Virginia
Medicare Revenue Gap Analysis
24.8K
Medicare Providers
1.5M
Beneficiaries
$88.6K
Avg Missed/Provider
$2197.3M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$25.0K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$28.4K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$19.5K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$12.4K/yr
47% completion rate — target: 70%+
BHI Revenue Gap
$7.1K/yr
Behavioral health integration opportunity
Top Cities in Virginia
#1
Richmond
4,680 providers
Est. gap: $352.5M
#2
Virginia Beach
2,840 providers
Est. gap: $213.9M
#3
Fairfax
2,480 providers
Est. gap: $186.8M
#4
Charlottesville
1,840 providers
Est. gap: $138.6M
#5
Norfolk
1,620 providers
Est. gap: $122.0M
Care Management Adoption
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