Missouri

Medicare Revenue Gap Analysis

18.4K

Medicare Providers

1.2M

Beneficiaries

$86.8K

Avg Missed/Provider

$1597.1M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$24.6K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$27.8K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$19.1K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$12.2K/yr

45% completion rate — target: 70%+

BHI Revenue Gap

$6.9K/yr

Behavioral health integration opportunity

Top Cities in Missouri

#1

Saint Louis

5,640 providers

Est. gap: $416.1M

#2

Kansas City

4,280 providers

Est. gap: $315.8M

#3

Springfield

1,480 providers

Est. gap: $109.2M

#4

Columbia

1,240 providers

Est. gap: $91.5M

#5

Independence

680 providers

Est. gap: $50.2M

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