What Should I Add Next?
Score candidate service lines against capital, expected volume, payer mix, operational complexity and economics — side by side.
Illustrative assumptions. Default values here are example inputs for demonstration only — not validated reimbursement rates, costs or benchmarks. Replace every field with your own practice’s figures.
Volume is the input that decides everything and the one most often guessed. Take it from your own last twelve months of referrals out of the practice, not from a market estimate.
Ranked shortlist
In-office procedure line
Scores highest overall — but read its weakest dimension below before acting. A strong average routinely hides one fatal weakness.
01In-office procedure line
62$4,480/mo contribution · capital recovered in 21 months
02Pelvic health programme
59$3,300/mo contribution · capital recovered in 8 months
03Office imaging
53$3,400/mo contribution · capital recovered in 36 months
Before you commit to the winner
- Is the volume from your own leakage data?
- Check
- Does the regulatory structure permit it in your entity?
- Counsel
- What does it cost the rest of the practice in rooms and staff time?
- Model
- Does it still work at a materially lower payment assumption?
- Stress-test
How this is calculated
- Five dimensions are scored 0–100: evidenced demand, monthly economics, capital exposure (relative to the other options), payer environment and operational fit.
- Capital and economics are scored relative to the strongest option in your list, so the comparison is between your candidates rather than against an absolute.
- The five are equally weighted into an overall score, and the lowest-scoring dimension is flagged for each option.
What it does not do
- It is not a revenue projection, and the equal weighting is a deliberate simplification — the point is to surface the weak dimension, not to manufacture precision from soft inputs.
- It cannot tell you whether an arrangement is legally permissible in your entity structure. That question precedes this one.
- The subjective 1–5 scales are yours; two people scoring the same option differently is a useful conversation, not a defect.
Now that you have a number
Want to pressure-test this against your actual claims data?
This model is only as good as the assumptions you put into it. Persistex works with independent urology practices on billing, coding and revenue cycle, and a practice review starts from your actual payment and denial data.
Analyze My Urology Practice takes you to a short form on the About page.
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