Hawaii
Medicare Revenue Gap Analysis
4.3K
Medicare Providers
280.0K
Beneficiaries
$68.2K
Avg Missed/Provider
$291.9M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$19.8K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$21.8K/yr
7% adoption rate — national benchmark: 15%
RPM Revenue Gap
$15.0K/yr
4% adoption rate — national benchmark: 8%
AWV Revenue Gap
$9.5K/yr
50% completion rate — target: 70%+
BHI Revenue Gap
$5.5K/yr
Behavioral health integration opportunity
Top Cities in Hawaii
#1
Honolulu
2,640 providers
Est. gap: $153.0M
#2
Hilo
480 providers
Est. gap: $27.8M
#3
Kailua
380 providers
Est. gap: $22.0M
#4
Pearl City
280 providers
Est. gap: $16.2M
#5
Kahului
220 providers
Est. gap: $12.8M
Care Management Adoption
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