Urgent Care Accounting

Fifty patients a day and you still cannot tell which payer is worth seeing.

Urgent care runs on volume, but volume without visibility is just chaos. We give you the per-visit, per-payer, per-site numbers that matter.

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A 4-minute test your accountant hopes you skip.

At a glance

Investment$3,000–$4,000/mo
Contract1-year, billed monthly
Setup$3,000–$9,000 onboarding
IncludesMonthly P&L, per-site reporting, visit-level economics

Is This Right for You?

This service is for urgent care practice owners who recognize these problems:

You see 50 patients a day and your revenue per visit varies wildly but you have no idea what the average actually is by payer
Workers comp billing is complicated and you are pretty sure money is falling through the cracks but cannot prove it
Your self-pay volume is 20% of visits and your collection rate on those patients is abysmal
Lab and radiology revenue should be a profit center but you do not know if you are pricing those services correctly
Staffing is your biggest cost and your schedules do not match patient volume patterns

Need strategic financial leadership? Our Fractional CFO service for urgent care practices may be a better fit.

What's Included

How We Work With Urgent Care Centers

Urgent Care-specific accounting that goes beyond reconciliation.

01

Visit-Level Economics

  • Revenue per visit by payer type and acuity level
  • Cost per visit analysis (provider, staff, supplies)
  • Self-pay revenue and collection rate tracking
  • Volume-adjusted staffing cost analysis
02

Ancillary Revenue Tracking

  • Lab test margin analysis (in-house vs send-out)
  • Radiology revenue per X-ray and utilization tracking
  • Drug dispensing and injection revenue tracking
03

Workers Comp & Occupational Medicine

  • Workers comp billing and collection tracking
  • Employer contract profitability analysis
  • DOT physical and drug screen revenue tracking
  • Occupational medicine program cost analysis
04

Operational Expense Management

  • Staffing cost per patient visit
  • Medical supply cost per visit benchmarking
  • Lease and occupancy cost analysis
  • Marketing cost per new patient

Results

What Urgent Care Centers Experience

MetricTypical Outcome
Revenue recovered$260,000 from coding corrections and charge capture
Self-pay collections34% to 58% collection rate, adding $71,000 annually
Staffing optimization$103,000 saved through volume-based scheduling

Case Study

See The System In Action

2-site urgent care operation, open 7 days, averaging 45 patients per day per site. Combined revenue was $3.4M but profit had dropped from 16% to 9% over two years despite stable patient volumes. The owner suspected staffing costs but could not pinpoint the problem.

What we found:

  • E/M coding was 78% level 3. Benchmarking suggested the acuity mix should be closer to 55% level 3 and 25% level 4. Under-coding was costing $168K per year
  • On-site labs were ordered on 60% of visits but only billed on 44%. Charge capture failure was losing $92K annually
  • Self-pay patients (19% of volume) were being collected at 34% vs the 60%+ target, a gap worth $78K per year
  • Staffing was not volume-adjusted. Both sites were fully staffed during 3-hour daily windows that averaged only 4 patients per hour, costing $103K in excess labor

The results

$260,000 from coding corrections and charge capture

Revenue recovered

34% to 58% collection rate, adding $71,000 annually

Self-pay collections

$103,000 saved through volume-based scheduling

Staffing optimization

We were leaving $260K on the table in coding and charge capture alone. The billing team was not incompetent — they were just overwhelmed and nobody was auditing the output.

Practice Owner, Midwest

Common Questions About Accounting for Urgent Care Centers

Don't pay for reports. Pay for progress.

Take the 4-minute financial assessment—and find out if your books are helping or hurting your urgent care practice.

Take the Free Financial Assessment →

The test your accountant hopes you skip.