Oregon

Medicare Revenue Gap Analysis

12.8K

Medicare Providers

820.0K

Beneficiaries

$78.2K

Avg Missed/Provider

$1001.0M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$22.2K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$25.0K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$17.2K/yr

6% adoption rate — national benchmark: 8%

AWV Revenue Gap

$10.9K/yr

50% completion rate — target: 70%+

BHI Revenue Gap

$6.3K/yr

Behavioral health integration opportunity

Top Cities in Oregon

#1

Portland

5,240 providers

Est. gap: $348.3M

#2

Eugene

1,480 providers

Est. gap: $98.4M

#3

Salem

1,120 providers

Est. gap: $74.4M

#4

Bend

780 providers

Est. gap: $51.8M

#5

Medford

640 providers

Est. gap: $42.5M

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