RPM Patient Proforma
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RPM Codes
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CPTDescriptionBill Frequency Minimum Minutes
Reimbursement
20% Patient Co-PayDeviceDevice Cost Each Unit
Initial Supply
Total Cost
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99453Remote Patient Monitoring (setup)Bill One Time$19.46$3.89BPM Connect Blood Pressure Monitoring$85.00100$8,500.00
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99454RPM physiologic parameter 30 day transmitBill Every 30 days$64.15$12.83Body Scale$85.00100$8,500.00
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99457RPM treatment mgmt. servicesFirst 20 minutes (Bill Monthly)$51.54$10.31$170.00$17,000.00
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994582020Addl'l 20 mins (Bill Monthly)TBDTBD
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RPM Revenue Breakdown
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MonthPatient Monthly TargetCPTProvider Rate*Monthly RevenueStaff CostPatient Lookup Data Recording Feed (10.00PMPM)Equipment CostSales Tax (6% is average)Shipping (included in purchase price)Net RevenueMonthly Revenue TotalRunning Annual Revenue
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110099453$19.46$1,946.00$1,009.62$0.00$0.00$936.38-$7,776.64-$7,776.64
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10099454$64.15$6,415.00$252.40$1,000.00$17,000.00$1,020.00$0.00-$12,857.40
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38
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210099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$1,530.34
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$1,530.34
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310099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$10,837.32
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$10,837.32
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410099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$20,144.30
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$20,144.30
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510099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$29,451.28
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$29,451.28
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610099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$38,758.26
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$38,758.26
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710099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$48,065.24
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$48,065.24
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810099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$57,372.22
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$57,372.22
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910099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$66,679.20
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$66,679.20
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1010099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$75,986.18
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$75,986.18
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1110099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$85,293.16
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$85,293.16
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1210099454$64.15$6,415.00$252.40$1,000.00$0.00$5,162.60$9,306.98$94,600.14
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10099457$51.54$5,154.00$1,009.62$0.00$0.00$4,144.38$94,600.14
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Copyright 2019 Health Endeavors d/b/a Patient Lookup
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Per Patient$946.00
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Estimated Staff Cost (Monthly)
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CPTStaffAnnual Salary EstimateBenefits EstimateHourly Staff CostEstimated Time to Setup or Minimum In MinutesPatient Monthly TargetTotal Hours (using total minutes)Total Monthly Cost
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99453Medical Assistant - Setup devices$45,000.00$18,000.00$30.292010033.33$1,009.62
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99454Medical Assistant - Review Poor Results$45,000.00$18,000.00$30.2951008.33$252.40
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99457Medical Assistant - 20 minutes per patient interventions$45,000.00$18,000.00$30.292010033.33$1,009.62
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Total Monthly Cost (Month 1 including set up):
$2,271.63
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Total Monthly Cost (Month 2 and After):
$1,262.02
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Annual Cost:
$16,153.85
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