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Medical Practice Break-Even Patients Calculator

How many visits a month a practice needs before it starts making money.

Your numbers

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Rent, staff, insurance, software, equipment leases.
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Supplies, billing fees, disposables.

Result

Visits needed per month 1,128
Per provider per day 20.9
Contribution per visit $110.00
Total fixed cost $124,000
Revenue needed $144,384
The practice needs 1,128 visits a month, which is 20.9 per provider per clinic day, to cover $124,000 of fixed cost at $110.00 contribution per visit.

Practice administration arithmetic, not clinical or billing advice. Payer contracts, coding rules and the regulations governing patient communication and cancellation policies all vary and change. Nothing here bears on clinical decisions or on how any individual patient should be cared for. Break-even is a floor rather than a target, and it says nothing about whether the schedule that reaches it is sustainable for the clinicians working it. Provider compensation is treated as fixed here, which is correct for salaried arrangements and wrong for productivity-based ones.

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Questions

About this calculator

Should provider pay be fixed or variable?

It depends on the arrangement. Salaried compensation is fixed; productivity-based pay is variable and changes the break-even calculation substantially, because contribution per visit falls.

What if break-even needs more visits than capacity allows?

Then the cost base or the revenue per visit has to change, because volume cannot. It is the clearest signal that the economics need addressing rather than the schedule.

The formula

break-even visits = fixed costs / (revenue per visit - variable cost per visit)

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