• Does Your Practice Measure Up?

Does your practice measure up?

Does Your Practice Measure Up?

Understanding key performance indicators is essential to the success of your pediatric business. Measuring your practice performance against your peers will support decisions that can bring you clinical and financial success.

Answer the six questions below to see how you compare to your peers, and to learn what steps you can take that might improve your practice. Select the answers that most closely resemble your practice metrics.

  • How many full-time providers work in your practice, at all locations?
  • On an average day, how many patients does an individual provider see?
  • This financial benchmark measures the average amount you deposit per-patient-visit. Revenue-per-Visit is calculated by summing the total dollars collected (including personal, insurance and non-service collections) for visits that occurred between three and twelve months ago, and dividing by the total number of visits that occurred in the same time frame. Visits and dollars collected from visits within the past three months are excluded from this calculation to correct for claims that have likely not yet been paid.
  • The Sick-to-Well Visit ratio is calculated by dividing the total number of new and established patient sick visits (CPT codes 99201-99205 and 99211-99215) by the total number of new and established patient well visits (CPT codes 99381-99385 and 99391-99395). When counting well visits, include well visit codes with a -25 modifier. If a -25 modified sick visit code is used in addition to a well visit code, only the well visit is counted.
  • This measure shows the percentage of 99214 and 99215 CPT codes billed by your practice relative to all 99212 through 99215 codes.This does not include -25 modified sick visits when billed on the same day as a well visit. It is calculated by dividing the sum of all 99214 and 99215 visits by the sum of 99212, 99213, 99214, and 99215 visits.
  • This measure shows the percentage of appointments at your practice that were missed. Missed appointments represent revenue loss and delayed patient care, along with stress and anxiety caused by uncertain schedules and the extra work involved with trying to fill those empty slots at the last minute. The missed appointment rate is calculated by adding all missed appointments for the past year and dividing by the number of total appointments (excluding canceled and deleted appointments).
  • This field is for validation purposes and should be left unchanged.