New Jersey
Medicare Revenue Gap Analysis
28.2K
Medicare Providers
1.6M
Beneficiaries
$98.6K
Avg Missed/Provider
$2780.5M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$28.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$31.6K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$21.7K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$13.8K/yr
44% completion rate — target: 70%+
BHI Revenue Gap
$7.9K/yr
Behavioral health integration opportunity
Top Cities in New Jersey
#1
Newark
4,280 providers
Est. gap: $358.7M
#2
Jersey City
2,640 providers
Est. gap: $221.3M
#3
Hackensack
2,120 providers
Est. gap: $177.7M
#4
Morristown
1,680 providers
Est. gap: $140.8M
#5
Edison
1,420 providers
Est. gap: $119.0M
Care Management Adoption
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