Market Opportunity Map

Medicare FFS vs Medicare Advantage — where ACCESS has the biggest target market

Medicare Advantage patients are 100% off-limits for ACCESS. States with LOWER MA penetration have MORE Fee-for-Service patients available. Florida is actually one of the hardest markets — Texas, Georgia, and the South have much larger FFS pools.

State-by-State FFS Opportunity

Sorted by Fee-for-Service availability (best opportunities first)

Rank	State	MA Penetration	FFS Available %	Opportunity Rating	Data Status
1	AKAlaska	8%	92%	EXCELLENT	Available
2	WYWyoming	19%	81%	EXCELLENT	Available
3	VTVermont	20%	80%	EXCELLENT	Available
4	NDNorth Dakota	22%	78%	EXCELLENT	Available
5	SDSouth Dakota	24%	76%	EXCELLENT	Available
6	MSMississippi	25%	75%	EXCELLENT	LOADED
7	NHNew Hampshire	27%	73%	EXCELLENT	Available
8	ARArkansas	28%	72%	EXCELLENT	LOADED
9	NENebraska	29%	71%	EXCELLENT	Available
10	WVWest Virginia	30%	70%	EXCELLENT	Available
11	OKOklahoma	30%	70%	EXCELLENT	LOADED
12	NMNew Mexico	32%	68%	STRONG	Available
13	MAMassachusetts	33%	67%	STRONG	Available
14	SCSouth Carolina	34%	66%	STRONG	LOADED
15	KYKentucky	35%	65%	STRONG	LOADED
16	ILIllinois	35%	65%	STRONG	LOADED
17	MTMontana	36%	64%	STRONG	Available
18	INIndiana	36%	64%	STRONG	Available
19	GAGeorgia	37%	63%	STRONG	LOADED
20	IDIdaho	38%	62%	STRONG	Available
21	TXTexas	38%	62%	STRONG	LOADED
22	ALAlabama	39%	61%	STRONG	LOADED
23	NCNorth Carolina	39%	61%	STRONG	LOADED
24	TNTennessee	40%	60%	STRONG	LOADED
25	MOMissouri	41%	59%	GOOD	Available
26	OHOhio	42%	58%	GOOD	LOADED
27	MIMichigan	43%	57%	GOOD	Available
28	WIWisconsin	44%	56%	GOOD	Available
29	WAWashington	45%	55%	GOOD	Available
30	PAPennsylvania	46%	54%	GOOD	Available
31	NYNew York	46%	54%	GOOD	LOADED
32	CACalifornia	46%	54%	GOOD	LOADED
33	HIHawaii	47%	53%	GOOD	Available
34	LALouisiana	48%	52%	GOOD	Available
35	MNMinnesota	49%	51%	GOOD	Available
36	AZArizona	52%	48%	LIMITED	Available
37	OROregon	53%	47%	LIMITED	Available
38	FLFlorida	54%	46%	LIMITED	LOADED

Florida

54%

Medicare Advantage

Only 46% FFS available

Rating: LIMITED

FL has the 3rd WORST FFS availability in the country

Texas

38%

Medicare Advantage

62% FFS available

Rating: STRONG

TX has 35% more FFS patients available than FL

16 States

Data loaded and ready

24,649

Practices in database

1,966

MSO targets with contacts

214K+

Total records loaded

Recommended Expansion Order

Phase 1 (Now)

Florida + Texas

24,649 practices loaded across 16 states. FL for proximity, TX for FFS volume. CA, NY, OH, GA + 9 Southern states ready.

Phase 2 (Month 2)

Georgia, Mississippi, Oklahoma, Arkansas

Already loaded — MS, AR, OK, SC, KY, AL, NC, TN data in the database. Highest FFS penetration in the country.

Phase 3 (Month 3-6)

National expansion

Remaining 34 states. AI agents pull NPI data overnight, enrich contacts via Apollo, launch outreach sequences automatically.

Targets