Revenue Leakage Calculator

Specialty / subspecialty

Annual net collections — what the practice actually collects per year

Annual claim volume (optional)

Avg. reimbursement / claim (optional)

Your current initial denial rate (optional, %)

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estimated recoverable revenue leakage per year

Estimated leakage

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of net collections

Typical initial denial rate

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for this specialty tier

Typically preventable

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of denials (industry)

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Where the revenue leaks	Estimated / year

How this estimate works

This calculator turns published, industry-standard revenue-cycle benchmarks into a practice-level estimate. It is deliberately conservative and transparent — the goal is a credible starting point for a conversation, not a precise audit.

The benchmarks behind it

Initial denial rate ≈ 11.8% of claims (2024) and rising — Kodiak Solutions / HFMA and the Optum Denials Index.
≈ 84% of denials are potentially avoidable — Optum 2024 Revenue Cycle Denials Index (124M+ claims across 1,400+ hospitals).
Net collection rate floor of 95% (97–99% optimal) — HFMA; anything below signals leakage.
High-value services (imaging, surgical, specialty drugs) run 18–20% higher denial rates than routine visits — which is why the estimate is tiered by specialty.

Specialty tiers

Reputable per-subspecialty denial rates aren't published openly, so rather than invent precision we group specialties into three payer-scrutiny tiers and apply a defensible leakage range to each. High-value procedural specialties (cardiology, orthopedics, pain, GI, oncology, urology, interventional radiology) sit in the top tier; primary care and pediatrics in the lowest.

Sources

Illustrative estimate — not a guarantee. Results are modeled from published industry benchmarks and the figures you enter. They are not an audit, an appraisal of your actual claims, a promise of recoverable dollars, or financial advice. Your real numbers depend on your payer mix, contracts, and coding. Revenuit is advisory-only and works from de-identified data. No information entered here includes patient health information, and inputs are used only to produce your estimate.