Telehealth Visit Revenue Calculator

Revenue comparison: telehealth vs in-person visits.

Monthly Telehealth Visits

Medicare Payer Mix (%)

Commercial Payer Mix (%)

Medicaid Payer Mix (%)

Avg Visit Complexity (1-5)

Collection Rate (%)

Tab to move between fields

Monthly Gross Revenue ($)

$26,579.00

≈ 13 gaming PCs

Annual Gross Revenue ($)

$318,946.00

≈ 8 Teslas

Annual Net Collections ($)$302,998.00

Weighted Avg Reimbursement ($)$88.60

Revenue per Provider Hour ($)$265.79

Volume Uplift Revenue ($/month)$3,987.00

In Person Premium$93.03

How to Use This Calculator

Enter the number of telehealth visits per month by visit type (established patient, new patient, follow-up).
Input the reimbursement rate for each visit type from your primary payer mix.
Set the payer mix percentages: Medicare, Medicaid, commercial, and self-pay.
Review the Total Monthly Telehealth Revenue and the Blended Reimbursement Rate.
Use the Revenue Per Provider Per Hour output to compare telehealth productivity against in-person visit rates.

How the result changes with Monthly Telehealth Visits

Monthly Telehealth Visits: Number of telehealth patient visits per month.
Medicare Payer Mix (%): Percentage of telehealth visits billed to Medicare.
Commercial Payer Mix (%): Percentage billed to commercial insurance (BCBS, Aetna, UHC, etc.).
Medicaid Payer Mix (%): Percentage billed to Medicaid (remainder is self-pay).
Avg Visit Complexity (1-5): Average E/M level: 1=99211 (minimal), 3=99213 (moderate), 5=99215 (high complexity).
Collection Rate (%): Percentage of billed charges actually collected. Industry average is 93-97%.

Monthly Gross Revenue ($): Total billed revenue from telehealth visits per month.
Annual Gross Revenue ($): Projected yearly telehealth gross revenue.
Annual Net Collections ($): Expected collections after applying collection rate.
Weighted Avg Reimbursement ($): Average reimbursement per visit based on your payer mix.
Revenue per Provider Hour ($): Estimated hourly revenue assuming 3 telehealth visits/hour.
Volume Uplift Revenue ($/month): Estimated additional monthly revenue from ~15% higher visit volume via telehealth convenience.

Identify Input Parameters
4 parameters
Monthly Telehealth Visits = 300, Medicare Payer Mix (%) = 35, Commercial Payer Mix (%) = 40, Medicaid Payer Mix (%) = 15 = 6 input(s) provided
Calculate Monthly Gross Revenue
Monthly Gross Revenue = monthlyTelehealthVisits * weightedRate
26579 = $26,579
Calculate Annual Gross Revenue
Annual Gross Revenue = monthlyGross * 12
318946 = $318,946
Calculate Annual Net Collections
Annual Net Collections = monthlyNet * 12
302998 = $302,998
Calculate Weighted Avg Reimbursement
Weighted Avg Reimbursement = (medicarePct / 100) * medicareRate +
88.6 = $88.6