West Virginia
Medicare Revenue Gap Analysis
5.5K
Medicare Providers
420.0K
Beneficiaries
$98.4K
Avg Missed/Provider
$539.2M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$28.2K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$31.5K/yr
6% adoption rate — national benchmark: 15%
RPM Revenue Gap
$21.6K/yr
3% adoption rate — national benchmark: 8%
AWV Revenue Gap
$13.8K/yr
38% completion rate — target: 70%+
BHI Revenue Gap
$7.9K/yr
Behavioral health integration opportunity
Top Cities in West Virginia
#1
Charleston
1,640 providers
Est. gap: $137.2M
#2
Morgantown
1,080 providers
Est. gap: $90.3M
#3
Huntington
820 providers
Est. gap: $68.6M
#4
Wheeling
480 providers
Est. gap: $40.1M
#5
Parkersburg
380 providers
Est. gap: $31.8M
Care Management Adoption
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