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Interactive Tool

See How Your Payer Mix Affects Your Margin

Enter your payer mix percentages and average visit volume, see the effective reimbursement rate, margin contribution per payer, and where mix-shift has the biggest upside. No email required.

Mix total: 100%
$112
Effective Per-Visit Reimb.
$168,000
Monthly Net Revenue
$2.02M
Annual Net Revenue
B
Mix Grade

Margin Contribution by Payer

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    Rate Assumptions

    We use the Medicare allowed amount as the baseline (100%) and apply standard payer multipliers: Medicaid 70% of Medicare (range 60-85%), Commercial 125% of Medicare (range 110-140%), Self-pay 45% collected (net of bad debt after statements and discounts), Workers' Comp 135% of Medicare. These are national medians; your specific contracts will vary. Enter your actual Medicare allowed to localize the model to your specialty and region.