New York
Medicare Revenue Gap Analysis
72.4K
Medicare Providers
3.6M
Beneficiaries
$102.8K
Avg Missed/Provider
$7442.7M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$29.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$32.9K/yr
11% adoption rate — national benchmark: 15%
RPM Revenue Gap
$22.6K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$14.4K/yr
46% completion rate — target: 70%+
BHI Revenue Gap
$8.2K/yr
Behavioral health integration opportunity
Top Cities in New York
#1
New York City
32,400 providers
Est. gap: $2831.1M
#2
Buffalo
3,240 providers
Est. gap: $283.1M
#3
Rochester
2,680 providers
Est. gap: $234.2M
#4
Albany
2,240 providers
Est. gap: $195.7M
#5
Syracuse
1,840 providers
Est. gap: $160.8M
Care Management Adoption
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