South Dakota
Medicare Revenue Gap Analysis
3.0K
Medicare Providers
170.0K
Beneficiaries
$70.6K
Avg Missed/Provider
$213.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$20.0K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$22.6K/yr
7% adoption rate — national benchmark: 15%
RPM Revenue Gap
$15.5K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$9.9K/yr
50% completion rate — target: 70%+
BHI Revenue Gap
$5.6K/yr
Behavioral health integration opportunity
Top Cities in South Dakota
#1
Sioux Falls
1,240 providers
Est. gap: $74.4M
#2
Rapid City
580 providers
Est. gap: $34.8M
#3
Aberdeen
280 providers
Est. gap: $16.8M
#4
Brookings
180 providers
Est. gap: $10.8M
#5
Watertown
140 providers
Est. gap: $8.4M
Care Management Adoption
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