Tennessee

Medicare Revenue Gap Analysis

20.4K

Medicare Providers

1.4M

Beneficiaries

$94.8K

Avg Missed/Provider

$1933.9M

Total State Gap

Revenue Gap Breakdown

E&M Coding Gap

$26.8K/yr

Average undercoding gap from 99213→99214 shifts

CCM Revenue Gap

$30.3K/yr

9% adoption rate — national benchmark: 15%

RPM Revenue Gap

$20.9K/yr

5% adoption rate — national benchmark: 8%

AWV Revenue Gap

$13.3K/yr

43% completion rate — target: 70%+

BHI Revenue Gap

$7.6K/yr

Behavioral health integration opportunity

Top Cities in Tennessee

#1

Nashville

6,240 providers

Est. gap: $502.8M

#2

Memphis

3,480 providers

Est. gap: $280.4M

#3

Knoxville

2,240 providers

Est. gap: $180.5M

#4

Chattanooga

1,480 providers

Est. gap: $119.3M

#5

Johnson City

820 providers

Est. gap: $66.1M

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