Iowa

Medicare Revenue Gap Analysis

9.2K

Medicare Providers

580.0K

Beneficiaries

$74.2K

Avg Missed/Provider

$685.6M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$21.2K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$23.7K/yr

8% adoption rate — national benchmark: 15%

RPM Revenue Gap

$16.3K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$10.4K/yr

50% completion rate — target: 70%+

BHI Revenue Gap

$5.9K/yr

Behavioral health integration opportunity

Top Cities in Iowa

#1

Des Moines

2,480 providers

Est. gap: $156.4M

#2

Iowa City

1,640 providers

Est. gap: $103.4M

#3

Cedar Rapids

1,120 providers

Est. gap: $70.6M

#4

Davenport

780 providers

Est. gap: $49.2M

#5

Sioux City

620 providers

Est. gap: $39.1M

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