Illinois
Medicare Revenue Gap Analysis
38.6K
Medicare Providers
2.3M
Beneficiaries
$96.4K
Avg Missed/Provider
$3721.0M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$27.4K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$30.8K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$21.2K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$13.5K/yr
47% completion rate — target: 70%+
BHI Revenue Gap
$7.7K/yr
Behavioral health integration opportunity
Top Cities in Illinois
#1
Chicago
14,200 providers
Est. gap: $1163.5M
#2
Springfield
2,120 providers
Est. gap: $173.7M
#3
Naperville
1,640 providers
Est. gap: $134.4M
#4
Rockford
1,420 providers
Est. gap: $116.4M
#5
Peoria
1,280 providers
Est. gap: $104.9M
Care Management Adoption
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