Montana
Medicare Revenue Gap Analysis
3.6K
Medicare Providers
220.0K
Beneficiaries
$71.2K
Avg Missed/Provider
$259.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$20.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$22.8K/yr
7% adoption rate — national benchmark: 15%
RPM Revenue Gap
$15.7K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$10.0K/yr
44% completion rate — target: 70%+
BHI Revenue Gap
$5.7K/yr
Behavioral health integration opportunity
Top Cities in Montana
#1
Billings
1,120 providers
Est. gap: $67.8M
#2
Missoula
780 providers
Est. gap: $47.2M
#3
Great Falls
480 providers
Est. gap: $29.0M
#4
Bozeman
420 providers
Est. gap: $25.4M
#5
Helena
380 providers
Est. gap: $23.0M
Care Management Adoption
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