Maryland

Medicare Revenue Gap Analysis

20.6K

Medicare Providers

1.0M

Beneficiaries

$88.2K

Avg Missed/Provider

$1816.9M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$24.6K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$28.2K/yr

10% adoption rate — national benchmark: 15%

RPM Revenue Gap

$19.4K/yr

6% adoption rate — national benchmark: 8%

AWV Revenue Gap

$12.3K/yr

46% completion rate — target: 70%+

BHI Revenue Gap

$7.1K/yr

Behavioral health integration opportunity

Top Cities in Maryland

#1

Baltimore

6,420 providers

Est. gap: $481.3M

#2

Bethesda

2,240 providers

Est. gap: $167.9M

#3

Rockville

1,680 providers

Est. gap: $125.9M

#4

Columbia

1,240 providers

Est. gap: $93.0M

#5

Silver Spring

1,120 providers

Est. gap: $84.0M

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