South Carolina
Medicare Revenue Gap Analysis
14.2K
Medicare Providers
1.1M
Beneficiaries
$90.8K
Avg Missed/Provider
$1289.4M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$25.8K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$29.1K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$20.0K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.7K/yr
43% completion rate — target: 70%+
BHI Revenue Gap
$7.3K/yr
Behavioral health integration opportunity
Top Cities in South Carolina
#1
Charleston
3,480 providers
Est. gap: $268.6M
#2
Columbia
2,640 providers
Est. gap: $203.8M
#3
Greenville
2,240 providers
Est. gap: $172.9M
#4
Myrtle Beach
1,120 providers
Est. gap: $86.4M
#5
Spartanburg
680 providers
Est. gap: $52.5M
Care Management Adoption
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