Rhode Island
Medicare Revenue Gap Analysis
4.3K
Medicare Providers
210.0K
Beneficiaries
$80.2K
Avg Missed/Provider
$343.3M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$22.6K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$25.7K/yr
9% adoption rate — national benchmark: 15%
RPM Revenue Gap
$17.6K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$11.2K/yr
48% completion rate — target: 70%+
BHI Revenue Gap
$6.4K/yr
Behavioral health integration opportunity
Top Cities in Rhode Island
#1
Providence
2,240 providers
Est. gap: $152.7M
#2
Warwick
580 providers
Est. gap: $39.5M
#3
Cranston
420 providers
Est. gap: $28.6M
#4
Newport
340 providers
Est. gap: $23.2M
#5
Pawtucket
280 providers
Est. gap: $19.1M
Care Management Adoption
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