 |
|
|
| Patient Revenue |
This pro-forma was tabulated using a very conservative method to try and show a break even scenario. In a real life situation you would acquire many more procedures per month than what is represented in this proforma. Based on 40 exams per month the Following charges could be billed to Medicare with the revenue representing the actual allowable fee Medicare will pay. This pro forma is based also on the 6 most typical exams that would most likely be ordered on patients in nursing homes or at a private home.
|
|
| CPT Code |
Description |
Fee |
| 74010 |
Chest Single View |
$22.90 |
| 71020 |
Chest/PA Lat |
$29.30 |
| 73510 |
Hip AP/Lat |
$27.43 |
| 72170 |
Pelvis |
$23.79 |
| 74000 |
KUB |
$24.43 |
| 72070 |
T-Spine |
|
| R0070 |
Transport Fee (1 Patient) |
$100.00 |
| R0075 |
Transport Fee (More than 1 patient, per patient) |
$75.00 |
| Q0092 |
Equipment Setup Fee |
$16.50 |
At 10 exams per week and 40 exams per month for 12 Months there are 480 exams per year. If the average price per procedure is $26.34 and you can charge a setup fee and transportation fee, then the following revenue could be expected.
|
|
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
| 480 x 26.34 |
$12,643.20 |
$12,643.20 |
$12,643.20 |
$12,643.20 |
$12,643.20 |
| 480 x 100.00 |
$480,000 |
$480,000 |
$480,000 |
$480,000 |
$480,000 |
| 480 x 16.5 |
$7,920 |
$7,920 |
$7,920 |
$7,920 |
$7,920 |
| Total |
$68,563.20 |
$68,563.20 |
$68,563.20 |
$68,563.20 |
$68,563.20 |
| 5YR Revenue |
$342,816.00 |
| Fixed Expenses |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
| Capitol Investment |
$86,000 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
| Variable Expenses |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
Year 5 |
| Technologist |
$30,000 |
$31,200 |
$32,448 |
$33,745 |
$35,095 |
| Film |
$3,000 |
$3,000 |
$3,000 |
$3,000 |
$3,000 |
| Chemicals |
$300 |
$300 |
$300 |
$300 |
$300 |
| Insurance |
$2,000 |
$2,000 |
$2,000 |
$2,000 |
$2,000 |
| Equipment Maintenance |
$0.00 |
$23,000 |
$23,000 |
$23,000 |
$23,000 |
| Total |
$121,300 |
$38,800 |
$40,048 |
$41,345 |
$42,695 |
| 5YR Expenses |
$284,188 |
| Gross Revenue |
$342,816 |
This pro forma is based on Blue Cross and Blue Shield of Oklahoma. This pro forma is a minimal estimate of the total potential. EKG’s, hand held Ultrasound systems, & Holter monitors are also an excellent source of revenue that can easily be accommodated into your Mobile Service. Nursing Homes like having a one stop shop. We recommend that you do your own pro forma based on the area you plan to operate in. Reimbursement varies from state to state. |
|
|
|
