Indiana
Medicare Revenue Gap Analysis
18.2K
Medicare Providers
1.2M
Beneficiaries
$88.4K
Avg Missed/Provider
$1608.9M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$25.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$28.3K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$19.4K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.4K/yr
44% completion rate — target: 70%+
BHI Revenue Gap
$7.1K/yr
Behavioral health integration opportunity
Top Cities in Indiana
#1
Indianapolis
5,840 providers
Est. gap: $438.8M
#2
Fort Wayne
1,620 providers
Est. gap: $121.7M
#3
Evansville
1,240 providers
Est. gap: $93.2M
#4
South Bend
1,080 providers
Est. gap: $81.2M
#5
Carmel
920 providers
Est. gap: $69.1M
Care Management Adoption
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