Florida

Medicare Revenue Gap Analysis

68.2K

Medicare Providers

4.8M

Beneficiaries

$112.4K

Avg Missed/Provider

$7665.7M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$31.2K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$36.0K/yr

12% adoption rate — national benchmark: 15%

RPM Revenue Gap

$24.7K/yr

8% adoption rate — national benchmark: 8%

AWV Revenue Gap

$15.7K/yr

44% completion rate — target: 70%+

BHI Revenue Gap

$9.0K/yr

Behavioral health integration opportunity

Top Cities in Florida

#1

Miami

14,200 providers

Est. gap: $1356.7M

#2

Tampa

7,840 providers

Est. gap: $749.0M

#3

Orlando

6,420 providers

Est. gap: $613.4M

#4

Jacksonville

4,860 providers

Est. gap: $464.3M

#5

Fort Lauderdale

4,280 providers

Est. gap: $408.9M

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