Texas
Medicare Revenue Gap Analysis
72.8K
Medicare Providers
4.3M
Beneficiaries
$106.8K
Avg Missed/Provider
$7775.0M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$30.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$34.2K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$23.5K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$15.0K/yr
44% completion rate — target: 70%+
BHI Revenue Gap
$8.5K/yr
Behavioral health integration opportunity
Top Cities in Texas
#1
Houston
16,800 providers
Est. gap: $1525.1M
#2
Dallas
12,400 providers
Est. gap: $1125.7M
#3
San Antonio
7,840 providers
Est. gap: $711.7M
#4
Austin
5,680 providers
Est. gap: $515.6M
#5
Fort Worth
4,240 providers
Est. gap: $384.9M
Care Management Adoption
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