Kentucky
Medicare Revenue Gap Analysis
12.2K
Medicare Providers
880.0K
Beneficiaries
$92.6K
Avg Missed/Provider
$1129.7M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$26.4K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$29.6K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$20.4K/yr
4% adoption rate — national benchmark: 8%
AWV Revenue Gap
$13.0K/yr
41% completion rate — target: 70%+
BHI Revenue Gap
$7.4K/yr
Behavioral health integration opportunity
Top Cities in Kentucky
#1
Louisville
3,840 providers
Est. gap: $302.2M
#2
Lexington
2,480 providers
Est. gap: $195.2M
#3
Bowling Green
820 providers
Est. gap: $64.5M
#4
Covington
640 providers
Est. gap: $50.4M
#5
Owensboro
580 providers
Est. gap: $45.7M
Care Management Adoption
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