Volume
Payer Mix✓ 100%
E/M Level Distribution✓ 100%
Procedures & Imaging
Scenario
Mode:
Current
Revenue Per Visit
$207.27
Annual Net Collections
$6.81M
Optimization Gap
+$1.20M
Payer Breakdown
| Payer | Visits | Avg Rev/Visit | Gross Revenue | Net Revenue |
|---|---|---|---|---|
| Medicare | 12,250 | $201.92 | $2,473,520 | $2,275,638 |
| BCBS | 9,800 | $262.50 | $2,572,461 | $2,443,838 |
| UHC | 7,700 | $252.40 | $1,943,480 | $1,826,871 |
| Self-Pay | 5,250 | $50.48 | $1,060,080 | $265,020 |
E/M Level Distribution
Current
Optimized
99281
99282
99283
99284
99285
Optimization Gap Breakdown
E/M Upcode Opportunity$695,639
Procedure Capture Gap$335,826
Ultrasound Utilization Gap$167,913
Total Unrealized Revenue$1,199,377
These figures represent gross charges based on standard payer schedules. Engage a revenue cycle consultant to validate net collections.