Data & Sources | Practice Revenue Solutions
Data & Sources

Every number we publish.And what it doesn't mean.

Healthcare marketing runs on statistics nobody can trace. We'd rather show our working. This page lists each figure that appears anywhere in our materials, where it comes from, the assumptions behind it, and the limits of what it supports.

If a number appears in one of our documents, a presentation, or a conversation with one of our representatives and it isn't on this page, ask us where it came from. If we can't answer it, don't rely on it.

Last reviewed 11 August 2026

Revenue Figures

What we say a practice can earn.

All revenue figures are modelled estimates of net revenue to the practice after program fees. They are not guarantees, and they are not drawn from any specific customer's results.

A practice enrolling 100 patients in remote monitoring and chronic care management can expect roughly $74K–$115K in net annual revenue.

Basis
Modelled from CY2026 Medicare Physician Fee Schedule national non-facility rates for CPT 99453, 99454, 99445, 99457, 99458, 99490 and 99439.
Assumptions
Approximately 80% billing utilization. 80% of enrolled patients transmit enough days for a full billable month, 10% bill on a partial-month basis, 5% generate care-management revenue only, and 5% do not bill in a given month. CPT 99453 device setup is billed separately at enrollment and is not included in the recurring figure.
Applies to
Practices billing traditional Medicare Part B fee-for-service.
Source
PRS unit economics model, revised 28 July 2026.
Does not mean
This is not a guarantee of revenue. Actual results vary with patient mix, enrollment, engagement and locality. Reimbursement rates differ by state and individual payer.

The same panel produces approximately $62–$96 net per enrolled patient, per month.

Basis
The annual figure above, expressed per patient per month. Same model, same assumptions. Across 100 enrolled patients this is roughly $6,200–$9,600 monthly.
Source
PRS unit economics model, revised 28 July 2026.
Does not mean
Monthly revenue is not level. It builds as patients enroll, and varies month to month with transmission days and engagement.

Population Data

How common these conditions are.

Prevalence figures describe the population. They describe how many people live with a condition — not how many are eligible for a given service.

More than 90% of adults aged 65 and older live with at least one chronic condition.

Source
Centers for Disease Control and Prevention, About Chronic Diseases, National Center for Chronic Disease Prevention and Health Promotion. Reviewed 14 May 2026.
Underlying study
Watson KB, Wiltz JL, Nhim K, Kaufmann RB, Thomas CW, Greenlund KJ. Trends in Multiple Chronic Conditions Among US Adults, By Life Stage, Behavioral Risk Factor Surveillance System, 2013–2023. Prev Chronic Dis. 2025;22:240539.
Method
Self-reported survey data (BRFSS), not claims or chart review. Standard for population prevalence; it is not a diagnosis count.
Does not mean
Prevalence is not eligibility. Having a chronic condition does not by itself qualify a patient for remote monitoring, care management, or diagnostic testing.

Over half of U.S. adults have two or more chronic conditions — the clinical threshold for chronic care management.

Source
CDC, About Chronic Diseases, reviewed 14 May 2026. Three in four U.S. adults have at least one chronic condition; over half have two or more.
Does not mean
Two or more chronic conditions is one requirement among several. Chronic care management also requires conditions expected to last at least twelve months, patient consent, and a comprehensive care plan. Only one practitioner may bill it per patient per calendar month.

Regulatory Statements

The rules we're describing, and their status.

Medicare policy changes. Where our materials refer to a rule, this is the rule and where it currently stands.

Health centers now bill remote monitoring and chronic care management as individual codes rather than one bundled rate.

Basis
CMS retired the bundled care management code G0511 effective 30 September 2025. FQHCs and RHCs bill the individual CPT codes for these services.
Status
In effect.
Does not mean
Tribal health organizations reimbursed under the IHS all-inclusive rate are in a different position from FQHC-enrolled organizations. Which applies is a question for your MAC, and we will not quote figures until it is settled in writing.

CMS has proposed that remote monitoring be furnished only by clinical staff directly employed by the billing practice.

Basis
CY2027 Medicare Physician Fee Schedule proposed rule, CMS-1848-P, published 16 July 2026. Proposed effective date 1 January 2027.
Status
Proposed, not final. The comment period closes 14 September 2026. Comments may be submitted at regulations.gov under file code CMS-1848-P.
Our interest
This provision would affect how our programs are delivered. We use non-employed clinical staff to furnish monthly monitoring. We publish it because practices running these programs carry the exposure — not because we are neutral about the outcome.
Does not mean
Nothing has changed yet. We make no prediction about what will be finalized, and we will not tell you this proposal is certain to fail.

Devices supplied under our remote monitoring programs are FDA-cleared.

Basis
Devices hold 510(k) clearance. Medicare requires that remote monitoring use a device meeting the FDA definition of a medical device.
Does not mean
Cleared is not approved. FDA clearance establishes substantial equivalence to an existing device; it is a different pathway from premarket approval. We do not describe these devices as FDA-approved.

What We Don't Claim

The figures we've chosen not to publish.

These are claims common in our industry that we cannot source. So we don't make them.

Not claimed

Clinical outcome statistics

We publish no figures on reduced hospitalizations, readmissions, or mortality from our programs. We have not run a study that would support them.

Not claimed

Patient eligibility percentages

We do not claim that a given share of your patients will qualify. Eligibility is determined per patient against Medicare medical-necessity criteria, and we screen your panel during onboarding rather than estimating in advance.

Not claimed

Combined program revenue

We publish revenue figures for remote monitoring and chronic care management. We do not publish a combined figure spanning both programs, because we have no verified basis for one.

Not claimed

Cardiovascular diagnostics revenue

Revenue projections for Pulse4Pulse are under review and are not published. We describe that program qualitatively until they are settled.

Not claimed

Figures outside traditional Part B

Our model produces Part B fee-for-service claims. We do not quote revenue to organizations paid by capitation or under full risk, to PACE organizations, or for services falling under Part A consolidated billing. In those settings the figures on this page do not apply, and we will say so directly.

Not claimed

Practice staff time commitments

We do not publish a monthly staff-time figure for your practice, because our clinical staff furnish the monitoring time under the ordering provider's general supervision. Attributing that time to your team would misdescribe who does the work.

Found something we've got wrong?

Tell us. Corrections to this page are made on the record, and figures that can't be sourced are removed rather than rewritten. Write to [email protected] or call 844-526-5638.

Schedule a Discovery Call Back to Home