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 bill a well-child visit, an acute earache, a full new-patient workup, a diabetic's chronic management and a fistful of vaccines — before lunch, and each with its own 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. On a $3M practice that's $150K–$240K a year — lost not to any one big mistake, but to breadth nobody has time to police.
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 halves: the vaccine product, and the administration — your nurse's time, the supplies, the clinical judgement 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 is a clinical failure. The care was right — the claim just didn't reflect all of it.
The shot you gave for free
Every vaccine bills in two parts: the drug, and the administration — your nurse's time, the supplies, 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's a new-patient visit — a full history and complete exam — and it pays more because it's 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
Someone comes in for a routine preventive visit and, while they're there, raises something that needs proper attention — a nagging cough, an ache that won't settle. 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 this coordination — but the time is fiddly to track, so most practices bill none of it.
The balance the front desk couldn't catch
A family-practice front desk is chaos — a crying toddler, a ringing phone, 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 can't be expert in all of it at once, so it triages — and the small-dollar items across every category are what fall through.
Built to fight denials, not underpayments
Your team chases claims marked denied. A visit that was paid — just paid short, with a bundled vaccine fee or a downgraded level — sails through, because nothing 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 — the vaccine work, the new-patient level, the extra problem, the coordination — and recover what was quietly paid short. 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 — a bundled vaccine fee, a downgraded new patient, an extra problem erased from a physical, coordination never billed.
Record what genuinely happened
Our family medicine reviewers make sure the claim reflects the real visit — a true new patient billed as new, two distinct services counted as two. We never inflate a visit; we stop 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
Where a payer paid short, we build the appeal and pursue it — and we put verification and collection checkpoints at the front desk so balances stop turning into bad debt.
The 2026 OneMed Family Practice Profit Index.
We aggregated the anonymized results from every family practice we worked with over the last 18 months — here's what surfaced once someone looked at where the money was actually going, category by category.
32
family practices analyzed
1.8M+
claims reviewed
$165K
average recovered per practice
↓38%
average bad debt
Point-of-service collections rose 31% on average. Here's where the recovered money had been hiding — spread, like everything in family medicine, across the whole range.
| 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 — a spread of well-visits, sick visits and vaccines — black out the patient details, and we'll walk through them with you, showing exactly where the payment came up short.
- 1 · Pull 10 payment records — a mix of well-visits, sick visits, and vaccine administrations.
- 2 · Black out the patient details — names, dates of birth, and member IDs. We work from the codes and amounts.
- 3 · Send them securely — into our secure portal before the call.
- 4 · See it live — bundled vaccine fees, downgraded new patients, and erased extra problems.
Book your 15-minute claim review
We'll confirm a time within one business day.
Common questions.
Why does high patient volume not translate into high profit?
Because family medicine is broad, not just busy. In one day you bill a newborn well-check, a teenager's asthma, a new patient's full workup, and an older adult's chronic care — each with different rules. No single billing playbook fits all of it, so small errors happen across every category, and at 30 to 40 patients a day they add up fast.
What is the vaccine administration fee issue?
Every vaccine has two billable parts: the vaccine product and the administration — the nurse's time, the supplies, and the clinical oversight to give it safely. Payers often reimburse the product but bundle or deny the administration fee, so you're effectively paying your staff to give shots you're not paid for. Across thousands of vaccines a year, that's real money.
Isn't this just coding visits higher to get paid more?
No. We never ask anyone to claim a visit was more than it was. The problems here are the reverse: a genuine new-patient visit downgraded to established, two real services in one appointment paid as one, or an administration fee that's legitimately owed. We make the claim reflect what actually happened — nothing invented.
What do you actually look for?
Vaccine administration fees bundled away, new-patient visits downgraded to established, annual visits where a separate problem was addressed and erased, care coordination delivered between visits but never billed, and front-desk balances turning into bad debt.
Do you make us change our EHR?
No. We work inside the systems you already use and adapt to your workflow — no software change and no disruption to your clinic.
What happens on the 15-minute review?
You bring ten recent payment records with patient details blacked out — a mix of well-visits, sick visits, and vaccine administrations — and we show you where the payment came up short. No bulk PHI upload.
Get paid for the whole day, not half of it
Bring ten claims across your range to a 15-minute review and see what breadth is quietly costing you.