Net revenue per visit is the average amount a medical practice actually collects per patient encounter after all payer adjustments and write-offs — a composite metric that integrates reimbursement rates, payer mix, visit complexity, and billing efficiency into a single per-encounter figure.
Net revenue per visit (also called net revenue per encounter) is calculated by dividing total collected revenue by total completed patient encounters for a defined period; it integrates multiple revenue cycle drivers — payer mix, contracted reimbursement rates, average visit complexity (CPT code mix), and billing collection efficiency — into a single number that reflects what the practice actually receives on average for each patient seen. A declining net revenue per visit is one of the most useful early warning signals in practice financial management because it can reflect payer mix shift, reimbursement rate compression, visit complexity changes, or billing efficiency deterioration — and becomes visible 30–45 days before the impact appears in bottom-line EBITDA. Net revenue per visit should be tracked by payer and by visit type, not only in aggregate: the aggregate can mask significant deterioration in one payer's reimbursement that is obscured by strong commercial performance in the same period. For PE firms underwriting healthcare acquisitions, net revenue per visit trended monthly over 36 months — segmented by payer — is one of the clearest signals of whether revenue quality has been stable, improving, or deteriorating over the evaluated period. MGMA specialty benchmarks for revenue per visit are available and allow comparison to peer practices for context.
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