Built for medical professionals
Private Practice Break-Even Calculator
Project how many visits or procedures you need to cover startup costs for a private practice under 2026 assumptions.
Adjust reimbursement, overhead, and ramp speed to see your breakeven month and volume targets.
What this calculator helps you do
- Model startup costs, overhead, and reimbursement per visit.
- See visits per month needed to cover fixed costs.
- Estimate months to breakeven with ramp assumptions.
- Stress-test optimistic vs conservative volume.
Who this is for
US attendings evaluating private practice startup feasibility in 2026.
Private Practice Break-Even Calculator
Estimate monthly profit, patient volume targets, and months to recover startup costs.
Practice inputs
Results
Calculated in real time as you update inputs.
Patients per Day to Break Even
12.0
Daily volume needed to cover fixed and variable costs
Monthly Profit (est.)
$10,000
Months to Recover Startup
18 months
Monthly Revenue
$48,000
Monthly Variable Costs
$8,000
Trend / chart
Explanation
Monthly profit = (patients/month * reimbursement) - (patients/month * variable cost) - fixed costs. Break-even patients/day divides fixed costs by per-patient contribution margin. Months to recover adds startup cost and one month of fixed costs to account for ramp and divides by monthly profit.
Chart shows cumulative profit over 24 months against startup costs. Adjust reimbursement, volume, and variable costs to reflect your payer mix and staffing model.
Non-Device Clinical Decision Support (CDS) Notice
This calculator is Non-Device Clinical Decision Support (CDS) and is intended to assist, not direct, independent physician judgment.
The clinician is responsible for verifying the underlying math and assumptions against cited PubMed references before applying outputs in care.
How to use this calculator
- Enter startup costs, fixed monthly overhead, and reimbursement per visit or case.
- Set expected monthly volume and ramp speed.
- Review visits needed to breakeven and breakeven month.
- Adjust assumptions for payer mix or additional staff.
- Save outputs externally to review with advisors or accountants.
Understanding your results
- Payer mix and reimbursement vary widely—validate with your billing partner.
- Include your own compensation draw separately if desired.
- Licensing, credentialing, and malpractice costs can extend ramp timelines.
- Treat outputs as directional; build a detailed pro forma before committing.
Common questions
Does this include taxes?
No. It focuses on revenue and overhead. Add taxes in your own pro forma.
Can I model multiple service lines?
Use weighted average reimbursement or run separate scenarios per service line.
Are staffing costs included?
Fixed monthly overhead should include staffing, rent, and systems—update these inputs as they change.
Is this financial advice?
No. Use it as a planning tool and confirm assumptions with your accountant or attorney.
Sources and methodology
- AMA practice management guidance
- Billing partner benchmarks
- IRS
Changelog: Updated for 2026 assumptions and refreshed copy.
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