Demo · sample practiceReal rates on public filings for the practice named below. Not your book.
NPI 1225074982
Walk-Away
Loading your book…Price the break-even of dropping a payer — what you'd lose in volume vs what you stop bleeding. So firing a payer stops being a tantrum and becomes a number.
Sample book. Add your NPI to price your real payer contracts.
The decision · Anthem Blue Cross
Paying you 80% of the local-peer median · 21% of your book · $980,000/yr revenue.
first-pass denials ~8%appeal window 60d · fast clockDemo benchmarks
Orthopedics78% of local-peer median· biggest single payer×specialty lever — book-wide ortho lag
Cardiology84% of local-peer median· echo + diagnostics under the contracted band
Behavioral Health64% of local-peer median· BH carved out to a lower vendor fee schedule
Renegotiation recovery · modeled scenario
Keep as-is
−$214,000
bled per year accepting below-peer rates
Renegotiate to peer
+$160,500
modeled scenario · 75% of documented gap recovered, volume intact
Drop them
−$980,000
revenue forgone — the credible threat
Re-earning the walk takes ~55 months ($980,000/yr forgone vs $214,000/yr bleed). Renegotiation recovers a modeled $160,500 at 75% first. Fire only if they refuse.
Napkin math: re-earn months = revenue forgone ÷ (annual bleed ÷ 12) · a walk reads credible under 18 months, assuming walked volume refills at peer-median rates · sample figures, modeled, never guaranteed.