Vermont
Medicare Revenue Gap Analysis
2.8K
Medicare Providers
140.0K
Beneficiaries
$68.8K
Avg Missed/Provider
$195.4M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$19.6K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$22.0K/yr
8% adoption rate — national benchmark: 15%
RPM Revenue Gap
$15.1K/yr
5% adoption rate — national benchmark: 8%
AWV Revenue Gap
$9.6K/yr
52% completion rate — target: 70%+
BHI Revenue Gap
$5.5K/yr
Behavioral health integration opportunity
Top Cities in Vermont
#1
Burlington
1,120 providers
Est. gap: $65.5M
#2
Rutland
380 providers
Est. gap: $22.2M
#3
Berlin
280 providers
Est. gap: $16.4M
#4
Brattleboro
240 providers
Est. gap: $14.0M
#5
Saint Johnsbury
180 providers
Est. gap: $10.5M
Care Management Adoption
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