Maine
Medicare Revenue Gap Analysis
5.4K
Medicare Providers
340.0K
Beneficiaries
$72.8K
Avg Missed/Provider
$394.6M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$20.8K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$23.3K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$16.0K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$10.2K/yr
48% completion rate — target: 70%+
BHI Revenue Gap
$5.8K/yr
Behavioral health integration opportunity
Top Cities in Maine
#1
Portland
1,840 providers
Est. gap: $113.9M
#2
Bangor
820 providers
Est. gap: $50.7M
#3
Lewiston
580 providers
Est. gap: $35.9M
#4
Augusta
480 providers
Est. gap: $29.7M
#5
Scarborough
380 providers
Est. gap: $23.5M
Care Management Adoption
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