Georgia

Medicare Revenue Gap Analysis

26.4K

Medicare Providers

1.8M

Beneficiaries

$94.2K

Avg Missed/Provider

$2486.9M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$26.2K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$30.1K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$20.7K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$13.2K/yr

43% completion rate — target: 70%+

BHI Revenue Gap

$7.5K/yr

Behavioral health integration opportunity

Top Cities in Georgia

#1

Atlanta

8,640 providers

Est. gap: $691.8M

#2

Augusta

2,480 providers

Est. gap: $198.6M

#3

Savannah

2,120 providers

Est. gap: $169.7M

#4

Columbus

1,240 providers

Est. gap: $99.3M

#5

Macon

1,080 providers

Est. gap: $86.5M

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