Solutions for Practice Managers

Scheduling Efficiency That
Translates Directly to Revenue

No-show rates averaging 23%, provider utilization below benchmark, and patient wait times above 20 minutes are operational problems with calculable financial consequences. Vizier shows you the numbers — and where to intervene.

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$180Kadditional annual revenue from 2% no-show improvement at a 5-provider practice
No-Show & Scheduling Analytics

The $180,000 No-Show Problem in Every 5-Provider Practice

The average ambulatory practice no-show rate is 23%. At a 5-provider practice seeing 20 patients each per day, that is 23 missed appointments every business day. At an average revenue of $180 per visit (blended payer mix), that is $4,140 in daily lost revenue — roughly $1M annually in missed appointments that are never recovered.

A 2% reduction in no-show rate (from 23% to 21%) translates to approximately $180K in additional annual revenue — not from new patients, but from the capacity you already have. Vizier identifies no-show patterns by day of week, time of day, appointment type, provider, insurance type, and patient demographics.

Monday morning appointments have the highest no-show rates (27–31%). New patient appointments have higher rates than established patient return visits. Medicaid patients no-show at higher rates than commercially insured patients — not because of engagement, but because of transportation barriers that predictive identification can address. Vizier segments all of this automatically.

No-Show Rate by Pattern
Monday AM new patient appointments
29–31%
Highest risk
Friday PM established patient visits
26–28%
High risk
Midweek AM established patients
14–18%
Moderate risk
Same-day scheduled appointments
8–11%
Low risk
Reminder confirmed (48hr prior)
9–12%
Low risk
The revenue math: 5 providers × 20 patients/day × 23% no-show × $180/visit × 250 days = $1.035M in missed appointments per year. A 2% improvement recovers $180K of that without adding a single new patient.
Provider Utilization & Throughput

Provider Utilization Below 85% Is Unscheduled Revenue

Industry benchmark for provider utilization is 85–90% of scheduled capacity. A provider operating at 75% utilization is effectively working a 30-hour week in a 40-hour slot — and the remaining 10 hours of unbilled capacity represents roughly $240–$320 per unutilized hour in lost collections.

Vizier tracks provider utilization by time block, day of week, and appointment type — and compares it against the 85–90% benchmark. When a provider consistently runs below benchmark on Tuesday afternoons, the schedule template needs adjustment, not the provider.

85–90%
Benchmark utilization
$240–320
Revenue per provider hour
Avg 24 min
Established patient wait time
Target < 7 days
New patient wait time
Patient Wait Time Analysis

Average wait time of 24 minutes for established patients is the national benchmark — but that average masks significant variation. A provider whose patients wait 38 minutes on average has a patient satisfaction problem and a schedule template problem. Press Ganey data shows a strong negative correlation between wait times above 20 minutes and likelihood to recommend scores.

Room occupancy rate (benchmark)> 80%
Room turnover time (target)< 8 minutes
Door-to-provider time (target)< 15 minutes
Third next available appointmentBenchmark < 7 days
Same-day appointment availabilityTarget: 10–15% of slots
Staff Productivity & Front Desk Performance

Operational Metrics From Check-In to Checkout

Front Desk Performance
Patient check-in time
Target < 4 minutes
Insurance verification rate
Target 100% prior to visit
Copay collection rate
Target > 95% at time of service
Scheduling error rate
Target < 2% of appointments
Clinical Staff Productivity
Rooming time (RN/MA)
Target < 5 minutes
Vital signs documented
Target 100% before provider
Patients per MA per hour
Benchmark: 3.5–4.5
Medication reconciliation
Target > 95% at each visit
Appointment Mix Analysis
New patient %
Target 15–25% of volume
Preventive vs. sick visit ratio
Track against payer incentives
Procedure appointment fill rate
Target > 90% of procedure slots
Telehealth % of total volume
Track parity with in-person
23%
Average patient no-show rate — every point represents real revenue and wasted clinical capacity
$180K
Additional annual revenue from a 2% no-show reduction at a 5-provider practice
85–90%
Provider utilization benchmark — below 80% means significant revenue left unrealized
24 min
Average wait time for established patients — a key driver of patient satisfaction scores
Related Solutions

Operational Data Across Every Function

Operational Clarity

Find the Revenue in Your Existing Schedule

Upload a scheduling data export and see your no-show patterns, provider utilization gaps, and wait time distribution — in under 48 hours, without an analyst.