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The revenue you earned but never collected

Net collection rate is the share of the money you were actually owed — after contractual adjustments — that you manage to collect. Drag your numbers to see what's slipping past, and what reaching a realistic target is worth. Your numbers stay on your device.

Your numbers
Collectible revenue per month
Charges after insurer contractual adjustments — the money you're genuinely owed, not gross charges.
Your net collection rate
Target net collection rate
Well-run revenue cycles usually clear 95–99%. Below ~95% points to denials, underpayments and uncollected patient balances.
Earned but not collected / year
collected uncollected
Recoverable at target
Net collection rate
Net, not gross: this is measured after contractual adjustments — the money you were genuinely owed. A rate under about 95% almost never means insurer discounts; it means denials, underpayments and patient balances that were collectible and weren’t collected. Track gross collection rate alone and you’ll flatter yourself.
One of five numbers worth a weekly look.
Clinic Vitals tracks no-shows, collections, days in A/R, utilisation and retention — from the exports you already have.
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How net collection rate is calculated

Net collection rate is payments divided by charges after contractual adjustments, over a period — the money you were genuinely owed once insurer discounts are taken out. That's what separates it from gross collection rate, which is skewed by how high you set your charges and flatters almost everyone.

What's a good net collection rate?

Well-run revenue cycles usually land between 95% and 99%. Below about 95% is a leak, and it's rarely insurer discounts — it's denials, underpayments and patient balances that were collectible and weren't collected. A couple of points on a mid-size practice is real, recurring money.

What actually moves it

Work and appeal denials quickly, check payments against your contracted rates to catch underpayments, collect patient balances at or near the visit, and keep write-offs disciplined so nothing collectible is quietly zeroed out. The full breakdown is in Net collection rate: the number that shows what you're really collecting.

More free calculators

Part of a small set for running a practice on the numbers — see them all on the tools page, or read the revenue-cycle KPIs worth tracking.