How This Worksheet Works
Enter your practice data below to see real-time calculations of your PPO costs, write-offs, and revenue opportunities. All calculations happen instantly on your device — your data is never stored or shared.
1 Current Revenue Breakdown
PPO Annual Revenue: $175,000 | FFS Annual Revenue: $325,000
2 Cost Analysis
Annual Insurance Admin Cost
$71,904
Staff salary + claim follow-up time
Percentage of Collections
14.4%
Of total annual revenue
3 Opportunity Cost Calculator
Revenue Lost to Write-Offs
$49,000
Direct financial loss
Admin Cost of PPO Processing
$25,167
Based on PPO revenue %
Total Hidden Cost
$74,167
Annual PPO cost
Revenue Per Patient
$1,167 PPO
$2,167 FFS
$1,000 difference per patient
14.8% of your annual collections are consumed by PPO participation costs and write-offs
4 Transition Projections
What if you transitioned away from PPO?
See projected revenue changes based on patient retention and membership plan enrollment
% annual new FFS patients
Retained PPO Patients
128
Of current PPO patient base
Membership Plan Members
57
At $600/year avg
Membership Revenue (Year 1)
$34,200
From active members
Net Revenue Change (Year 1)
+$33,200
Projected increase
Year 1 Projected Revenue: $407,000 (vs current $500,000)
Note: These projections assume you reduce PPO involvement. Actual results depend on patient communication, quality of service, and market conditions.
5 Your Financial Summary
Key Metrics At A Glance
Current Annual PPO Cost
$74,167
PPO as % of Collections
14.8%
Potential Year 1 Savings
$74,167
Net Projected Change
+$33,200
Bottom Line: Your practice is paying 14.8% of annual collections to manage PPO participation. Even with conservative retention assumptions, a transition could improve profitability while reducing administrative burden.
Ready to Reduce PPO Dependence?
Use these insights with our other tools to build a comprehensive transition strategy
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