Referral leakage
Quantifies revenue lost by referring out procedures you could perform in-house.
What you'll get
Estimated $/year leaked to outbound referrals, broken down by procedure category
Assumes: Calculated from your reported referral volume × specialty-average reimbursement; aggregated to the category level (not individual CPT) to stay directional.
Top 5 procedures you could bring in-house, ranked by 12-month net contribution
Assumes: Net contribution = projected revenue − staff cost − equipment depreciation − supplies; ranked only among procedures that fit your scope and space.
Capital + staffing + space + credentialing requirements per procedure (with dollar ranges)
Assumes: Equipment quoted as category price ranges, not vendor SKUs; credentialing timelines use national averages, not your specific board.
12-month ramp model with break-even month and an explicit downside scenario
Assumes: Base case assumes 70% of national volume benchmark by month 12; downside assumes 45%. No upside-only projections.
Suggested CPT bundle + credentialing checklist per bring-in-house recommendation
Assumes: CPT bundles cite AMA descriptors; credentialing list is generic across major commercial payers — not customized per contract.
Sample output
You're referring out ~$186K/year in procedures. Bringing 2 of them in-house pays back equipment + training in 7 months.
Who this is for
- Specialty or primary care practices referring out 10+ procedures/month
- Owners considering hiring an additional provider type (NP, PA, sub-specialist)
- Clinics with procedure room capacity that sits unused
Not the right fit if
- Solo providers with no plan to add staff or procedure capacity
- Practices that refer out fewer than 5 procedures per month
How we build it
- 1We model your outbound referral mix against specialty norms to estimate volume and reimbursement of each leaked procedure.
- 2Bring-in-house feasibility uses your existing staff scope, room availability, and capital constraints — not a generic best-case.
- 3Every recommendation includes a downside case so you're not buying into a hockey stick.
What we'll ask in intake
- Top procedures you currently refer out and approximate monthly volume
- Existing equipment and procedure rooms
- Provider scope (MDs, NPs, PAs, sub-specialty training)
- Capital appetite for the next 12 months
No PHI required. Aggregates, percentages, and estimates are enough.
Frequently asked questions
7 questionsDidn't answer your question? Email us — we reply within 4 business hours.
Want this done with you?
Service Line Launch — from $7,500
Once you've picked a procedure to bring in-house, we run sourcing, training pairing, and CPT setup so you're operational — not theoretical.
This is a separate, defined engagement; scope and fee are confirmed before work begins.