How Much Revenue Is Your Practice Losing?
Most practices lose revenue in three places they never see: billing overhead, claim denials, and systematic undercoding. Use this calculator to estimate your annual leakage.
Your Practice Details
Adjust values to match your practice
Total Annual Leakage
$152,115
per year
Recoverable Revenue
$59,556
with optimized billing
Per-Provider Impact
$50,705
per provider / year
Monthly Impact
$12,676
lost every month
Across your 3 providers, you're losing $152,115 every year. Most of it preventable.
Where the Money Goes
The three leaks draining your revenue
Billing Overhead
$61,500
40% of total
Unrecovered Denials
$30,135
20% of total
Undercoding Loss
$60,480
40% of total
How We Calculate These Estimates
Projections based on specialty-adjusted benchmarks from MGMA, AAFP, and HFMA:
- Billing overhead (5% benchmark): Medical Group Management Association (MGMA) reports average RCM costs at 4.8–5.2% of net collections for outsourced billing.
- Denial rates and recovery: Healthcare Financial Management Association (HFMA) data shows average first-pass denial rates of 6–13% depending on specialty, with 65% eventual recovery. We apply a 35% permanent loss factor to denied claims.
- Undercoding: American Academy of Family Physicians (AAFP) research indicates systematic undercoding costs $30,000+ per physician annually. We calculate per-visit deltas based on specialty-specific visit complexity and E/M coding patterns.
- Recovery targets: Sovereign RCM targets a ≤3% denial rate and 70% undercoding recapture based on our multi-agent AI pipeline's documented performance.
Note: These are directional estimates based on published industry data, not guarantees. Actual results depend on your payer mix, coding patterns, and practice operations. Contact us for a personalized analysis using your actual claims data.
Ready for a Personalized Revenue Analysis?
These estimates use industry benchmarks. Let our team analyze your actual claims data for a precise projection.