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Monthly Claim Volume
10,000
Current Denial Rate
12%
Range: 0–20%
Avg Reimbursement per Claim
$150
Varies by specialty: $25 – $2,000
Specialty
Primary Care
Your Estimated Annual Leakage
DENIED CLAIMS / MONTH
1,200
UNWORKED DENIALS / MONTH
960
ANNUAL DENIAL REVENUE AT RISK
$1.7M
ANNUAL UNDERPAYMENT LEAKAGE
$317K
INDUSTRY BENCHMARKS — PRIMARY CARE
Avg Denial Rate
5–8%
Avg Reimbursement
$80 – $150
Total Estimated Annual Leakage
$2.0M
Estimated Recoverable Revenue
$1.4M
Estimated Net Revenue Retained
$1.3M
Estimates are based on the information entered and configurable assumptions regarding unworked denials, underpayments, recovery rates, and contingency fees. Actual results vary by specialty, payer mix, claim complexity, contract terms, and account quality.
Pinetree fees are calculated only on revenue successfully recovered.
