Revenue per visit by payer mix
Free tool · HealthYour average visit is worth a blend of what each payer pays. Type each payer’s share of visits and its rate to see the blend.
Revenue per visit
$83.15
Shares add up to
100.0%
Revenue per visit if your shares add up to 100%
$83.15
Medicaid adds
$27.90
Medicare adds
$23.75
Private insurance adds
$24.00
Self pay adds
$7.50
An estimate for planning. Check the numbers with your accountant before you decide.
How the math works
Revenue per visit = the sum of each payer’s share of visits × what it pays per visit. Each payer’s piece is its share × its rate, and the biggest piece shows which contract matters most.
The shares should add up to 100%. When they add up to less or more, the calculator also shows revenue per visit ÷ the share total, the answer as if they added up to 100%. Use it while you fix the shares.
Use paid amounts after adjustments, from your billing report. The example is a clinic with 45% Medicaid, 25% Medicare, 20% private insurance and 10% self pay, and the rates are example numbers.
Put the result into the no show cost calculator to see what an empty slot costs you. Its free Excel version is at builtbyestrada.ai/downloads/no-show-cost-calculator-free.xlsx