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VitalFlo Health
Practice ROI Calculator
📊   Sales Tool — DöktorConnect
Interactive Financial Model · 2025–2026 Medicare Fee Schedule
See Your Practice's Exact ROI in Real Time
Adjust the sliders to model any practice size. Every number updates live — cost, revenue, payback period, and annual profit.
🏥   Practice Setup
Number of Offices 1
Each office billed independently. One-time device fee per device, per office.
Devices per Office 1
Each device = $269.99 one-time + $60/month recurring software fee.
Tests per Device per Day 3
Average billable spirometry tests per device per working day (22 days/month).
RPM Patients per Device/Month 0
Remote monitoring patients billed monthly via CPT 99454 + 99457.
💳   Payor Mix
Medicare % 40%
Medicaid % 20%
Private Insurance % 35%
Self-Pay % 5%
Auto-calculated to reach 100%
📡   Optional Revenue Streams
Remote Monitoring (RPM) CPT 99454 + 99457 — ~$91/patient/mo
Pre/Post Bronchodilator Testing Upgrade 40% of tests to CPT 94060 (+$11/test avg)
Flow-Volume Loop Add-On Add CPT 94375 to 20% of tests (+$9/test avg)
💵   Your Investment Summary
Device cost (one-time) $269.99
Software fee/month $60.00
Mouthpieces/month (min 25) $125.00
Total monthly recurring $185.00
💰 Monthly net profit
Monthly Revenue
$0
All payors combined
Monthly Net Profit
$0
After all costs deducted
Annual Net Profit
$0
Year 1 (after device payback)
Return on Investment
0%
Annual ROI on total investment
Calculating breakeven...
Adjust sliders to see your payback period
months to break even
Revenue Breakdown by Payor (Monthly)
Medicare
$0
Medicaid
$0
Private Ins.
$0
Self-Pay
$0
RPM
$0
Payor Mix Distribution
Medicare40%
Medicaid20%
Private Ins.35%
Self-Pay5%
📈   12-Month Financial Snapshot
0
Total Tests
Per Year
$0
Gross Annual
Revenue
$0
Total Annual
Costs
$0
Net Annual
Profit
0%
Return on
Investment
Monthly Revenue Projection Detail
Line Item CPT Code(s) Rate Volume/Mo Monthly Total
Baseline Spirometry — Medicare94010$50.000$0
Baseline Spirometry — Medicaid94010$45.000$0
Baseline Spirometry — Private Ins.94010$77.500$0
Baseline Spirometry — Self-Pay94010$60.000$0
RPM Setup (one-time/patient) 99453$19.730$0
RPM Device Supply99454$43.020$0
RPM Monitoring Management99457$47.870$0
Total Monthly Revenue0 tests$0
Software Fees (all devices)$60/device/mo1 device−$60
Mouthpieces (min. 25/batch × $5)$5 each, min 2525−$125
💰 NET MONTHLY PROFIT$0
Device Payback Period Visualizer
Profitable
Breakeven Month
Upcoming
Annual ROI Gauge
0% 1000%
0%
Annual ROI
Total Invested
$0
Net Yr 1 Return
$0
Spirometry CPT Codes — 2025/2026 Reimbursement Reference
94010Baseline · Most Common
Spirometry with graphic record — FVC, FEV1, expiratory flow rates, with/without MVV
Medicare
$50
Medicaid
$45
Private
$65–90
Self-Pay
$50–75
94060Pre/Post Bronchodilator
Bronchospasm evaluation — spirometry before and after bronchodilator. Higher value test.
Medicare
$61
Medicaid
$55
Private
$80–110
Self-Pay
$65–90
94070Bronchoprovocation
Multiple spirometry maneuvers before and after a bronchoprovocation agent. Highest value.
Medicare
$62
Medicaid
$55
Private
$90–130
Self-Pay
$80–150
94375Flow-Volume Loop
Respiratory flow-volume loop — inspiratory & expiratory flow. Common in allergy/ENT.
Medicare
$39
Medicaid
$35
Private
$55–80
Self-Pay
$45–70
Remote Patient Monitoring (RPM) — CMS Billing Codes 2025/2026
99453
$19.73
One-Time Setup
Initial device setup & patient education. Billed once per device per patient.
99454
$43.02
Monthly · 16+ days
Device supply, daily recordings, alert transmission. Requires 16 days of data per month.
99457
$47.87
Monthly · 20 min
Clinical staff management time — first 20 minutes. Requires interactive patient communication.
99458
$38.49
Monthly Add-On
Additional 20-minute management time. Bill after 99457 threshold met (up to 2×/month).
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Your Practice at a Glance
Live talking points for your sales conversation
💡
Adjust the sliders to generate your personalized pitch points.