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How the $100/patient/month works
$100 is the blended CMS reimbursement per enrolled patient per month (CCM + RPM stacking, conservative for partial-month enrollments and incomplete code capture). Greens Health operates the program and keeps 70%. Your clinic keeps 30% — $30/patient/month — as pure margin.
$100
CMS gross/patient
$70
Greens Health (70%)
$30
Your clinic (30%)
The Real Investment — Clinical Time
$1 of clinical time returns $9 back.
The only clinical investment is 2 hours per 100 enrolled patients per month reviewing extreme and high-acuity conditions. At 200 patients that's 4 hours. Borrowed time — not a new hire.
4 hrs
NP/MD time/mo
$175
Loaded hourly rate
$700
Clinical cost/mo
$6,000/mo
Clinic 30% revenue
Live Revenue & Time Calculator
Enrollment Phase
Gross Revenue
$20,000
per month
Clinic Keeps (30%)
$6,000
per month
Coordinator Hrs
20 hrs
$600/mo
Clinical Hrs (NP/MD)
4 hrs
$700 invested
Clinic Net / Mo
$4,700
after all costs
Clinical ROI
8.6x
per $1 clinical time
Every $1 your clinic spends on coordination
Formula Breakdown
Gross = 200 pts × $100 = $20,000
Clinic 30% = $20,000 × 0.30 = $6,000
Coord = ⌈200÷50⌉ × 5 = 20 hrs × $30 = $600
Clinical = ⌈200÷100⌉ × 2 = 4 hrs × $175 = $700
Net = $6,000 − $600 − $700 = $4,700/mo
Time Commitment Ratchet
Coordinator / Office Assistant
Month 1: Every 30 pts = 10 hrs
Month 2+: Every 50 pts = 5 hrs
Rate: $30/hr
Scheduling + EHR updates. Scales down after onboarding.
Clinical Time — NP or MD ⭐
2 hrs per 100 enrolled patients
100 pts = 2 hrs · 200 pts = 4 hrs · 300 pts = 6 hrs
Rate: $175/hr (loaded)
Borrowed time — not a new hire. Extreme conditions only.
| Patients | Phase | Coord Hrs | Coord Cost | NP/MD Hrs | Clinical Cost | Total Cost | Clinic 30% | Net | Clinical ROI |
|---|---|---|---|---|---|---|---|---|---|
| 30 | Month 2+ | 5 hrs | $150 | 2 hrs | $350 | $500 | $900 | $400 | 2.6x |
| 50 | Month 2+ | 5 hrs | $150 | 2 hrs | $350 | $500 | $1,500 | $1,000 | 4.3x |
| 60 | Month 2+ | 10 hrs | $300 | 2 hrs | $350 | $650 | $1,800 | $1,150 | 5.1x |
| 100 | Month 2+ | 10 hrs | $300 | 2 hrs | $350 | $650 | $3,000 | $2,350 | 8.6x |
| 150 | Month 2+ | 15 hrs | $450 | 4 hrs | $700 | $1,150 | $4,500 | $3,350 | 6.4x |
| 200 ◀ | Month 2+ | 20 hrs | $600 | 4 hrs | $700 | $1,300 | $6,000 | $4,700 | 8.6x |
| 250 | Month 2+ | 25 hrs | $750 | 6 hrs | $1,050 | $1,800 | $7,500 | $5,700 | 7.1x |
| 300 | Month 2+ | 30 hrs | $900 | 6 hrs | $1,050 | $1,950 | $9,000 | $7,050 | 8.6x |
* Month 1 uses 10 hrs / 30 patients. Month 2+ drops to 5 hrs / 50 patients. Clinical ROI = Clinic 30% ÷ Clinical cost.
12-Month Enrollment Ramp
Month 1
40 pts
$1,200
+$250
Month 2
80 pts
$2,400
+$1,750
Month 3
140 pts
$4,200
+$3,050
Month 4
200 pts
$6,000
+$4,700
Month 5
200 pts
$6,000
+$4,700
Month 6
200 pts
$6,000
+$4,700
Month 7
200 pts
$6,000
+$4,700
Month 8
200 pts
$6,000
+$4,700
Month 9
200 pts
$6,000
+$4,700
Month 10
200 pts
$6,000
+$4,700
Month 11
200 pts
$6,000
+$4,700
Month 12
200 pts
$6,000
+$4,700
| Month | Enrolled | Gross Rev | Clinic 30% | Coord Hrs | Total Cost | Clinic Net | Milestone |
|---|---|---|---|---|---|---|---|
| Month 1 | 40 | $4,000 | $1,200 | 20 hrs | $950 | $250 | Onboarding. First CCM enrollments. |
| Month 2 | 80 | $8,000 | $2,400 | 10 hrs | $650 | $1,750 | Ramp. RPM devices ship. |
| Month 3 | 140 | $14,000 | $4,200 | 15 hrs | $1,150 | $3,050 | BHI/CHI added. Full suite active. |
| Month 4 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | Full run rate reached. |
| Month 5 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | Stable. |
| Month 6 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | 6-month review. |
| Month 7 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | Optional: ground nurse added. |
| Month 8 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | |
| Month 9 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | |
| Month 10 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | |
| Month 11 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | |
| Month 12 | 200 | $20,000 | $6,000 | 20 hrs | $1,300 | $4,700 | Year-end. $41k+ net achieved. |
Patient Visits Driven Back to Clinic
Hidden Revenue Stream — Patient Appointment Conversion
Every 10 RPM monitoring calls, 1 drives a clinic appointment.
RPM patients are monitored daily. When our care coordinators detect an abnormal reading, 1 in 10 interactions results in a scheduled clinic visit. That visit generates an E&M fee (CPT 99213/99214) billed directly by your clinic at full rate. This is not counted in the 70/30 split — it goes 100% to you.
50 patients
RPM enrolled (25%)
10%
call-to-appt rate
$175
avg E&M fee
$875/mo
100% to your clinic
RPM Visits / Mo
5 visits/mo
1 in 10 RPM calls
E&M Revenue / Mo
$875/mo
100% to your clinic
E&M Annual
$10,500/yr
incremental
Total clinic revenue — program split + E&M visits combined
Program 30% share
$6,000/mo
E&M visit revenue
$875/mo
Combined monthly
$6,875/mo
Combined annual
$82,500/yr
Revenue Sources — CMS Reimbursement Programs
| Program | What It Covers | CMS Codes | Avg/Pt/Mo | % of Revenue | Share |
|---|---|---|---|---|---|
| CCM | Chronic Care Mgmt — 2+ chronic conditions | 99490, 99491 | $62 | 45% | |
| RPM | Remote Patient Monitoring — daily vitals | 99453, 99457 | $35 | 25% | |
| BHI | Behavioral Health Integration | 99484 | $27 | 20% | |
| CHI | Complex Health Integration — 3+ diagnoses | 99487, 99489 | $14 | 10% |
Blended avg across all four programs = $100/enrolled patient/month. All billed under clinic NPI.
Year 1 Bottom Line
$6,000
Clinic revenue/mo at 200 pts
$700
Clinical time investment/mo
8.6x
Return on clinical time
~$41k
Net year-1 gain (ramp included)
✅ Only real cost: coordinator time ($600/mo) + 4 hrs NP/MD time.
✅ Clinic keeps 30% of all reimbursements collected under their NPI.
✅ Greens Health covers 100% of operations, billing, compliance, care coordination, and technology.
✅ Month-to-month. No long-term contract. No upfront cost.
✅ Break-even: Month 1. Every month after is net positive.