May 2009 has been an interesting month.
I will present some stats that I find interesting.
Patients seen for the month of May 167.
New patients to practice 10%
Wellness patients 39%
Selfpay patients 42%
Medicare patients 19%
Average $/patient for May $123.61
Average $/patient for 2009 $100.69
Numbers are only as good as the interpretation. To understand their meaning you must understand my practice. I participate with no insurers other than traditional Medicare. I offer fee for service and wellness plans with either a full prepay or auto-monthly debit option. Advantages to full pay are obvious. Total payment upfront helps the monthly numbers, but each further visit during the year brings in no further revenue. The auto-pay monthly debit does little for the monthly numbers, but works similar to capitation, WITHOUT the insurance middleman. For adults 24 and over the autodebit is $45/month, much higher than traditional HMO capitation.
What I find interesting is watching the % of revenues that comes in each month from the auto-debit option. As the contracts last for a minimum of one year, this will continue to grow each month. In january the percentage revenues was 2%, and now in May is up to 9%. At this pace I may be up to about 20% by years end.
As always, it is important to continue to sign up new wellness patients. At present revenues from full prepay wellness patients averages 35%. So a bad month in new sign-ups would not be a good sign.
This blog will hopefully give other docs an inside look at the trials and tribulations of transitioning a busy solo family practice office to a third party and managed care free practice.
Friday, May 29, 2009
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