Clinic Payer Mix and Revenue per Visit Calculator

The short answer

Not every visit pays the same. Private pay, extended health plans, auto insurance claims and WorkSafeBC each pay a different fee and a different share of it reaches your bank. This tool shows what each payer is worth per visit and per hour after discounts, short pays and write-offs, your blended revenue per visit, and what a shift in the mix could add.

Where to find the numbers

Number	Where it comes from
Visits a year by payer	From the scheduling or billing system: visits by payer type for the last 12 months.
Fee per visit	What you bill for a typical visit to that payer.
% you collect	Payments received divided by amounts billed, after discounts, short pays and write-offs. From the billing or receipts report.
Cost per visit	Practitioner time plus overhead for one visit, from the Practice Overhead tool or Treatment Price tool.

Number

Where it comes from

Visits a year by payer

From the scheduling or billing system: visits by payer type for the last 12 months.

Fee per visit

What you bill for a typical visit to that payer.

% you collect

Payments received divided by amounts billed, after discounts, short pays and write-offs. From the billing or receipts report.

Cost per visit

Practitioner time plus overhead for one visit, from the Practice Overhead tool or Treatment Price tool.

If this happens, then that

If…	…then
You collect more of what you bill	Revenue per visit rises with no extra patients. Tighten billing, follow up short pays and fix rejected claims.
One payer takes a growing share	Check what each visit leaves after cost. A low payer with a high share can drag down the whole clinic.
Slower payers lengthen your wait	Collecting late does not show here. Look at days to be paid in the cash flow forecast.
You raise private fees	Only private-pay visits change. Plans, insurers and WorkSafeBC set their own fees.

If…

…then

You collect more of what you bill

Revenue per visit rises with no extra patients. Tighten billing, follow up short pays and fix rejected claims.

One payer takes a growing share

Check what each visit leaves after cost. A low payer with a high share can drag down the whole clinic.

Slower payers lengthen your wait

Collecting late does not show here. Look at days to be paid in the cash flow forecast.

You raise private fees

Only private-pay visits change. Plans, insurers and WorkSafeBC set their own fees.

Fee schedules and rules differ by payer and by profession, so use your own numbers. This is not advice on billing rules.

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Information only. General estimates and checklists, in 2026 dollars, using simplified assumptions. Not accounting, tax, legal or professional-regulatory advice. Rules and rates change, so confirm them with your regulator, the CRA, the BC government or your accountant.

Example numbers are made up. They only show how the tool works. Replace them with your own.

Want advice for your own situation?

This free tool is a courtesy of HJ Wu & Company Inc. (CPA), a Vancouver CPA firm offering accounting, tax, financial reporting and review assurance. Feedback on the calculators is welcome.