Wisconsin
Medicare Revenue Gap Analysis
17.4K
Medicare Providers
1.1M
Beneficiaries
$76.8K
Avg Missed/Provider
$1336.3M
Total State Gap
Revenue Gap Breakdown
E&M Coding Gap
$21.6K/yr
Average undercoding gap from 99213→99214 shifts
CCM Revenue Gap
$24.6K/yr
10% adoption rate — national benchmark: 15%
RPM Revenue Gap
$16.9K/yr
6% adoption rate — national benchmark: 8%
AWV Revenue Gap
$10.8K/yr
52% completion rate — target: 70%+
BHI Revenue Gap
$6.1K/yr
Behavioral health integration opportunity
Top Cities in Wisconsin
#1
Milwaukee
4,240 providers
Est. gap: $276.8M
#2
Madison
3,480 providers
Est. gap: $227.2M
#3
Green Bay
1,240 providers
Est. gap: $80.9M
#4
Marshfield
840 providers
Est. gap: $54.8M
#5
Waukesha
720 providers
Est. gap: $47.0M
Care Management Adoption
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