Utah
Medicare Revenue Gap Analysis
8.2K
Medicare Providers
420.0K
Beneficiaries
$72.6K
Avg Missed/Provider
$598.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$20.6K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$23.2K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$16.0K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$10.2K/yr
48% completion rate — target: 70%+
BHI Revenue Gap
$5.8K/yr
Behavioral health integration opportunity
Top Cities in Utah
#1
Salt Lake City
3,240 providers
Est. gap: $199.9M
#2
Provo
1,120 providers
Est. gap: $69.1M
#3
Ogden
840 providers
Est. gap: $51.8M
#4
Murray
680 providers
Est. gap: $42.0M
#5
Saint George
480 providers
Est. gap: $29.6M
Care Management Adoption
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