How Do I Determine The Provider Profit Margin?

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How Do I Determine The Provider Profit Margin?

There are two easy approaches to determine the profitability of a provider in a Pediatric practice.  The first approach is usually taken to get an overall sense of the profitability.  The second approach removes the vaccine drug expense from the practice overhead costs and the vaccine drug revenue from the provider revenue totals.  

Feel free to plug in your numbers below to measure your provider's profitability. 

While practices would like to know how they stack up against their peers, there are a variety of reasons why practice comparisons are not always applicable.  In addition to the COVID pandemic having a varying impact on pediatric practices, the patient population distribution and payor mix have traditionally been the biggest obstacles for such comparisons.  PMI encourages practices to measure each of their provider profit margins on a regular basis and monitor such statistics on a monthly, quarterly, and/or annual basis to identify areas of concern.​

Whether your providers are paid with a flat salary, provided an RVU production incentive, or allowed to earn a bonus based on revenue generated, it is important to measure each provider's profit margin to ensure the practice remains financially viable.

 

 

Picture of Paul Vanchiere, MBA

Paul Vanchiere, MBA

For over 15 years, Paul has dedicated himself exclusively to addressing the financial management, strategic planning, and succession planning needs of pediatric practices. His background includes working for a physician-owned health network and participating in physician practice acquisitions for Texas's largest not-for-profit hospital network, giving him a distinctive insight into the healthcare sector. Paul is adept at conducting comprehensive financial analysis, physician compensation issues, and managed care contract negotiations. He established the Pediatric Management Institute to offer a wide range of services tailored to pediatric practices of all sizes and stages of development, with a focus on financial and operational challenges. Additionally, Paul is actively involved in advocacy efforts to ensure healthcare access and educational opportunities for children with special needs.

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