Practice Revenue Assessment

Most primary care practices leave between $100,000 and $500,000 in annual revenue uncaptured across Medicare care management programs, quality incentives, and payer-specific bonuses. This assessment quantifies the gap for your practice.

Based on 2026 CMS Physician Fee Schedule reimbursement rates

Practice Profile

Provide your practice details below. All calculations use published 2026 Medicare national average reimbursement rates adjusted by your state's geographic practice cost index.

Determines geographic cost adjustment and state-specific programs
Unique patients seen in the last 18 months
Physicians, NPs, and PAs billing under their own NPI
Affects eligible programs and reimbursement methodology

Payer Mix

Estimate the approximate percentage of your active patient panel by payer. Does not need to total exactly 100%.

%
%
%
%
Total: 95%

Current Programs

Indicate which programs your practice currently participates in. This helps us calculate your specific revenue gap.

Chronic Care Management (CCM)CPT 99490, 99439, 99491
Annual Wellness VisitsG0438, G0439
MIPS ReportingQuality Payment Program
Behavioral Health IntegrationCPT 99484, CoCM codes
This assessment provides estimates based on national averages, your state's GPCI adjustment, and published 2026 CMS reimbursement rates. Actual revenue will depend on patient eligibility, enrollment rates, and documentation compliance.

Revenue Assessment Results

Estimated Annual Revenue Opportunity
$0

Methodology & Assumptions

Get Your Detailed Report

Receive a patient-level gap analysis and implementation roadmap specific to your practice, built from your actual panel data.