providers

Est. gap: $103.9M

#5

Waterbury

980 providers

Est. gap: $68.8M

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