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PPO Profitability Analyzer

Map your payor mix, calculate write-off rates by plan, and model the revenue impact of dropping underperforming PPO contracts.

Calculating anonymously — results are instant. Sign in to save data and unlock peer benchmarks.

Prior calendar month

1 month of data

Trailing 3 months

3 months of data

Enter the gross (pre-adjustment) production for each payor category in the period. Use 0 for payor types you don't participate in.

FFS gross production

Fee-for-service patients paying at full fee

PPO gross production

Total gross production for all PPO/insurance patients

Medicaid gross production

Medicaid/state program gross production (0 if not participating)

Enter write-off (adjustment) amounts for your top 3 PPO plans. Leave at 0 for plans you don't have or want to exclude.

Plan 1 write-offs

Largest PPO plan — e.g. Delta Dental

Plan 2 write-offs

Second PPO plan — e.g. Cigna, Aetna

Plan 3 write-offs

Third PPO plan (optional)

Insurance claims submitted

Total claims billed to insurance in the period

Claims denied or rejected

Total denials and rejections received in the period

Avg. days to insurance payment

Average calendar days from claim submission to payment receipt

Largest single payor — net production

Net (post-adjustment) revenue from your single largest payor in the period

No account required — results appear instantly below.