Delaware
Medicare Revenue Gap Analysis
3.4K
Medicare Providers
210.0K
Beneficiaries
$86.4K
Avg Missed/Provider
$295.5M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$24.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$27.6K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$19.0K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.1K/yr
44% completion rate — target: 70%+
BHI Revenue Gap
$6.9K/yr
Behavioral health integration opportunity
Top Cities in Delaware
#1
Wilmington
1,480 providers
Est. gap: $108.7M
#2
Dover
640 providers
Est. gap: $47.0M
#3
Newark
520 providers
Est. gap: $38.2M
#4
Middletown
280 providers
Est. gap: $20.6M
#5
Lewes
220 providers
Est. gap: $16.2M
Care Management Adoption
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