Minnesota

Medicare Revenue Gap Analysis

18.6K

Medicare Providers

980.0K

Beneficiaries

$74.6K

Avg Missed/Provider

$1387.6M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$20.8K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$23.9K/yr

11% adoption rate — national benchmark: 15%

RPM Revenue Gap

$16.4K/yr

7% adoption rate — national benchmark: 8%

AWV Revenue Gap

$10.4K/yr

56% completion rate — target: 70%+

BHI Revenue Gap

$6.0K/yr

Behavioral health integration opportunity

Top Cities in Minnesota

#1

Minneapolis

4,840 providers

Est. gap: $306.9M

#2

Rochester

3,420 providers

Est. gap: $216.9M

#3

Saint Paul

2,240 providers

Est. gap: $142.0M

#4

Duluth

1,120 providers

Est. gap: $71.0M

#5

Bloomington

880 providers

Est. gap: $55.8M

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