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Physician collection rates: What percent, and how much?

Slideshow

Assume a 50% collection rate times the average amount collected per year, per specialty.

Physician collection rates can vary widely based on a wide range of factors, according to AMN Healthcare.

The company specializes in health care talent solutions and is among the largest health care staffing organizations in the United States. AMN Healthcare’s new study, the “2023 Physician Billing Report,” analyzes commercial payer billing data for physicians by specialty and advanced practice professionals (APPs), along with collections figures.

AMN published figures based on a hypothetical collection rate of 50% of the annual average amount of claims submitted per type of provider. The dollar amounts relate to health insurance claims submitted to commercial insurance and do not count reimbursement from Medicare or other medical billing.

The company noted physicians and physician employers may factor in their own collection rates into the report’s gross billing numbers to determine potential collection amounts they would realize given similar gross billing.

So where do the primary care specialties fit on the list?

Here’s a slideshow with provider types and the amounts they would collect each year at a 50% collection rate.