Start-up Costs

Medical equipment
Office Supplies
Computer hardware
Computer software
Legal costs
Signage
Marketing

22000
1100
18000
36400
0
0
600

Total Costs

78100

Operating Income Statement

Fees collected:
Expenses:
Salary, staff
Payroll Taxes
Professional Services: CPA
Medical License Fees
Continuing Medical Education
Loan
Dues and professional subscriptions
Insurance: Business
Malpractice
Health
Medical supplies
Office expense
Outside Services
Postage
Rent
Repairs and maintenance
Telephone
Utilities
Practice development

3000
300
240
370
40
900
75
20
1521
538
400
150
55
200
500
100
300
250
150

Total

9109

2003 MCR Area 99 Fee Schedule x 1.0 rounded up ($1 plus change)
E&M
99201
99202
99203
99204
99205

weight
0.19
0.3
0.35
0.14
0.02
1

charge
35
60
85
120
155

contribution
$
6.65
$
18.00
$
29.75
$
16.80
$
3.10

New Patient Average Charge

number new patients:

$ 172,227.40

Total number pts

2,318
3,864

74.30

E&M
99211
99212
99213
99214
99215

weight
0.03
0.22
0.58
0.15
0.02
1

charge
20
35
50
75
110

contribution
$
0.60
$
7.70
$
29.00
$
11.25
$
2.20

Established Patient Avg Chg

50.75

number established:

78,459.50

1,546

Total E&M revenue

$ 250,686.90

per visit revenue additional services

additional revenue $

total office billings $ 250,686.90

Site Codes 2003 MCR Area 99 Fees

Hosp 99217 Obs disch
99218 Init obs
99219 " "
99220 " "
99221 Init hosp
99222 " "
99223 " "
99231 Subs hosp
99232 " "
99233 " "
99234 Obs/hosp: Adm/disch
99235 " "
99236 " "
99238 Hosp disch
99239 " "
99291 Crit care: 1st 30 mins
99292 " " : each add 30

MCR fee Est # pts/mo Est $/mo

59.35
2
118.7
59.35
2
118.7
98.96
2
197.92
138.52
2
277.04
59.96
2
119.92
99.57
4
398.28
138.53
2
277.06
29.83
4
119.32
49.29
7
345.03
70.09
4
280.36
119.3
2
238.6
158.01
1
158.01
197.56
1
197.56
62.7
4
250.8
85.12
4
340.48
190.93
1
190.93
97.74
1
97.74

NH

99301
99302
99303
99311
99312
99313

Comp NF assess
" "
" "
Subs NF care
" "
" "

63.87
86.92
107.81
36.33
56.01
76.98

Home

99341
99342
99343
99344
99345
99347
99348
99349
99350

Home: New
" "
" "
" "
" "
Home: Est
" "
" "
" "

53.3
80.15
119.27
155.4
190.32
41.89
66.86
103.91
151.76

Total encounters per month

4
3
3
5
7
4

255.48
260.76
323.43
181.65
392.07
307.92

238.54

133.72

75

Total Professional non-office charges per month

12 months/yr
Total Professional non-office charges per year

5820.02
12
69840.24

Note: Will leave this at MCR x 1.0

Note: Will leave this at MCR x 1.0

Revenue description
Office New E&M
Office Est E&M
Other Prof
Totals
75% collection rate *
Add: SOH ER
($56/hr x 72 d/y x 24 h/d)
Add: NP Collaboration fee
($500/mo x 12 mo/yr)
Total Revenue
*

# patients
2,318
1,546
900
4,764

charges
$ 172,227.40
$ 78,459.50
69840.24
$ 320,527.14

0.75 $ 240,395.36

Avg charge / pt
$
74.30
$
50.75
77.6
$
67.28
$

50.46

72.03

NB: Will leave this at MCR x 1.0

$96,768
$6,000

$ 343,163.36

Expected Collection Rate: (assumes fee sched set at MCR fees)

Payor
Pts
Reim/Chgs
MCD ($ from kids > adults)
45%
50%
MCR
35%
100%
INS
10%
100%
Self
10%
50%
100%

22.50%
35%
10%
5%
72.50%

NB: Does not include lab or procedure

Will leave this at MCR x 1.0

Does not include lab or procedures.

# Patients
Month All Locations
1
2
3
4
5
6
7
8
9
10
11
12

80
120
170
210
250
290
320
350
370
380
390
400

Avg $ per pt
$
$
$
$
$
$
$
$
$
$
$
$

72.03
72.03
72.03
72.03
72.03
72.03
72.03
72.03
72.03
72.03
72.03
72.03

Revenue
$
$
$
$
$
$
$
$
$
$
$
$

5,762.61
8,643.91
12,245.54
15,126.85
18,008.15
20,889.46
23,050.44
25,211.41
26,652.07
27,372.39
28,092.72
28,813.04

Expenses
$
$
$
$
$
$
$
$
$
$
$
$

9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00
9,109.00

Monthly Net
$
$
$
$
$
$
$
$
$
$
$
$

(3,346.39)
(465.09)
3,136.54
6,017.85
8,899.15
11,780.46
13,941.44
16,102.41
17,543.07
18,263.39
18,983.72
19,704.04

Cum Net
$
$
$
$
$
$
$
$
$
$
$
$

(3,346.39)
(3,811.48)
(674.93)
5,342.91
14,242.07
26,022.52
39,963.96
56,066.37
73,609.44
91,872.83
110,856.55
130,560.59

NB: Does not include lab or procedures.

Yearly Net based

on month 12

236,448.53

lude lab or procedures.