Idaho
Medicare Revenue Gap Analysis
5.1K
Medicare Providers
340.0K
Beneficiaries
$76.8K
Avg Missed/Provider
$393.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$21.8K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$24.6K/yr
7% adoption rate — national benchmark: 15%
RPM Revenue Gap
$16.9K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$10.8K/yr
46% completion rate — target: 70%+
BHI Revenue Gap
$6.1K/yr
Behavioral health integration opportunity
Top Cities in Idaho
#1
Boise
2,240 providers
Est. gap: $146.2M
#2
Meridian
680 providers
Est. gap: $44.4M
#3
Idaho Falls
520 providers
Est. gap: $33.9M
#4
Nampa
480 providers
Est. gap: $31.3M
#5
Pocatello
380 providers
Est. gap: $24.8M
Care Management Adoption
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