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ITAS Health

Revenue calculator

Model it yourself, with assumptions you can argue with.

Every input is visible and every rate is a published CY2026 CMS national average. The defaults are set low on purpose — we would rather you find the number credible than impressive.

Your practice
2,200

Patients seen at least once in the last 18 months.

35%

APCM is Medicare-only. Most primary care panels sit between 25% and 45%.

Who qualifies
60%

The eligibility bar for CCM and for the middle and top APCM levels. Usually higher than practices expect.

12%

The zero-copay, highest-paying APCM tier. Applied to the APCM side of the split, since that is where a QMB belongs.

How many enroll
25%

Of eligible patients who accept when offered at a wellness visit. 25% is a deliberately conservative starting assumption.

20%

APCM and CCM cannot both be billed for the same patient in the same month, so this splits the enrolled panel rather than adding to it. The rest bills APCM.

Chronic care management
80%

Below twenty minutes a month pays nothing at all. This is the single assumption that decides whether CCM beats APCM for you.

30%

Months that bill the add-on once. We never credit the second add-on, even though the code allows it twice.

Remote monitoring
40%

Not every chronic patient should be on a device. This is the share where monitoring genuinely changes management — it stacks with either program.

70%

Below 16 days the period pays the lower 99445 tier instead of 99454. Real-world adherence, not best case.

Modelled program revenue

$130,042 / year

$10,837 per month, recurring, at 116 enrolled patients.

Eligible for care management

Medicare patients with two or more chronic conditions

462

APCM, standard tier G0557

82 patients × $53.78/mo

$4,410

APCM, QMB tier G0558

11 patients × $117.24/mo · no patient copay

$1,290

CCM, first 20 minutes 99490

23 patients, 80% of months clearing the threshold

$1,217

CCM, additional 20 minutes 99439

Credited once on 30% of billable months, never twice

$278

RPM, 16+ day tier 99454 + 99457

32 patients, device supply plus first 20 minutes

$3,040

RPM, partial tier 99445

14 patients at 2–15 transmission days

$602

Total monthly program revenue

$10,837

This is gross program revenue, before our fee.

Figures use published national averages and the enrollment rate you set above. We work out our fee with you on the call, once we have seen your practice.

How this is calculated. All rates are CY2026 published national averages. Because APCM and CCM cannot both be billed for the same patient in the same month, the enrolled panel is split between them, never counted twice — moving the CCM slider moves patients across, it does not add them. CCM credits only the months that reach twenty documented minutes, since a month below that pays nothing, and credits the add-on at most once although the code allows it twice. RPM assumes device supply for every monitored patient, the first twenty-minute management tier only for patients clearing sixteen transmission days, and no additional-time add-on. Amounts are before locality adjustment and exclude commercial-payer RPM revenue entirely, even though RPM is widely reimbursed outside Medicare. Real practices bill more than this model shows, and we would rather understate it. Nothing here is a projection, a guarantee, or billing advice.

What this model leaves out

Four reasons the real number is usually higher

We built the calculator to understate, because a model that flatters you is worthless in a room with a sceptical physician in it. Here is what we deliberately excluded.

Commercial and Medicare Advantage RPM

The model counts only traditional Medicare. RPM is widely reimbursed by commercial plans and Medicare Advantage, and since a typical panel is only 30–40% traditional Medicare, this alone can roughly double the monitorable population. Coverage varies by plan and has to be verified, so we left it out entirely.

Additional management time

On monitoring we credit only the first twenty-minute tier, though practices with genuinely sick patients bill the add-on regularly, and there is now a shorter tier for periods with ten to nineteen minutes of work. On CCM we credit the add-on once where the code allows it twice, and we never credit complex CCM, which pays more than double the base rate.

Device setup and everything adjacent

No setup code, no transitional care management for the post-discharge calls this program surfaces, no behavioural-health integration add-ons. All of them are real revenue that appears once the operational rail exists.

The visits that come back

Patients in regular contact with a practice keep their wellness visits and close their care gaps. That effect is real, well documented, and impossible to model honestly — so it is not in here at all.

And one reason it could be lower

The CY2027 Physician Fee Schedule proposed rule would significantly reduce RPM device-supply payment if finalized as written. We model conservatively against that possibility internally, and we would rather you knew about it before signing anything than after. Neither APCM nor CCM is affected by that proposal. What CMS actually proposed.

Now run it against your real panel

The calculator uses assumptions. The panel scan uses your eligibility data — actual counts, actual tiers, actual names, in about thirty minutes.

No EHR change. No commitment.