Michigan
Medicare Revenue Gap Analysis
28.8K
Medicare Providers
2.0M
Beneficiaries
$92.8K
Avg Missed/Provider
$2672.6M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$26.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$29.7K/yr
9% adoption rate — national benchmark: 15%
RPM Revenue Gap
$20.4K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$13.0K/yr
45% completion rate — target: 70%+
BHI Revenue Gap
$7.4K/yr
Behavioral health integration opportunity
Top Cities in Michigan
#1
Detroit
6,840 providers
Est. gap: $539.5M
#2
Ann Arbor
3,240 providers
Est. gap: $255.6M
#3
Grand Rapids
2,680 providers
Est. gap: $211.4M
#4
Royal Oak
1,420 providers
Est. gap: $112.0M
#5
Southfield
1,240 providers
Est. gap: $97.8M
Care Management Adoption
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