Ohio
Medicare Revenue Gap Analysis
34.2K
Medicare Providers
2.2M
Beneficiaries
$90.4K
Avg Missed/Provider
$3091.7M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$25.6K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$28.9K/yr
9% adoption rate — national benchmark: 15%
RPM Revenue Gap
$19.9K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.7K/yr
46% completion rate — target: 70%+
BHI Revenue Gap
$7.2K/yr
Behavioral health integration opportunity
Top Cities in Ohio
#1
Columbus
6,480 providers
Est. gap: $497.9M
#2
Cleveland
6,240 providers
Est. gap: $479.5M
#3
Cincinnati
4,840 providers
Est. gap: $371.9M
#4
Akron
2,120 providers
Est. gap: $162.9M
#5
Dayton
1,840 providers
Est. gap: $141.4M
Care Management Adoption
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