Mental health margin is set by payer mix, no-shows, and which services you do or don't offer.
Self-pay tiers, ketamine/TMS feasibility, and group therapy economics are the three biggest levers in independent psychiatry today. We model all three with conservative ramp curves.
What we see again and again in mental health practices
- Cash-pay vs. commercial mix not optimized for revenue per hour
- No-show rate eroding therapist utilization without a deposit/late-cancel policy
- Group therapy and intensive outpatient programs un-launched despite demand
- Ketamine and TMS feasibility never modeled against your patient panel
Mental health & psychiatry reference data
Every report compares your numbers against published peer data. Sources include MGMA, CMS, and specialty-society reports.
| Metric | Reference value | Source |
|---|---|---|
| No-show rate, behavioral health median | 18–24% | Industry analysis |
| Therapist utilization, median | 68–76% | MGMA mental health |
| Cash revenue per hour vs. commercial, median delta | +$45–$95 | Industry survey |
Recommended report order for mental health and psychiatry
You don't need all four. Start with the one we recommend first — most owners stop there because it surfaces enough to act on for the next 90 days.
- 1
Payer mix and contracts
$0Benchmarks your payer mix against peers and flags the contracts most worth renegotiating.
- 2
New service feasibility
$0Go/no-go assessment for a service line you're considering adding.
- 3
Revenue expansion
$0Ranks your top 8–10 revenue expansion opportunities by specialty, staff, and payer mix.
- 4
Staff utilization
$0Identifies whether your NPs, PAs, and licensed staff are billing at full scope.
Common dollar findings in mental health and psychiatry
Pulled from patterns we see across audits. Your numbers will differ, but the categories are remarkably consistent.
- Payer mix rebalance worth $60K–$140K/year in additional gross margin
- Group therapy launch sized at $8K–$22K/month recurring
- Ketamine program feasibility positive in 6 of 10 panels we've modeled
FAQ for mental health and psychiatry owners
Do you model ketamine and TMS together?+
Yes, with separate capex, training, and credentialing timelines. The feasibility report ranks them by NPV against your specific panel size and payer mix.