Home Specialities Family Medicine
Every age, coded right
newborn to elder
Vaccine fees captured
the work, not just the drug
Accurate, never inflated
what happened, on the page
Underpayment recovery
on claims marked paid
Your strength is range. Range is also where billing breaks.
A cardiologist bills cardiology all day. A dermatologist bills skin. You might bill a well-child visit, an acute earache, a full new-patient workup, chronic care management for diabetes, and multiple vaccines, all before lunch, and each with its own set of rules. No single billing playbook covers that spread, so a small error creeps into every category, and at thirty to forty patients a day the small errors stop being small.
Across the 32 family practices we've analyzed, an average of 5–8% of revenue quietly disappears this way. For a USD 3M practice, that can mean USD 150K to USD 240K in lost revenue per year. That loss does not come from one major mistake. It comes from having a breadth of services that no one has time to track perfectly.
See where it's goingWhat 5–8% looks like on a $3M practice
The 5–8% range reflects OneMed's analysis of 32 family practice revenue cycles; the dollar figures apply that range to a $3M example practice. Your actual exposure depends on payer mix, panel breadth, vaccine volume, and front-end workflow.
They pay for the vaccine. Not for the nurse who gives it.
Every immunization has two billable parts. There is the vaccine product itself, and there is the administration, which covers your nurse’s time, the supplies, and the clinical judgment required to give it safely. Payers routinely cover the first and quietly bundle away the second, so you're paying staff to do work you're never reimbursed for. Multiply it across thousands of shots a year.
Every shot has two parts. Watch which one gets paid.
Illustrative of a common bundling pattern. Whether an administration fee is separately payable depends on the vaccine, the visit, and the payer.
Five leaks hiding in the volume.
None of these issues represents a clinical failure. The care provided was correct. The claim simply did not reflect all of it.
The shot you gave for free
Every vaccine bills in two parts: the drug itself and the administration, which includes your nurse’s time, the supplies, and the safety check. Payers routinely pay for the drug and bundle the administration fee to zero, calling it "included in the visit." You literally paid your staff to give the shot and got nothing for their work.
The new patient billed as an old one
A family moves to town and comes in for the first time. That is a new-patient visit. It requires a full history and a complete exam, and it pays more because it involves more work. But payer rules often spot the patient somewhere in a prior network and quietly drop the claim to the established-patient rate, shaving forty to sixty dollars off a visit you genuinely did as new.
The physical where a real problem showed up
A patient comes in for a routine preventive visit and, while they are there, raises an issue that needs proper attention, like a persistent cough or an ache that will not resolve. You stop and deal with it. You bill the physical and the extra problem, and the extra problem is zeroed out as "part of the check-up."
The care that happens between visits
Family medicine doesn't end at the exam-room door: the calls to a specialist, the blood-pressure medication adjusted by phone, the diabetic patient managed all week to keep them out of hospital. There are payer programs that reimburse for care coordination, but the time is difficult to track, so most practices do not bill for it at all.
The balance the front desk couldn't catch
A family practice front desk is often chaotic, with a crying toddler, ringing phones, and a full waiting room. Collecting a copay or a deductible balance in that moment gets skipped, and chasing it months later mostly fails: the patient is annoyed, the balance ages, and it becomes bad debt.
Bandwidth, not effort
Nobody on your team is doing anything wrong. They're processing thousands of claims a month across every age and every kind of visit, and can't check each one by hand.
Every visit is a different rulebook
A well-child check, an acute visit, a new-patient workup and a chronic-care visit all bill differently. One team cannot be an expert in all these rules at once, so it triages, and the small-dollar items across every category are the ones that fall through.
Built to fight denials, not underpayments
A visit may be paid, but paid short, with a bundled vaccine fee or a downgraded level. The claim still clears because nothing automatically flags an underpayment.
You can't see it from the deposit
One monthly number can't show you a bundled admin fee or a downgraded new patient. The leaks live on individual claims, invisible from the top, and you can't manage what you can't measure.
Make the whole day count.
We are not asking anyone to claim more than they did. We make sure the claim reflects everything that actually happened across your full range of services, including vaccine administration, new-patient levels, additional problems, and care coordination. We then recover what was quietly underpaid. All inside the systems you already use.
Read the claim against the visit
Our ClearView dashboard flags where a payment came in below what the visit should have paid. That includes bundled vaccine fees, downgraded new patient visits, extra problems erased from a physical, and care coordination that was never billed.
Record what genuinely happened
Our family medicine reviewers make sure the claim matches the actual visit. A true new patient is billed as new, and two distinct services are counted as two. We never inflate a visit. We just prevent a real one from being paid short.
Capture the vaccine work and the coordination
We make sure administration fees are billed for every eligible shot, and set up clean tracking for the between-visits coordination you're already doing so those programs are actually paid.
Recover, then fix the front end
When a payer underpays, we build the appeal and pursue it. We also put verification and collection checkpoints at the front desk so patient balances stop turning into bad debt.
The 2026 OneMed Family Practice Profit Index.
We reviewed anonymized results from every family practice we worked with over the last 18 months. The patterns emerged once someone looked at where the money was actually going across each category.
32
family practices analyzed
1.8M+
claims reviewed
$165K
average recovered per practice
↓38%
average bad debt
This is where the recovered money had been hiding. Like everything else in family medicine, the losses were spread across the full range of services.
| Where the money was found | Share of what we recovered |
|---|---|
| Annual visits where a real problem was addressed | 34% |
| Vaccine administration fees recovered | 26% |
| Between-visits care coordination captured | 18% |
| Front-desk collection errors reduced | 14% |
| New-patient visits paid at the right level | 8% |
Aggregated across OneMed family practice engagements over the trailing 18 months. Individual results vary by practice, payer mix, panel breadth, and starting point.
Who We Serve?
Accurate, whole-panel billing and revenue recovery for family medicine.
Independent family practices
Owner-run practices seeing the whole community across every age, where breadth makes every billing category a place to leak.
Practices with heavy well-child & vaccine volume
High-immunization practices where bundled administration fees quietly add up to real money.
Rural & community family medicine
Broad-scope practices that are the only care for miles, billing the full range with a small team.
Group & hospital-affiliated family medicine
Multi-provider family medicine where consistent, accurate coding across the age range matters to leadership.
Your practice data, handled properly
A signed agreement is in place before any protected data changes hands, and everything is handled in a controlled, auditable environment.
Ten claims across your range. Fifteen minutes.
You don't need to hand a new vendor months of records to find out whether this is real. Pull ten recent payment records covering a mix of well visits, sick visits, and vaccines, remove the patient details, and we will review them with you to show exactly where the payment came up short.
- 1 · Pull ten payment records including a mix of well visits, sick visits, and vaccine administrations.
- 2 · Remove patient details including names, dates of birth, and member IDs. We only need the codes and the payment amounts.
- 3 · Send them securely through our portal before the call.
- 4 · Review them live with us to see bundled vaccine fees, downgraded new patients, and extra problems erased from the claim.
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.