Pennsylvania
Medicare Revenue Gap Analysis
42.2K
Medicare Providers
2.6M
Beneficiaries
$92.2K
Avg Missed/Provider
$3890.8M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$26.0K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$29.5K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$20.3K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.9K/yr
46% completion rate — target: 70%+
BHI Revenue Gap
$7.4K/yr
Behavioral health integration opportunity
Top Cities in Pennsylvania
#1
Philadelphia
11,400 providers
Est. gap: $893.4M
#2
Pittsburgh
6,840 providers
Est. gap: $536.1M
#3
Allentown
2,120 providers
Est. gap: $166.1M
#4
Hershey
1,640 providers
Est. gap: $128.5M
#5
Lancaster
1,280 providers
Est. gap: $100.3M
Care Management Adoption
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