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Interactive Tool
Model Your Payer Mix Profitability
Model how Medicare, Medicaid, commercial, self-pay, and workers-comp mix affect your effective reimbursement rates, collection margins, and practice revenue.
Mix total: 100%
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$0
Eff. Reimbursement
$0
Monthly Net
$0
Annual Net
B
Mix Grade
Margin Contribution by Payer
Shift Recommendations
Rate Assumptions & Multipliers
This model uses the standard Medicare allowed rate as a baseline (1.00). It applies median multipliers based on national billing dataset averages: Medicaid at 0.70x Medicare, Commercial payers at 1.25x Medicare, Workers' Comp at 1.35x Medicare, and Self-Pay collected amounts at 0.45x Medicare (factoring in billing write-offs and bad-debt collection issues).
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