Washington
Medicare Revenue Gap Analysis
22.4K
Medicare Providers
1.4M
Beneficiaries
$82.6K
Avg Missed/Provider
$1850.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$23.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$26.4K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$18.2K/yr
7% adoption rate — national benchmark: 8%
AWV Revenue Gap
$11.6K/yr
52% completion rate — target: 70%+
BHI Revenue Gap
$6.6K/yr
Behavioral health integration opportunity
Top Cities in Washington
#1
Seattle
7,240 providers
Est. gap: $508.3M
#2
Spokane
2,480 providers
Est. gap: $174.1M
#3
Tacoma
1,840 providers
Est. gap: $129.2M
#4
Bellevue
1,640 providers
Est. gap: $115.1M
#5
Vancouver
1,120 providers
Est. gap: $78.6M
Care Management Adoption
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