New Mexico

Medicare Revenue Gap Analysis

5.7K

Medicare Providers

420.0K

Beneficiaries

$82.4K

Avg Missed/Provider

$468.0M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$23.4K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$26.4K/yr

7% adoption rate — national benchmark: 15%

RPM Revenue Gap

$18.1K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$11.5K/yr

42% completion rate — target: 70%+

BHI Revenue Gap

$6.6K/yr

Behavioral health integration opportunity

Top Cities in New Mexico

#1

Albuquerque

2,840 providers

Est. gap: $198.9M

#2

Santa Fe

780 providers

Est. gap: $54.6M

#3

Las Cruces

620 providers

Est. gap: $43.4M

#4

Rio Rancho

380 providers

Est. gap: $26.6M

#5

Roswell

240 providers

Est. gap: $16.8M

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