Massachusetts
Medicare Revenue Gap Analysis
28.4K
Medicare Providers
1.3M
Beneficiaries
$82.4K
Avg Missed/Provider
$2340.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$22.8K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$26.4K/yr
12% adoption rate — national benchmark: 15%
RPM Revenue Gap
$18.1K/yr
7% adoption rate — national benchmark: 8%
AWV Revenue Gap
$11.5K/yr
54% completion rate — target: 70%+
BHI Revenue Gap
$6.6K/yr
Behavioral health integration opportunity
Top Cities in Massachusetts
#1
Boston
9,240 providers
Est. gap: $647.2M
#2
Worcester
2,120 providers
Est. gap: $148.5M
#3
Springfield
1,480 providers
Est. gap: $103.7M
#4
Cambridge
1,240 providers
Est. gap: $86.8M
#5
Burlington
880 providers
Est. gap: $61.6M
Care Management Adoption
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